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Проблема рецидивов роста лимфоидных структур глотки у детей (обзор литературы)
Проблема рецидивов роста лимфоидных структур глотки у детей (обзор литературы)
Кульмакова М.А., Радциг E.Ю., Полунин М.М. Проблема рецидивов роста лимфоидных структур глотки у детей (обзор литературы). Педиатрия. Consilium Medicum. 2022;4:336–339.
DOI: 10.26442/26586630.2022.4.201918
© ООО «КОНСИЛИУМ МЕДИКУМ», 2022 г.
DOI: 10.26442/26586630.2022.4.201918
© ООО «КОНСИЛИУМ МЕДИКУМ», 2022 г.
________________________________________________
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Аннотация
Гипертрофия аденоидов и/или небных миндалин – распространенное состояние в детском возрасте, которое снижает качество жизни ребенка. Оперативное лечение имеет широкое применение в Российской Федерации и в мире, однако некоторые пациенты сталкиваются с рецидивом заболевания. От 0,55 до 25,7% прооперированных детей подвергаются повторной аденотомии; 0,12–11,9% переносят повторную тонзиллотомию/тонзилэктомию. Причины повторного роста лимфоидных структур глотки у некоторых пациентов остаются до конца не ясны, а оценка частоты случаев рецидива затруднительна в связи с отсутствием определенных клинико-диагностических критериев самого понятия «рецидив». К факторам, ассоциированным с более высокой частотой повторного роста лимфоидных структур глотки, можно отнести наличие у ребенка заболеваний (аллергия, бронхиальная астма, гастроэзофагеальный рефлюкс), особенности анамнеза (перенесенные тонзиллиты, множественные курсы антибактериальной терапии), а также ранний возраст выполнения первичной операции и проведение аденотомии без визуального контроля. Обсуждаемые вопросы актуальны для оториноларингологов и педиатров в контексте прогнозирования и сокращения риска рецидива у детей перед первичной операцией.
Ключевые слова: гипертрофия аденоидов, гипертрофия небных миндалин, рецидив, повторная аденотомия, повторная тонзиллотомия
Keywords: nasopharyngeal tonsil hypertrophy, palatine tonsil hypertrophy, recurrence, repeated adenotomy, repeated tonsillotomy
Ключевые слова: гипертрофия аденоидов, гипертрофия небных миндалин, рецидив, повторная аденотомия, повторная тонзиллотомия
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Keywords: nasopharyngeal tonsil hypertrophy, palatine tonsil hypertrophy, recurrence, repeated adenotomy, repeated tonsillotomy
Полный текст
Список литературы
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19. Rutkow IM. Ear, Nose, and Throat Operations in the United States, 1979 to 1984. Arch Otolaryngol Head Neck Surg. 1986;112(8):873-6. DOI:10.1001/archotol.1986.0378008
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22. Clemens J, McMurray JS, Willging JP. Electrocautery versus curette adenoidectomy: comparison of postoperative results. Int J Pediatr Otorhinolaryngol. 1998;43(2):115-22. DOI:10.1016/s0165-5876(97)00159-6
23. Parikh SR, Coronel M, Lee JJ, Brown SM. Validation of a new grading system for endoscopic examination of adenoid hypertrophy. Otolaryngol Head Neck Surg. 2006;135(5):684-7. DOI:10.1016/j.otohns.2006.05.003
24. Liu H, Feng X, Sun Y, et al. Modified adenoid grading system for evaluating adenoid size in children: a prospective validation study. Eur Arch Otorhinolaryngol. 2021;278(6):2147-53. DOI:10.1007/s00405-021-06768-8
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27. Kim SY, Lee WH, Rhee CS, et al. Regrowth of the adenoids after coblation adenoidectomy: cephalometric analysis. Laryngoscope. 2013;123(10):2567-72. DOI:10.1002/lary.23984
28. Paramaesvaran S, Ahmadzada S, Eslick GD. Incidence and potential risk factors for adenoid regrowth and revision adenoidectomy: A meta-analysis. Int J Pediatr Otorhinolaryngol. 2020;137:110220. DOI:10.1016/j.ijporl.2020.110220
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37. Alsharif S, Alessa S, Alshiqayhi S, et al. Incidence and Characteristics of Revision Adenoidectomy Among Pediatric Patients at King Abdulaziz University Hospital in Saudi Arabia. Cureus. 2020;12(5):e7945. DOI:10.7759/cureus.7945
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40. Sorin A, Bent JP, April MM, Ward RF. Complications of microdebrider-assisted powered intracapsular tonsillectomy and adenoidectomy. Laryngoscope. 2004;114(2):297-300. DOI:10.1097/00005537-200402000-00022
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43. Sakki AJ, Mutka A, Nokso-Koivisto J, Mäkinen LK. Do tonsils regrow after partial tonsillectomy? – Histology of regrown tonsils and predisposing factors for tonsillar regrowth. Int J Pediatr Otorhinolaryngol. 2022;157:111132. DOI:10.1016/j.ijporl.2022.111132
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16. Бойко Н.В., Бачурина А.С. Аденотомия и аденотонзиллотомия у детей с затруднением носового дыхания. Российская ринология. 2015;23(1):9-12 [Boiko NV, Bachurina AS. Adenoidectomy and adenotonsillotomy in children with difficult nasal breathing. Russian Rhinology. 2015;23(1):9-12 (in Russian)].
