![](../aascit/decorators/imag/Journalslist/listline02.png)
![](../aascit/decorators/imag/Journalslist/listline02.png)
![](../aascit/decorators/imag/Journalslist/listline02.png)
![](../aascit/decorators/imag/Journalslist/listline02.png)
![](../aascit/decorators/imag/Journalslist/listline02.png)
![](../aascit/decorators/imag/Journalslist/listline02.png)
![](../aascit/decorators/imag/Journalslist/listline02.png)
Vol.1 , No. 1, Publication Date: Jul. 7, 2014, Page: 1-4
[1] | Ahmad Nasrat Al-Juboori , Head and Neck Surgeon, Ibn Sina College of Medicine, Al- Iraqia University, Baghdad, Iraq. |
Background: Adenoid hypertrophy (AH) is often underestimated in adults with nasal obstruction. Objective: The aim of this study is to evaluate the clinical significance of AH as a cause of nasal obstruction in adults. Materials and Methods: Case series study of adult patients (6550 patients) suffered from nasal obstruction, 12 of them found to have AH during the period from February 2003 to August 2012. The diagnosis was made in different ways; some were diagnosed preliminary by history and clinical examination, nasolaryngoscopy, and radiography, in others the diagnosis was done by accidental finding during operations for septal and sinuses pathology. The above groups of patients adenoidectomy were performed. The remaining patient, excisional biopsy was done for a postnasal space mass diagnosed provisionally as angiofibroma. Follow up continued for one year after surgery. Results: Out of 12 patients aged between I8-36 years with AH, four patients were diagnosed preoperatively, another seven patients were diagnosed during operations for septal and sinuses pathology. The AH represented 0.18% of the causes of nasal obstruction in adults. Allergic manifestations occurred in two thirds of the studied patients. Conclusion: From this study it is concluded that AH should be considered in the differential diagnosis of adults suffering from nasal obstruction.
Keywords
Adenoid Hypertrophy, Adult, Nasal Obstruction, Nasopharyngeal Radiography
Reference
[01] | Zielnik-Jurkiewicz B. and Rakowska M. Analysis of postoperative hemorrhage after adenoidectomy and tonsillectomy in children in own material Otolaryngol Pol, 2005;59(1):71-76. |
[02] | David L. Cowan and John Hibbert. Tonsils and adenoids. In: Scott-Brown’s Otolaryngology. By: John BB. Butterworth Heinemann. 1997; 6:184 -7. |
[03] | Maran AGD. Tonsils and adenoids. In: Logan Turner’s diseases of the nose throat and ear. By: Wright. 1988; 10: 367-71. |
[04] | Frenkiel S, Black MJ, Small P. Persistent adenoid presenting as a nasopharyngeal mass. J-Otolaryngol. 1980; 9(4): 357-60. |
[05] | Hamdan AL, Sabra O, Hadi U. Prevalence of adenoid hypertrophy in adults with nasal obstruction. J Otolaryngol Head Neck Surg. 2008 Aug; 37(4):469-73. |
[06] | Bennett J, Kersebaum M, Heckrodt H. Adult adenoids. Br-J-Hop-Med. 1993; 2:49(4):289. |
[07] | Yüce I, Somdaş M, Ketenci I, Cağli S, Unlü Y. Adenoidal vegetations in adults: an evaluation of 12 cases. Kulak Burun Bogaz Ihtis Derg. 2007; 17(3):130-2. |
[08] | Dou Y, He F, Du BJ. Clinical analysis of 20 cases of adenoidal hypertrophy in adult. Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2000 May;14(5):216-7. |
[09] | Kapusuz Z, Ozkırış M, Okur A, Saydam L. The prevalence of adenoid hypertrophy in adults in a rural area of Turkey. Kulak Burun Bogaz Ihtis Derg. 2012 Jul-Aug;22(4):225-7. |
[10] | Protasevich GC, lashan IA, Iashan Al. Adenoids in adults. Vestn-Otorinolaringol.1999; 5: 11-3. |
[11] | Jamal TS. Adenoids in Adults. JKAU Med Sci. 1995-1997;5: 29-34. |
[12] | Reda H.Kamel,Elia A.Ishaka. Enlarged adenoid and adenoidectomy in adults:Endoscopic approach and histopathological study.The Journal of Laryngology and Otology. Dec 1990;104: 965-967. |
[13] | Anwar H, Nasir Ullah K, Adnan A, Faisal M, Mohammad A, Shahid P .Adenoid hypertrophy: An unusual cause of nasal obstruction in adults. Pakistan Armed Forces Medical Journal. Dec 2009;5. |
[14] | Khafagy YW, Mokbel KM. Choanal adenoid in adults with persistent nasal symptoms: endoscopic management to avoid misdiagnosis and unsuccessful surgeries. Eur Arch Otorhinolaryngol. 2011 Nov; 268(11):1589-92. |
[15] | Yildirim N, Sahan M, Karslioğlu Y. Adenoid hypertrophy in adults: clinical and morphological characteristics. J Int Med Res. 2008 Jan-Feb; 36(1):157-62. |
[16] | Dillon WP, Mills CM, Kjos B, DeGroot J, Zawadzki M. Magnetic resonance imaging of the nasopharynx. 1984; 152(3): 731-8. |
[17] | Loesel IS. Allergy and enlarged adenoids. JAMA. 1988; 260(12): 1716-17. |
[18] | Loesel IS. Detection of allergic disease in adenoid tissue. Am-J-Clin-Pathol. 1984;81(2): 170-5. |
[19] | Buchinsky FJ, Lowry MA, Isaacson C. Do adenoids regrow after excision?. Otolaryngol-Head-Neck-Surg. 2000; 123(5): 576-8I. |