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Adenoid hypertrophy

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Adenoid hypertrophy
Adenoid hilighted in green.
SpecialtyOtorhinolaryngology

Adenoid hypertrophy (enlarged adenoids) is the unusual growth (hypertrophy) of the adenoid (pharyngeal tonsil) first described in 1868 by the Danish physician Wilhelm Meyer (1824–1895) in Copenhagen. He described a long term adenoid hypertrophy that will cause an obstruction of the nasal airways. These will lead to a dentofacial growth anomaly that was defined as "adenoid facies" (see long face syndrome).

There is very little lymphoid tissue in the nasopharynx of young babies; humans are born without substantial adenoids. The mat of lymphoid tissue called adenoids starts to get sizable during the first year of life. Just how big the adenoids become is quite variable between individual children.

Signs and symptoms[edit]

Ball-shaped adenoid blocking the nasal passage.

Enlarged adenoids can become nearly the size of a ping pong ball and completely block airflow through the nasal passages. Even if enlarged adenoids are not substantial enough to physically block the back of the nose, they can obstruct airflow enough so that nasal breathing requires an uncomfortable amount of work, and inhalation occurs instead through mouth breathing. Adenoids can also obstruct the nasal airway enough to affect the voice without actually stopping nasal airflow altogether.[1]

Causes[edit]

Diagnosis[edit]

Treatment[edit]

There is some low-quality evidence suggesting that mometasone may lead to symptomatic improvement in children with adenoid hypertrophy.[2]

References[edit]

  1. ^ Rao A, ed. (2012). Principles and Practice of Pedodontics (3rd ed.). New Delhi: Jaypee Brothers Medical Pub. pp. 169, 170. ISBN 9789350258910.
  2. ^ Chohan, A; Lal, A; Chohan, K; Chakravarti, A; Gomber, S (13 July 2015). "Systematic review and meta-analysis of randomized controlled trials on the role of mometasone in adenoid hypertrophy in children". International Journal of Pediatric Otorhinolaryngology. 79 (10): 1599–608. doi:10.1016/j.ijporl.2015.07.009. PMID 26235732.

External links[edit]