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3D-structural change of nasopharynx following adenoidectomy: 10-year serial data in a single hospital

  • Laryngology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

Scar contracture commonly refers to decreased function in the scar area, whereas scar contraction refers to shortening of the scar length compared to the original wound. Wound scar remodeling occurs during months to years of wound healing to form a mature scar. Serial reports about patients who had undergone adenoidectomy are rare. Thus, the objective of this study was to evaluate some parameters of air way passage in patients who had undergone post adenoidectomy.

Methods

Data of patients who have undergone adenoidectomy between 2000 and 2002 in our hospital were obtained. A total of 154 head and neck CT scans from an adenoidectomy group and a control group were analyzed. We measured lengths of several areas, including the width of posterior wall of nasopharynx, the widest diameter in the upper air way, the length between both Eustachian tubes, the length between both pharyngeal recesses, and the anterior to posterior diameter of the nasopharynx. This study was approved by Institutional Review Board (IRB) of the Department of Otolaryngology Head and Neck Surgery of Catholic University (approval number: UC18RESI0130).

Results

There were significant differences in the following parameters between the two groups: the width of posterior wall of nasopharynx and the length between both pharyngeal recesses.

Conclusion

Extensive removal of soft tissue or injured muscle layer during surgery might be one of the reasons for the narrowing of airway. Keeping in mind not to make much injury the soft tissue or muscles during adenoidectomy is very important for the long-term outcome of this surgery.

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Funding

This work was supported by a grant of the E.N.T. Fund of the Catholic University of Korea made in the program year of 2013.

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Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 65-1 Geum-odong, Uijeongbu city, Gyeonggi-do, South Korea

    Boo-Young Kim, Ji Hyung Lim & Seoungmin Lee

  2. Department of Radiology, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu city, South Korea

    Yunsup Hwang

Authors
  1. Boo-Young Kim
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  2. Ji Hyung Lim
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  3. Seoungmin Lee
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  4. Yunsup Hwang
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Corresponding author

Correspondence to Boo-Young Kim.

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Conflict of interest

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Ethical approval

This study was approved by Institutional Review Board (IRB) of the Department of Otolaryngology Head and Neck Surgery of Catholic University (approval number: UC18RESI0130).

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Kim, BY., Lim, J.H., Lee, S. et al. 3D-structural change of nasopharynx following adenoidectomy: 10-year serial data in a single hospital. Eur Arch Otorhinolaryngol 277, 1391–1395 (2020). https://doi.org/10.1007/s00405-020-05852-9

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  • DOI: https://doi.org/10.1007/s00405-020-05852-9

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