17. Pediatric Head and Neck Textbook. Eds P Campisi, V Forte, BY Ngan, G Taylor. 2021. DOI:10.1007/978-3-030-59265-3
18. Bhandari N, Don DM, Koempel JA. The incidence of revision adenoidectomy: A comparison of four surgical techniques over a 10-year period. Ear Nose Throat J. 2018;97(6):E5-9. DOI:10.1177/014556131809700601l
19. Rutkow IM. Ear, Nose, and Throat Operations in the United States, 1979 to 1984. Arch Otolaryngol Head Neck Surg. 1986;112(8):873-6. DOI:10.1001/archotol.1986.0378008
20. Дроздова М.В., Ларионова С.Н., Тырнова Е.В. Клинико-этиологические аспекты лимфопролиферативного синдрома у детей 2–3 лет. Российская оториноларингология. 2019;18(6):18-25 [Drozdova MV, Larionova SN, Tyrnova EV. Clinical and etiological aspects of the lymphoproliferative syndrome in 2–3-year-old children. Rossiiskaya otorinolaringologiya. 2019;18(6):18-25 (in Russian)]. DOI:10.18692/1810-4800-2019-6-18-25
21. Cassano P, Gelardi M, Cassano M, et al. Adenoid tissue rhinopharyngeal obstruction grading based on fiberendoscopic findings: a novel approach to therapeutic management. Int J Pediatr Otorhinolaryngol. 2003;67(12):1303-9. DOI:10.1016/j.ijporl.2003.07.018
22. Clemens J, McMurray JS, Willging JP. Electrocautery versus curette adenoidectomy: comparison of postoperative results. Int J Pediatr Otorhinolaryngol. 1998;43(2):115-22. DOI:10.1016/s0165-5876(97)00159-6
23. Parikh SR, Coronel M, Lee JJ, Brown SM. Validation of a new grading system for endoscopic examination of adenoid hypertrophy. Otolaryngol Head Neck Surg. 2006;135(5):684-7. DOI:10.1016/j.otohns.2006.05.003
24. Liu H, Feng X, Sun Y, et al. Modified adenoid grading system for evaluating adenoid size in children: a prospective validation study. Eur Arch Otorhinolaryngol. 2021;278(6):2147-53. DOI:10.1007/s00405-021-06768-8
25. Лихачев А.Г. Справочник по оториноларингологии. М.: Медицина, 1967 [Likhachev AG. Spravochnik po otorinolaringologii. Moscow: Meditsina, 1967 (in Russian)].
