Pooja Das, Vikas Kakkar, Sahil Kapoor, Poonam Kumar Saidha* and Mithun Abraham
Department of ENT, SGT University, India
*Corresponding Author: Poonam Kumar Saidha, Associate Professor, Department of ENT, SGT University, India.
Received: November 8, 2021; Published: November 29, 2021
Aim: Adenoid hypertrophy is a common finding in children. Adenoids are present since birth, show physiological hypertrophy in children between the age 6-10 years and atrophies at adolescence. Although its finding in adults causing nasal obstruction is uncommon but the incidence has been increasing these days.
Methods: This is a retrospective study of 60 patients with complaints of nasal obstruction, in which 50 patients were above 18 years and remaining 10 patients were in the paediatric age group. These 50 adult patients were selected for the study and examined thoroughly. All routine investigations were sent including imaging modalities like X ray nasopharynx and Diagnostic nasal endoscopy which revealed the presence of adenoid tissue in these selected adult patients. Microbiological examination of throat swab, eosinophil count, serum IgE, absolute eosinophil count was conducted to exclude other cause of nasal blockage like acute rhinitis, rhino sinusitis or allergic rhinitis. Patients were posted for adenoidectomy.
Results: Postoperative event remained uneventful, histopathology report revealed normal adenoid tissue of lymphoid origin. Adenoid hypertrophy was seen in adults who were exposed to pollution and were a habitual smoker.
Conclusion: Presence of adenoid tissue is a common finding in children but its incidence in adults are observed due to increased rate of infection, allergy and malignancy. Smoking and pollution is considered to be a predisposing factor. Henceforth adenoid hypertrophy should be considered in adult patients complaining of nasal obstruction as it can be a causative factor or indication of chronic inflammation for which early diagnosis and management must be contemplated.
Keywords: Adenoid Hypertrophy; Adult Nasal Obstruction; Nasal Endoscopy; X-ray Nasopharynx; Pollution
Citation: Poonam Kumar Saidha., et al. “Adenoid Hypertrophy in Adults: An Overlooked Diagnosis". Acta Scientific Otolaryngology 3.12 (2021): 47-51.
Copyright: © 2021 Poonam Kumar Saidha., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.