Medical treatment of adenoid hypertrophy
with "fluticasone propionate nasal drops".
At enrolment, patients needed to meet the following inclusion criteria: (1) Adenoid hypertrophy
diagnosed by xray nasopharynx lateral view, (2) Age between 3 and 10 years, (3) Symptoms consistent with OSAS lasting > 6 months and (4) No previous adenoidectomy.
sup] pCRS, but not adults, is closely associated with adenoid hypertrophy
(AH), which is another common pediatric disease.
Based on 41 available lateral nasopharyngeal x-rays, complete resolution of CR symptoms was reported for 20 of 26 (77%) patients and partial resolution in 4 of 26 (15%) patients with adenoid hypertrophy
At endoscopic examination, 38% presented purulent MM secretion, 18% had obstructive adenoid hypertrophy
and 12% had nasal polyps.
In children, tonsillitis causes fever, sore throat, dysphagia, while associated adenoid hypertrophy
causes snoring, sleep with open mouth and nocturnal apnea.
Mild mucosal hypertrophy was present in the left ethmoid and maxillary sinuses, accompanied with ipsilateral asymmetric adenoid hypertrophy
There was a significant association between posterior cross bite and adenoid hypertrophy
with otitis media.
Inclusion Criteria: Includes Age-5 to 12 years, adenoid hypertrophy
, h/o nasal obstruction, snoring, mouth breathing, free from URTI for 3 weeks, persistent evidence of effusion on otoscopy and/or tympanogram with a persistent CHL, 3 months after adequate medical therapy (adequate medical therapy defined as therapy with appropriate antibiotics, systemic decongestants and NSAIDS).
The possibility of adenoid hypertrophy
and hypercapnia should be kept in mind in cases of transient cortical blindness.
gt;50% obstruction in the nasopharyngeal airway was considered as adenoid hypertrophy
OME caused by any reason other than adenoid hypertrophy
They suggested that turbulent airflow and compensatory adenoid hypertrophy
created by the os vomer defect might have predisposed this patient to ear disease.
Associated risk factors found were sinusitis (22%), deviated nasal septum (21%), upper respiratory tract infections (19%), nasal allergy (19%), adenoid hypertrophy
(11%), chronic tonsillitis (9%) and tuberculosis (3%).
Flexible endoscopy revealed a 90% obstruction of the choanae secondary to adenoid hypertrophy