Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2024, Vol. 38 ›› Issue (3): 43-48.doi: 10.6040/j.issn.1673-3770.0.2023.080

• Original Article • Previous Articles    

Twenty-six cases of tubal torus hyperplasia after adenoid tonsillectomy in children

ZHAO Yun1, TENG Zhipan2, LI Qi2, SHEN Xiaofei2   

  1. 1. Department of Social development, Children's Hospital of Nanjing Medical University, Nanjing 210008, Jiangsu, China2. Department of Otorhinolaryngology, Children's Hospital of Nanjing Medical University, Nanjing 210008, Jiangsu, China
  • Published:2024-06-04

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Abstract: Objective To report the clinical phenomenon and characterisation of torus hyperplasia occurring after adenoidectomy and/or tonsillectomy in children. Methods This study included 26 pediatric patients diagnosed with torus hyperplasia. Clinical data(age, gender, time of first operation, way of operation and allergic rhinitis or not)were reviewed and analyzed. Results Twenty-six children who had underwent adenoidectomy and/or tonsillectomy had recurred snoring symptom, and were diagnosed with TTH. There were 20 males and 6 females, of whom 92.3% underwent first adenoidectomy and/or tonsillectomy before 5 years of age; the interval of diagnosis of torus hyperplasia after the operation ranged from 3 to 45 months. Eight children underwent partial resection of torus hyperplasia, the interval of two operations ranged from 3 to 48 months, and 10 exhibited definite signs and symptoms of allergic rhinitis. Twenty-one children underwent adenoidectomy or adenoidectomy with partial tonsillectomy, and 5 underwent adenoidectomy with total tonsillectomy. Conclusion TTH is a rare complication after adenoidectomy, and tended to occur in those who underwent adenoidectomy before 5 years of age. TTH was associated with allergic rhinitis, anti-allergic therapy has a certain clinical effect, and low-temperature plasma surgery is useful for torus hyperplasia. Torus hyperplasia was more common in children undergoing adenoidectomy without tonsillectomy than in those undergoing adenoidectomy with tonsillectomy.

Key words: Obstructive sleep apnea syndrome, Adenoid hypertrophy, Plasma technology, Tubal torus hyperplasia, Children

CLC Number: 

  • R246.81
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