26. Lesinskas E, Drigotas M. The incidence of adenoidal regrowth after adenoidectomy and its effect on persistent nasal symptoms. Eur Arch Otorhinolaryngol. 2009;266(4):469-73. DOI:10.1007/s00405-008-0892-5
27. Kim SY, Lee WH, Rhee CS, et al. Regrowth of the adenoids after coblation adenoidectomy: cephalometric analysis. Laryngoscope. 2013;123(10):2567-72. DOI:10.1002/lary.23984
28. Paramaesvaran S, Ahmadzada S, Eslick GD. Incidence and potential risk factors for adenoid regrowth and revision adenoidectomy: A meta-analysis. Int J Pediatr Otorhinolaryngol. 2020;137:110220. DOI:10.1016/j.ijporl.2020.110220
29. Monroy A, Behar P, Brodsky L. Revision adenoidectomy--a retrospective study. Int J Pediatr Otorhinolaryngol. 2008;72(5):565-70. DOI:10.1016/j.ijporl.2008.01.008
30. Grindle CR, Murray RC, Chennupati SK, et al. Incidence of revision adenoidectomy in children. Laryngoscope. 2011;121(10):2128-30. DOI:10.1002/lary.22161
31. Liapi A, Dhanasekar G, Turner NO. Role of revision adenoidectomy in paediatric otolaryngological practice. J Laryngol Otol. 2006;120(3):219-21. DOI:10.1017/S0022215106005585
32. Lee CH, Hsu WC, Ko JY, et al. Revision adenoidectomy in children: a meta-analysis. Rhinology. 2019;57(6):411-9. DOI:10.4193/Rhin19.101
33. Lin DL, Wu CS, Tang CH, et al. The safety and risk factors of revision adenoidectomy in children and adolescents: A nationwide retrospective population-based cohort study. Auris Nasus Larynx. 2018;45(6):1191-8. DOI:10.1016/j.anl.2018.03.002
34. Dearking AC, Lahr BD, Kuchena A, Orvidas LJ. Factors associated with revision adenoidectomy. Otolaryngol Head Neck Surg. 2012;146(6):984-90. DOI:10.1177/0194599811435971
35. Lawal J, Dadi HI, Sanni R, Shofoluwe NA. Prevalence of Revision Adenoidectomy in a Tertiary Otorhinolaryngology Centre in Nigeria. J West Afr Coll Surg. 202;11(1):23‑8. DOI:10.4103/jwas.jwas_61_22
36. Johnston J, Mahadevan M, Douglas RG. Incidence and factors associated with revision adenoidectomy: A retrospective study. Int J Pediatr Otorhinolaryngol. 2017;103:125-8. DOI:10.1016/j.ijporl.2017.10.023
37. Alsharif S, Alessa S, Alshiqayhi S, et al. Incidence and Characteristics of Revision Adenoidectomy Among Pediatric Patients at King Abdulaziz University Hospital in Saudi Arabia. Cureus. 2020;12(5):e7945. DOI:10.7759/cureus.7945
38. Злобина Н.В., Асманов А.И., Радциг Е.Ю. Последствия аденотомии у детей, выполненной без визуального контроля: тактика повторной хирургической коррекции. Российская ринология. 2017;25(2):37-41 [Zlobina NV, Asmanov AI, Radtsig EIu. The consequences of adenotomy for the children performed without a visual control: the strategy for the secondary surgical correction. Russian Rhinology. 2017;25(2):37-41 (in Russian)].
39. Solares CA, Koempel JA, Hirose K, et al. Safety and efficacy of powered intracapsular tonsillectomy in children: a multi-center retrospective case series. Int J Pediatr Otorhinolaryngol. 2005;69(1):21-6. DOI:10.1016/j.ijporl.2004.07.006
40. Sorin A, Bent JP, April MM, Ward RF. Complications of microdebrider-assisted powered intracapsular tonsillectomy and adenoidectomy. Laryngoscope. 2004;114(2):297-300. DOI:10.1097/00005537-200402000-00022
41. Windfuhr JP, Savva K, Dahm JD, Werner JA. Tonsillotomy: facts and fiction. Eur Arch Otorhinolaryngol. 2015;272(4):949-69. DOI:10.1007/s00405-014-3010-x
42. Celenk F, Bayazit YA, Yilmaz M, et al. Tonsillar regrowth following partial tonsillectomy with radiofrequency. Int J Pediatr Otorhinolaryngol. 2008;72(1):19‑22. DOI:10.1016/j.ijporl.2007.09.007
43. Sakki AJ, Mutka A, Nokso-Koivisto J, Mäkinen LK. Do tonsils regrow after partial tonsillectomy? – Histology of regrown tonsils and predisposing factors for tonsillar regrowth. Int J Pediatr Otorhinolaryngol. 2022;157:111132. DOI:10.1016/j.ijporl.2022.111132
44. Schmidt R, Herzog A, Cook S, et al. Complications of tonsillectomy: a comparison of techniques. Arch Otolaryngol Head Neck Surg. 2007;133(9):925-8.
