Evaluation of Adenoidal Obstruction in Children: Endoscopic Findings in Relation to Radiographic Assessment | Chapter 22 | Issues and Developments in Medicine and Medical Research Vol. 3

 Background: Adenoids are one of the most frequent clinical diseases that afflict children. Parents frequently report snoring, hyponasal speaking, nasal blockage, recurring colds, and sleep apnea in their children. One of the most prevalent items encountered by an otorhinolaryngologist in day-to-day practise is adenoid hypertrophy and its complications.

Aims and Objectives: The purpose of this study is to assess the role of endoscopic examination of the nose and nasopharynx in cases with adenoidal hypertrophy and mouth breathing in children.

Materials and Methods: Between October 2017 and October 2018, a prospective study of 100 patients aged 2 to 25 years was undertaken in the Department of Otorhinolaryngology, MGM Medical College, Indore. Patients were evaluated clinically, as well as endoscopic and radiologically, before receiving medicinal treatment with corticosteroid nasal spray.

The researchers looked at 100 cases of persistent mouth breathing and snoring in this study.

The age range of 6-15 years accounted for 73 percent of the total. Only 8% of the instances were detected in people above the age of 15. 17 percent of the children were under the age of five. In this series, the male-to-female ratio was roughly 2.4:1 in 71 and 29 patients, respectively, with considerable improvement in adenoid size and endoscopic image following 4 weeks of steroid nasal spray use.

Conclusion: A method for determining the size, shape, and position of adenoids has been established using radiological assessment of the nasopharynx. The optimal tool for investigating chronic mouth breathing and snoring is diagnostic rigid endoscopy of the nose. For cautious control of adenoid enlargement, steroid nasal spray is a very efficient therapeutic technique.

Author(S) Details

Jagram Verma
Department of ENT and Head and Neck Surgery, MGMMC and MYH, Indore (M.P), India.

Aparaajita U. Mundra
M.G.M. Medical College, Indore, M.P, India.

Lokesh Bhalot
M.G.M. Medical College, Indore, M.P, India.

R. K. Mundra
M.G.M. Medical College, Indore, M.P, India.

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