Adenoidectomy not the answer for recurrent URTIs in children

A RECENT study confirms watchful waiting rather than adenoidectomy is appropriate for children with recurrent upper respiratory tract infection.

A trial in the Netherlands among 111 children aged 1–6 years with recurrent sinusitis and URTIs found patients randomised to adenoidectomy had 7.91 episodes of infection compared to 7.84 in the group who did not receive surgery.

A spokesman for the Royal Australasian College of Surgeons, paediatric otolaryngologist Associate Professor Paul Walker from Newcastle, said the research backed Australian practice, confirming upper respiratory tract infection alone did not indicate adenoidectomy.

“Between the ages of 1–6 years old it is normal to have 6–8 upper respiratory tract infections per year with coloured rhinorrhoea for a week,” he said.

BMJ 2011, online 6 Sept