How patient factors and surgical technique affect leftover adenoid tissue after adenoidectomy
Adenoidectomy: Correlation Between Individual Factors, Surgical Technique, and Residual Adenoids
This project will try to see if children's characteristics and the way surgeons remove adenoids affect how much adenoid tissue is left after adenoidectomy.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 1200 (estimated) |
| Ages | 0 Years to 18 Years |
| Sex | All |
| Sponsor | Fondazione IRCCS Policlinico San Matteo di Pavia Academic / other |
| Locations | 1 site (Pavia, Lombardy) |
| Trial ID | NCT07494370 on ClinicalTrials.gov |
What this trial studies
This single-center observational study at Fondazione IRCCS Policlinico San Matteo will follow pediatric patients referred for adenoidectomy to document preoperative anatomy, the surgical technique used, and postoperative findings. Clinicians will record endoscopic examinations before and after surgery and note whether removal was performed with blind curettage or with direct visualization. The team will analyze correlations between individual factors (for example age and anatomy), the operative approach, and the presence of residual adenoid tissue to distinguish incomplete excision from true regrowth. Findings are intended to clarify causes of symptomatic recurrence and guide surgical practice to reduce revisions.
Who should consider this trial
Good fit: Children evaluated at the upper airway endoscopy clinic who are candidates for adenoidectomy at the Pavia center.
Not a fit: Patients who are not surgical candidates, older adolescents or adults, or those whose symptoms are due to allergies or other non-adenoid causes may not receive direct benefit from this work.
Why it matters
Potential benefit: If successful, the findings could help surgeons choose techniques or identify risk factors that reduce residual adenoid tissue and lower the need for repeat operations.
How similar studies have performed: Previous reports suggest endoscopically assisted adenoidectomy can reduce residual tissue compared with blind curettage, but prospective studies correlating specific patient factors and technique are limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Pediatric patients evaluated at the upper airway endoscopy clinic who are candidates for adenoidectomy
Where this trial is running
Pavia, Lombardy
- Fondazione IRCCS Policlinico San Matteo di Pavia — Pavia, Lombardy, Italy (Recruiting)
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.