From the Journals

Factors Tied to Revision Adenoidectomy

BMI percentile, younger age, allergic rhinitis, adenoidectomy without tonsillectomy may increase risk of a secondary adenoidectomy.

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A longitudinal cohort study in the American Journal of Otolaryngology identifies several factors increasing the risk of secondary adenoidectomy, including high body mass index (BMI) percentiles, younger age at initial surgery, and prior allergic rhinitis. Conducted on 461 pediatric patients, the study found a notable 30% revision rate, contrasting with typical rates of 1% to 3%. It suggests that obesity-related inflammation could exacerbate adenoid hypertrophy, providing insights for tailored surgical decisions in children with sleep-disordered breathing.

Original Source(s)

Factors Tied to Revision Adenoidectomy

BMI percentile, younger age, allergic rhinitis, adenoidectomy without tonsillectomy may increase risk of a secondary adenoidectomy.

  • by Julie Greenbaum

  • January 8, 2026

  • 3 min

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