{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:38:46Z","timestamp":1791419926513,"version":"4.3.3"},"reference-count":19,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2021,9,18]],"date-time":"2021-09-18T00:00:00Z","timestamp":1631923200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>While adenoidectomy is the first-line surgical management of chronic rhinosinusitis (CRS) in young children, evidence regarding its utility in older children is lacking. This study aimed to assess the efficacy of adenoidectomy in children 7 to 18\u2009years old with regard to symptom control, postoperative medication use, and the need for additional surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Single-institution retrospective chart review of patients ages 7 to 18 undergoing adenoidectomy for CRS from 2009 to 2019. Patients with cystic fibrosis and ciliary disorders were excluded. Comorbidities, preoperative and postoperative symptoms (rhinorrhea, congestion, anosmia, and facial pain), medication use (antibiotics, antihistamines, nasal steroids, and irrigations), and Lund-Mackay scores were extracted. McNemar\u2019s or Wilcoxon Rank Sum Tests were used to assess rates of symptom control and medication use. Fisher\u2019s exact or Chi-square tests were used to assess for factors associated with symptom persistence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Ninety-seven patients with a mean age of 9\u2009years (range 7-18) were identified. Patients were shown to experience significantly decreased rates of rhinorrhea (64.9% vs 20.6%, &lt;.001), congestion (95.9% vs 26.8%, &lt;.001), facial pain (17.5% vs 3.1%, .001), use of nasal steroids (79.4% vs 36.1%, &lt;.001), antihistamines (47.4% vs 20.6%, &lt;.001), and number of antibiotics (median 1 vs 0, &lt;.001) after adenoidectomy. No patient or disease factors were associated with symptom persistence. Nine patients (9.3%) required additional nasal surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In this cohort of older children with CRS with limited follow up, additional surgery is not routinely done following adenoidectomy, the results suggest that adenoidectomy alone may provide adequate symptom control and medication reduction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894211045270","type":"journal-article","created":{"date-parts":[[2021,9,18]],"date-time":"2021-09-18T06:36:55Z","timestamp":1631947015000},"page":"868-873","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Efficacy of Adenoidectomy for the Management of Chronic Rhinosinusitis in Children Older Than 7\u2009Years of Age"],"prefix":"10.1177","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7933-5441","authenticated-orcid":false,"given":"Chengetai","family":"Mahomva","sequence":"first","affiliation":[{"name":"Head and Neck Institute, Cleveland Clinic, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5719-6206","authenticated-orcid":false,"given":"Samantha","family":"Anne","sequence":"additional","affiliation":[{"name":"Head and Neck Institute, Cleveland Clinic, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Roxbury","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, The University of Chicago Medicine & Biological Sciences, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,9,18]]},"reference":[{"key":"bibr1-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814549302"},{"key":"bibr2-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2008.07.008"},{"key":"bibr3-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000149441.28231.0c"},{"key":"bibr4-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.2.110"},{"key":"bibr5-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2001.120232"},{"key":"bibr6-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1177\/0003489417719717"},{"key":"bibr7-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1542\/pir.34-10-429"},{"key":"bibr8-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-012-0549-y"},{"key":"bibr9-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.129.2.175"},{"key":"bibr10-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1542\/peds.108.3.798"},{"key":"bibr11-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1997.01900070013002"},{"key":"bibr12-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1995.01890070015005"},{"key":"bibr13-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.125.11.1208"},{"key":"bibr14-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009541"},{"key":"bibr15-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21106"},{"key":"bibr16-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000224508.59725.19"},{"key":"bibr17-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2015.03.011"},{"key":"bibr18-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2015.0257"},{"key":"bibr19-00034894211045270","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2017.01.031"}],"container-title":["Annals of Otology, Rhinology &amp; 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