Adenoid hypertrophy | ScienceGate

Introduction: To our knowledge, few papers have addressed preoperative evaluation of the impact of adenoid hypertrophy (AH) on the pathogenesis of eustachian tube dysfunction (ETD) in children with otitis media with effusion (OME). Aim: The aim of this study was 2-fold: first, to evaluate ETD using tubomanometry and Eustachian Tube Score 7 (ETS-7), in a group of children having AH; second, to assess the clinical impact of adenoidectomy on the ETD of these patients. Methods: Fifty patients, aged 4 to 15 years, underwent adenoidectomy based on various parameters: size of the adenoids causing canal obstruction (grades 1-4), the presence of OME, and recurrent episodes of rhinosinusitis. The function of the eustachian tube was evaluated using ETS-7 before and after surgical treatment. The patients were followed up for 6 months. Results: Forty children presented ETD. Of these, 36 had a grade 4 AH. The preoperative mean value for ETS-7 was 6.62. The mean postoperative ETS-7 score showed a value of 9.60 with a statistical difference compared to the preoperative value ( P = .0015). Conclusions: Adenoid hypertrophy has a high impact on the frequency of ETD. In the patients observed in the present study, the ETS-7 score appeared to be a valid tool for assessing ETD both preoperatively and postoperatively. Adenoidectomy seemed to be effective in improving ETD as well as middle ear ventilation.

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Narrow-band imaging for diagnosing adenoid hypertrophy in adults: A simplified grading and histologic correlation

The Laryngoscope ◽

10.1002/lary.21719 ◽

2011 ◽

Vol 121 (5) ◽

pp. 965-970 ◽

Cited By ~ 8

Author(s):

Wen-Hung Wang ◽

Yen-Chun Lin ◽

Hsu-Huei Weng ◽

Kam-Fai Lee

Keyword(s):

Narrow Band ◽

Narrow Band Imaging ◽

Adenoid Hypertrophy

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Role of mometasone furoate nasal spray in children with adenoid hypertrophy: impact on life style changes

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20203578 ◽

2020 ◽

Vol 6 (9) ◽

pp. 1709

Author(s):

Venkatesha B. K. ◽

Ravi Shekhar

Keyword(s):

Nasal Obstruction ◽

Nasal Spray ◽

Statistical Tests ◽

Nasal Congestion ◽

Sleep Apnea Syndrome ◽

Mometasone Furoate ◽

Nasal Discharge ◽

Adenoid Hypertrophy ◽

Obstructive Sleep ◽

Life Style Changes

Background: Adenoid hypertrophy (AH) is a common cause of upper airway obstruction and obstructive sleep apnea syndrome (OSAS) in children having major impact on child’s growth and development. Symptoms like nasal congestion, mouth breathing, nasal discharge, snoring, day time sleepiness, hyponasal voice, ear popping, and craniofacial abnormalities are observed. Adenoidectomy is considered the treatment of choice for symptomatic children. Co-existing medical illnesses and choice of surgical treatment is governed by the paediatricians and apprehensive parents. Need for conservative treatments in alleviating symptoms have been tried. Topical, intranasal administered, steroid preparations have been proven effective in the literature.Methods: In this prospective study, 35 symptomatic children (3-12 years) with adenoid hypertrophy were included. Each of the symptoms was scored from 0 (absent) to 4 (severe) over Visual Analogue Scale (VAS). Nasal obstruction index was calculated. Results of mometasone furoate nasal spray 100 microgram/day used once daily at the interval of 8 weeks and 12 weeks were analysed using statistical tests. Results: A statistically significant reduction in nasal obstruction index and other symptoms were noted at the end of third month follow up.Conclusions: Mometasone furoate nasal spray caused improvements in outcomes of nasal obstruction, snoring, total nasal symptoms, ear symptoms and overall quality of life.

