• Are nasopharyngeal lymphoid tissue consisting primarily of B cells
  • Encircles pharynx and includes the lingual tonsil, faucial tonsils, adenoids, and lymphoid tissue on the posterior pharyngeal wall

 

Hypertrophy features

Age of onset: usually >2 years of age   

 

CLINICAL FEATURES:

  • Mouth breathing
  • Foul smell from the mouth
  • Snoring  
  • Obstructive sleep apnea
  • Rarely -pulmonary arterial hypertension
  • Otitis media

 

INVESTIGATIONS:

  • X-ray nasopharynx lateral view
  • Fiber optic Bronchoscope – diagnostic

 

MANAGEMENT:

Surgery

Indications for adenoidectomy:  

  • Upper airway obstruction +/- sleep apnea
  • Placement of the second set of myringotomy tubes  
  • Chronic sinusitis  
  • Chronic hypo nasality
  • Chronic mouth breathing (causes misaligned jaws)

 

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes:

<a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>