Anilkumar Harugop¹, Reshma Ramanan²* and Yashita Singh²

¹Professor, Department of ENT&HNS, JNMC KLE, Belagavi, India
²Junior Resident (PG), Department of ENT&HNS, JNMC KLE, Belagavi, India

*Corresponding Author: Reshma Ramanan, Junior Resident (PG), Department of ENT&HNS, JNMC KLE, Belagavi, India.

Received: November 16, 2023; Published: December 28, 2023

Abstract

Introduction: The adenoids (or the pharyngeal tonsils) is a lymphoid tissue. It occupies the posterosuperior surface of the nasopharynx. Regression of the adenoid occurs rapidly after 15 years of age.The adenoid was found to be present in 2.5% of the adult population.

Case Report: A 26 year-old male patient, presented to the out patient department with the chief complaints of bilateral nasal obstruction, left more than the right, since childhood. Computer tomography (CT) scans revealed a soft tissue mass, occupying the nasopharynx. Intraoperatively, using 0^o nasal endoscope, bilateral choanae were seen to be obstructed by adenoid tissue. The patient underwent microdebrider assisted adenoidectomy under general anaesthesia.

Conclusion: Enlarged adenoid should be considered in the differential diagnosis of adult patients suffering from nasal obstruction. Endoscopic visualisation assisted removal of adenoids using powered instruments like the microdebrider or coablation helps remove the adenoid tissue completely, with good hemostasis and no injury to the eustachian tube.

 Keywords: Adult; Adenoid; Microdebrider; Adenoidectomy

References

1. Grist WJ. “The Tonsils and Pharynx”. In: Walker HK, Hall WD, Hurst JW, eds. Clinical Methods: The History, Physical, and Laboratory Examinations. Butterworths (2011).
2. Robb PJ. “The Adenoid and Adenoidectomy”. In: Scott-Brown’s Otorhinolaryngology Head and Neck Surgery. CRC Press (2018): 285-291.
3. Minnigerode B and Blass K. “Persistent adenoid hypertrophy (author’s transl)”. HNO11 (1974): 347-349.
4. Rout MR., et al. “Adenoid Hypertrophy in Adults: A case Series”. Indian Journal of Otolaryngology and Head and Neck Surgery3 (2013): 269-274.
5. AASCIT - Journal - All Issues. Aascit.org (2021).
6. Gray LP. “The T’s and A’s problem—assessment and reassessment”. Journal of Laryngology and Otology1 (1977): 11-32.
7. Kamel RH and Ishak EA. “Enlarged adenoid and adenoidectomy in adults: endoscopic approach and histopathological study”. Journal of Laryngology and Otology12 (1990): 965-967.
8. Hamdan A-L., et al. “Prevalence of adenoid hypertrophy in adults with nasal obstruction”. Journal of Otolaryngology and Head and Neck Surgery 4 (2008): 469-473.
9. Frenkiel S., et al. “Persistent adenoid presenting as a nasopharyngeal mass”. Journal of Otolaryngology4 (1980): 357-360.
10. France AJ., et al. “Adenoidal hypertrophy in HIV-infected patients”. Lancet 8619 (1988): 1076.
11. Yildirim N., et al. “Adenoid hypertrophy in adults: clinical and morphological characteristics”. Journal of International Medical Research 1 (2008): 157-162.
12. , et al. “Efficacy and Safety of Microdebrider Assisted Adenoidectomy over Conventional Adenoidectomy”. Bengal Journal of Otolaryngology and Head Neck Surgery 28.1 (2020): 59-66.

Citation

Citation: Reshma Ramanan., et al. “Adenoid Hypertrophy in an Adult: An Entity to Remember".Acta Scientific Otolaryngology 6.1 (2024): 14-17.

Copyright

Copyright: © 2024 Reshma Ramanan., 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.