Adenoid Vegetation in Children with Allergic Rhinitis

Overview

Journal Turk Arch Otorhinolaryngol

Publisher Galenos Publishing House

Specialty Otorhinolaryngology

Date 2018 Feb 3

PMID 29392002

Citations 4

Authors

Gulpembe Bozkurt

Senem Kurt Dizdar

Arzu Yasemin Korkut

Berna Uslu Coskun

Affiliations

Soon will be listed here.

Abstract

Objective: Pediatric patients with nasal obstruction due to adenoid vegetation (AV) can also encounter allergic rhinitis (AR) as a comorbidity. The aim of the study was to estimate the incidence of mite sensitization and its effect on adenoid size in children who underwent adenoidectomy.

Methods: This prospective randomized study conducted between August and September 2014 included 84 children. Skin Prick Test (SPT) for inhalant allergens was preoperatively applied to all children who underwent adenoidectomy for nasal obstruction. Children were divided into two study groups: AV only (Group I) (n=52) and AV with and/or allergy (Group II) (n=32). Postoperative specimen volumes, visual analogue scale (VAS) scores, and adenoid volumes measured using flexible fiberoptic nasopharyngolaryngoscopy were compared between the two groups.

Results: Postoperative specimen volume measures were higher in Group II compared with those in Group I (p<0.05). Furthermore, in preoperative endoscopic examination, adenoid volume measures were higher in Group II compared with those in Group I (p<0.05). Pre and postoperative VAS scores in SPT+ group were higher in the Group II (p<0.05) than those in Group I.

Conclusion: We observed that children with AR tend to have an early onset of symptoms of adenoid hypertrophy. We believe that focusing on the management of role of allergy regarding these early symptoms will reduce the need for surgery in a large number of cases. We suggest that SPT must be performed in all children with AV and adenoid examination should not be neglected in children with AR.

Citing Articles

Allergy and Adenoids: Is There any Correlation?.

Gupta N, Saraf N, Saraf A, Bhagat S, Kalsotra P Indian J Otolaryngol Head Neck Surg. 2024; 76(5):4554-4558.

PMID: 39376290 PMC: 11455695. DOI: 10.1007/s12070-024-04918-y.

Adenoidal bacterial biofilm in pediatric rhinosinusitis.

Bugari R, Baschir A, Turcin L, Chioreanu A, Mihali C, Ilie A Rom J Morphol Embryol. 2022; 62(2):481-489.

PMID: 35024736 PMC: 8848288. DOI: 10.47162/RJME.62.2.14.

Turkish Guideline for Diagnosis and Treatment of Allergic Rhinitis (ART).

Ecevit M, Ozcan M, Haberal Can I, Tatar E, Ozer S, Esen E Turk Arch Otorhinolaryngol. 2021; 59(Suppl 1):1-157.

PMID: 34212158 PMC: 8221269. DOI: 10.4274/tao.2021.suppl.1.

Role of Peak Nasal Inspiratory Flow for Measuring the Effectiveness of Surgery in Children with Adenoidal Hypertrophy.

Cengiz A, Tansuker H, Ozyilmaz C, Eroglu S, Ogreden S, Oktay M Cureus. 2021; 12(12):e12378.

PMID: 33532146 PMC: 7845784. DOI: 10.7759/cureus.12378.

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