DOI:10.1001/archotol.133.9.925
45. Soaper AL, Richardson ZL, Chen JL, Gerber ME. Pediatric tonsillectomy: A short-term and long-term comparison of intracapsular versus extracapsular techniques. Int J Pediatr Otorhinolaryngol. 2020;133:109970. DOI:10.1016/j.ijporl.2020.109970
46. Zhang Q, Li D, Wang H. Long term outcome of tonsillar regrowth after partial tonsillectomy in children with obstructive sleep apnea. Auris Nasus Larynx. 2014;41(3):299-302. DOI:10.1016/j.anl.2013.12.005
47. Bystrup A, Lildal TK, Ovesen T. Longterm results after tonsillotomy: outcome, residual symptoms and need for revision surgery. Acta Otolaryngol. 2020;140(1):58-65. DOI:10.1080/00016489.2019.1681592
48. Amin N, Bhargava E, Prentice JG, et al. Coblation intracapsular tonsillectomy in children: A prospective study of 1257 consecutive cases with long-term follow-up. Clin Otolaryngol. 2021;46(6):1184-92. DOI:10.1111/coa.13790
49. Prates MCM, Tamashiro E, Proenca-Modena JL, et al. The Relationship between Colonization by Moraxella catarrhalis and Tonsillar Hypertrophy. Can J Infect Dis Med Microbiol. 2018;2018:5406467. DOI:10.1155/2018/5406467
50. Huo Z, Shi J, Shu Y, et al. The relationship between allergic status and adenotonsillar regrowth: a retrospective research on children after adenotonsillectomy. Sci Rep. 2017;7:46615.
DOI:10.1038/srep46615
51. Huang YD, Tan JJ, Han XY, et al. Study on the correlation between adenoid hypertrophy and laryngopharyngeal reflux in children. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018;32(12):899-904 (in Chinese). DOI:10.13201/j.issn.1001-1781.2018.12.005
52. Niu X, Wu ZH, Xiao XY, Chen X. The relationship between adenoid hypertrophy and gastroesophageal reflux disease: A meta-analysis. Medicine (Baltimore). 2018;97(41):e12540. DOI:10.1097/MD.0000000000012540
53. Ren J, Zhao Y, Ren X. An association between adenoid hypertrophy and exstra-gastroesophageal reflux disease. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015;29(15):1406-8 (in Chinese).
54. Carr MM, Poje CP, Ehrig D, Brodsky LS. Incidence of reflux in young children undergoing adenoidectomy. Laryngoscope. 2001;111(12):2170-2.
DOI:10.1097/00005537-200112000-00018
55. Duval M, Chung JC, Vaccani JP. A case-control study of repeated adenoidectomy in children. JAMA Otolaryngol Head Neck Surg. 2013;139(1):32-6.
DOI:10.1001/jamaoto.2013.1060
56. Thomas K, Boeger D, Buentzel J, et al. Pediatric adenoidectomy: a population-based regional study on epidemiology and outcome. Int J Pediatr Otorhinolaryngol. 2013;77(10):1716-20. DOI:10.1016/j.ijporl.2013.07.032
57. Thadikonda KM, Shaffer AD, Stapleton AL. Outcomes of adenoidectomy-alone in patients less than 3-years old. Int J Pediatr Otorhinolaryngol. 2018;106:46-9. DOI:10.1016/j.ijporl.2017.12.030
58. Sagheer SH, Kolb CM, Crippen MM, et al. Predictive Pediatric Characteristics for Revision Tonsillectomy After Intracapsular Tonsillectomy. Otolaryngol Head Neck Surg. 2022;166(4):772-8. DOI:10.1177/01945998211034454
59. Doshi HK, Rosow DE, Ward RF, April MM. Age-related tonsillar regrowth in children undergoing powered intracapsular tonsillectomy. Int J Pediatr Otorhinolaryngol. 2011;75(11):1395-8. DOI:10.1016/j.ijporl.2011.07.036
60. Sapthavee A, Bhushan B, Penn E, Billings KR. A comparison of revision adenoidectomy rates based on techniques. Otolaryngol Head Neck Surg. 2013;148(5):841-6. DOI:10.1177/0194599813477830
61. Skilbeck CJ, Tweedie DJ, Lloyd-Thomas AR, Albert DM. Suction diathermy for adenoidectomy: complications and risk of recurrence. Int J Pediatr Otorhinolaryngol. 2007;71(6):917-20. DOI:10.1016/j.ijporl.2007.03.001
62. Sjogren PP, Thomas AJ, Hunter BN, et al. Comparison of pediatric adenoidectomy techniques. Laryngoscope. 2018;128(3):745-9. DOI:10.1002/lary.26904
63. Ezzat WF. Role of endoscopic nasal examination in reduction of nasopharyngeal adenoid recurrence rates. Int J Pediatr Otorhinolaryngol. 2010;74(4):404-6. DOI:10.1016/j.ijporl.2010.01.016
64. Ark N, Kurtaran H, Ugur KS, et al. Comparison of adenoidectomy methods: examining with digital palpation vs. visualizing the placement of the curette. Int J Pediatr Otorhinolaryngol. 2010;74(6):649-51. DOI:10.1016/j.ijporl.2010.03.012
________________________________________________
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49. Prates MCM, Tamashiro E, Proenca-Modena JL, et al. The Relationship between Colonization by Moraxella catarrhalis and Tonsillar Hypertrophy. Can J Infect Dis Med Microbiol. 2018;2018:5406467. DOI:10.1155/2018/5406467
50. Huo Z, Shi J, Shu Y, et al. The relationship between allergic status and adenotonsillar regrowth: a retrospective research on children after adenotonsillectomy. Sci Rep. 2017;7:46615. DOI:10.1038/srep46615
51. Huang YD, Tan JJ, Han XY, et al. Study on the correlation between adenoid hypertrophy and laryngopharyngeal reflux in children. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018;32(12):899-904 (in Chinese). DOI:10.13201/j.issn.1001-1781.2018.12.005
52. Niu X, Wu ZH, Xiao XY, Chen X. The relationship between adenoid hypertrophy and gastroesophageal reflux disease: A meta-analysis. Medicine (Baltimore). 2018;97(41):e12540. DOI:10.1097/MD.0000000000012540
53. Ren J, Zhao Y, Ren X. An association between adenoid hypertrophy and exstra-gastroesophageal reflux disease. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015;29(15):1406-8 (in Chinese).