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Study of Adenoid Hypertrophy in HIV Infected Adult Individuals and its Impact on Otitis Media with Effusion

Journal of AIDS and HIV infections ◽

10.15744/2454-499x.2.104 ◽

2016 ◽

Vol 2 (1) ◽

Author(s):

Saxena A ◽

Saxena S

Keyword(s):

Otitis Media ◽

Otitis Media With Effusion ◽

Adenoid Hypertrophy ◽

Infected Adult

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Association between Adenoid-Nasopharyngeal Ratio and Tympanogram Width in Adenoid Hypertrophy Patients

Asian Journal of Oncology ◽

10.1055/s-0041-1735332 ◽

2021 ◽

Author(s):

Muhammad Arif Sudianto Utama ◽

Widodo Ario Kentjono ◽

Haris Mayagung Ekorini

Keyword(s):

Risk Factor ◽

Pearson Correlation ◽

Radiographic Examination ◽

Adenoid Hypertrophy ◽

Significance Level ◽

Average Value ◽

Middle Ear Pressure ◽

Skull Radiography ◽

Pearson Correlation Test ◽

Male Patients

Abstract Introduction Adenoid hypertrophy is a change in adenoid size that can lead to obstruction the Eustachian tube and become a risk factor for otitis media effusion (OME) in children. Standard objective examination of adenoid hypertrophy uses adenoid-nasopharyngeal ratio (A-N ratio) based on correct lateral skull radiography. Adenoid hypertrophy is one of the factors causing OME in children. There is still much debate about the association between A-N ratio and tympanogram width (Tw). Determining the association of A-N ratio and Tw in adenoid hypertrophy patients. Methods Participants performed a true lateral radiographic examination using Fujioka method to determine A-N ratio, and Tw to determine middle-ear pressure. The distance between examination of A-N ratio and tympanogram examination was at maximum of ~1 week. The association between A-N ratio and Tw in patients with adenoid hypertrophy used the Pearson correlation test. This research employed significance level p < 0.05. Results Most participants were aged between 6 and 10 years (38.10%), male patients (57.14%), and the symptom most participants complained of was snoring during sleep (38.10%). Most participants had A-N ratio of 0.53 to 0.70 (61.90%) with an average of 0.60 ± 0.05. The average value of Tw measurement was 102.83 ± 50.03 daPa (r = 0.605; p < 0.001). Conclusion There is a significant association between A-N ratio base on true lateral radiographic examination and Tw in adenoid hypertrophy patients.

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Inverse Relationship between Adenoid Size and Asthma or Atopy in Children: A Preliminary Study

Korean Journal of Otorhinolaryngology - Head and Neck Surgery ◽

10.3342/kjorl-hns.2019.00913 ◽

2020 ◽

Vol 63 (9) ◽

pp. 409-414

Author(s):

Yangseop Noh ◽

Ji-Eun Choi ◽

Kyung Eun Lee ◽

Seung-Kyu Chung ◽

Sang Duk Hong ◽

...

Keyword(s):

Medical Center ◽

Allergic Sensitization ◽

Allergic Diseases ◽

Adenoid Hypertrophy ◽

Group 4 ◽

Group 3 ◽

Group 2 ◽

Diagnosis Criteria ◽

The Relationship ◽

Group 1

Background and Objectives One of the most common surgical procedures in children is adenoidectomy, but the causes of adenoid hypertrophy are not fully understood. Some studies have found that allergies can be a risk factor for adenoid hypertrophy, asthma being one of these allergic diseases. This study aimed to investigate the relationship between adenoid size and asthma in a group of children.Subjects and Method This study reviewed a total of 2063 pediatric patients with or without atopy and asthma who visited the Otorhinolaryngology and Pediatric unit at a tertiary medical center from January 2011 to June 2016. We classified these patients into 4 groups according to the presence of asthma or atopy and randomly selected 100 patients from each group (to a total of 400 pts): group 1 (asthma-, atopy-); group 2 (asthma-, atopy+); group 3 (asthma+, atopy-) and group 4 (asthma+, atopy+). The presence of allergic sensitization (atopy) was evaluated by CAP test and total IgE. Asthma was diagnosed according to the diagnosis criteria in the Korean guideline for asthma. Adenoid size was evaluated with the adenoidal-nasopharyngeal ratio (A/N ratio) by the adenoid view.Results The four groups did not differ from each other significantly in age or sex. There was a negative correlation between adenoid size and atopic and asthmatic condition. Group 1 had a significantly larger A/N ratio than the other groups (group 1=0.534±0.138; group 2=0.469± 0.140; group 3=0.476±0.135; group 4=0.482±0.128, p<0.05). However, group 4 showed nearly identical results to groups 2 and 3, despite the combination of asthma and atopy in group 4.Conclusion Large adenoids were negatively associated with atopy and asthma. This finding may be explained by a decrease in adenoid stimulation by nasal obstruction and a difference in the immune system, including allergic immune reactions. Further studies are needed.

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