Adenoidal hypertrophy –
Adenoidal hypertrophy adenoids are a rectangular mass of lymphatic tissue in the posterior nasopharynx. They are largest in children age 2 to 6 yr. Enlargement may be physiologic or secondary to viral or bacterial infection, allergy, irritants, and, possibly, gastroesophageal reflux. Other risk factors include ongoing exposure to bacterial or viral infection .Adenoidal hypertrophy signifies the augmented adenoids size. These are the two infection-combating glands at the rear of the nose and above the tonsils.
Signs and symptoms
When the adenoids widen, the consequent can ensue:
- chronic otitis media
- tonsils inflammation
- chronic sinusitis
- strain breathing through the nose
- severe snoring
- obstructive sleep apnea
Adenoid hypertrophy is suspected in children and adolescents with characteristic symptoms, persistent middle ear effusions, or recurrent acute otitis media or rhinosinusitis. X-ray imaging is contraindicated in children except when there is a high index of suspicion for angiofibroma or cancer.
Reasons and dangers
The specific enlarged adenoids reason is not at all times clear. Most studies specify upper respiratory tract chronic infection. Allergies may too cause the adenoids to enlarge. This is more common in children than adults.
Underlying allergy is treated with intranasal corticosteroids, and underlying bacterial infection is treated with antibiotics.