54. Carr MM, Poje CP, Ehrig D, Brodsky LS. Incidence of reflux in young children undergoing adenoidectomy. Laryngoscope. 2001;111(12):2170-2.
DOI:10.1097/00005537-200112000-00018
55. Duval M, Chung JC, Vaccani JP. A case-control study of repeated adenoidectomy in children. JAMA Otolaryngol Head Neck Surg. 2013;139(1):32-6.
DOI:10.1001/jamaoto.2013.1060
56. Thomas K, Boeger D, Buentzel J, et al. Pediatric adenoidectomy: a population-based regional study on epidemiology and outcome. Int J Pediatr Otorhinolaryngol. 2013;77(10):1716-20. DOI:10.1016/j.ijporl.2013.07.032
57. Thadikonda KM, Shaffer AD, Stapleton AL. Outcomes of adenoidectomy-alone in patients less than 3-years old. Int J Pediatr Otorhinolaryngol. 2018;106:46-9. DOI:10.1016/j.ijporl.2017.12.030
58. Sagheer SH, Kolb CM, Crippen MM, et al. Predictive Pediatric Characteristics for Revision Tonsillectomy After Intracapsular Tonsillectomy. Otolaryngol Head Neck Surg. 2022;166(4):772-8. DOI:10.1177/01945998211034454
59. Doshi HK, Rosow DE, Ward RF, April MM. Age-related tonsillar regrowth in children undergoing powered intracapsular tonsillectomy. Int J Pediatr Otorhinolaryngol. 2011;75(11):1395-8. DOI:10.1016/j.ijporl.2011.07.036
60. Sapthavee A, Bhushan B, Penn E, Billings KR. A comparison of revision adenoidectomy rates based on techniques. Otolaryngol Head Neck Surg. 2013;148(5):841-6. DOI:10.1177/0194599813477830
61. Skilbeck CJ, Tweedie DJ, Lloyd-Thomas AR, Albert DM. Suction diathermy for adenoidectomy: complications and risk of recurrence. Int J Pediatr Otorhinolaryngol. 2007;71(6):917-20. DOI:10.1016/j.ijporl.2007.03.001
62. Sjogren PP, Thomas AJ, Hunter BN, et al. Comparison of pediatric adenoidectomy techniques. Laryngoscope. 2018;128(3):745-9. DOI:10.1002/lary.26904
63. Ezzat WF. Role of endoscopic nasal examination in reduction of nasopharyngeal adenoid recurrence rates. Int J Pediatr Otorhinolaryngol. 2010;74(4):404-6. DOI:10.1016/j.ijporl.2010.01.016
64. Ark N, Kurtaran H, Ugur KS, et al. Comparison of adenoidectomy methods: examining with digital palpation vs. visualizing the placement of the curette. Int J Pediatr Otorhinolaryngol. 2010;74(6):649-51. DOI:10.1016/j.ijporl.2010.03.012
Авторы
М.А. Кульмакова, E.Ю. Радциг*, М.М. Полунин
ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России, Москва, Россия
*Radtsig_e@rsmu.ru
Pirogov Russian National Research Medical University, Moscow, Russia
*Radtsig_e@rsmu.ru
ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России, Москва, Россия
*Radtsig_e@rsmu.ru
________________________________________________
Pirogov Russian National Research Medical University, Moscow, Russia
*Radtsig_e@rsmu.ru
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