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Adenoid hypertrophy (or enlarged adenoids) is the unusual growth ("hypertrophy") of the adenoid tonsil. There is very little lymphoid tissue in the nasopharynx of young babies; humans are born without substantial adenoids. The mat of lymphoid tissue called adenoids starts to get sizable during the first year of life. Just how big the adenoids become is quite variable between individual children. PresentationEnlarged adenoids can become nearly the size of a ping pong ball and completely block airflow through the nasal passages. Even if enlarged adenoids are not substantial enough to physically block the back of the nose, they can obstruct airflow enough so that breathing through the nose requires an uncomfortable amount of work, and inhalation occurs instead through an open mouth. Adenoids can also obstruct the nasal airway enough to affect the voice without actually stopping nasal airflow altogether. Nasal blockage is determined by at least two factors: 1) the size of the adenoids, and 2) the size of the nasal pharynx passageway. The adenoid usually reaches is greatest size by about age 5 years or so, and then fades away ("atrophies") by late childhood - generally by the age of 7 years. The lymphoid tissue remains under the mucosa of the nasopharynx, and could be seen under a microscope if the area was biopsied, but the mass is so reduced in size that the roof of the nasopharynx becomes flat rather than mounded. Just as the size of the adenoids is variable between individuals, so is the age at which adenoids atrophy. The adenoids, like all lymphoid tissue, enlarge when infected. Although lymphoid tissue does act to fight infection, sometimes bacteria and viruses can lodge within it and survive. Chronic infection, either viral or bacterial, can keep the pad of adenoids enlarged for years, even into adulthood. Some viruses, such as the Epstein-Barr Virus, can cause dramatic enlargement of lymphoid tissue. Primary or reactivation infections with Epstein Barr Virus, and certain other bacteria and viruses, can even cause enlargement of the adenoidal pad in an adult whose adenoids had previously become atrophied. From Wikipedia under the
GNU Free Documentation License  chasingt.blogspot.com Sarah Mon, 31 Mar 2008 02:12:00 GM it is so large that it is blocking all drainage of her sinuses (not that they can drain at this point) and leads us to diagnosis #2 & #3, chronic adenoiditis and . adenoid hypertrophy. . so our summary is . adenoid hypertrophy. , ...  wipeca.no-ip.biz vixeby Mon, 02 Mar 2009 08:58:00 GM Adenoid hypertrophy. ENT Chronic enlargement of the adenoids, usually accompanied by recurrent infections which, if deemed excessively frequent, is an adA eA noiA dal A (d n-oid l) adj. 1. Of or relating to the adenoids. 2. ...  sleepapneadisorder.info ashvaj Sat, 05 Sep 2009 10:46:10 GM They observed a direct relationship between . adenoid. and tonsillar size scores and the obstructive apnea-hypopnea index (OAHI) in nonobese children, but not in obese children, the authors report, and adenotonsillar size was markedly ... From Google Blog Search: "Adenoid hypertrophy"  archotol.ama-assn.org 310px x 380px | 18.70kB [source page] Table 2 Age at Initial Adenoid Hypertrophy Presentation and at Time of Subsequent Diagnosis of Tubal Tonsil Hypertrophy  otitismedia.hawkelibrary.com 150px x 149px | 7.80kB [source page] From Yahoo Image Search: "Adenoid hypertrophy" should i agree to surgery for my 10month old son to remove his adenoids...pls help so so confused? Q. hey my son has mild adenoid hypertrophy so he snores at night at gets congested when asleep. tests showed his heart is also been overworked due to the same. the doctor recommended his adenoids be removed in surgery... that scares me... anyone go through the same... did the child hurt alot, dont want to put him in so much pain. plus there is the risk of anaesthesia. should i book him for surgery or wait a while and see if he improves. please advice... tks Asked by Louisa W - Wed Feb 27 02:47:35 2008 - - 5 Answers - 0 Comments What will the ENT recommend, how serious and should end of April Disney flight be scrapped? Q. My 5 year old has adenoidal hypertrophy measuring 1.4cm in AP diameter. There is effacement of 70% of the AP dimension of the nasopharygeal airway. We have an ENT consult coming up, but when we picked up the xray and results we were startled by the findings. Our son was thought to have asthma for most of his life and now it looks like adenoid problems. He can breathe, but following colds will get a wall of phlem that will not allow food to pass through sometimes. Was on Accuneb as needed for 2.5 years. Info help please!!!Thanks! Asked by pjyule - Fri Apr 7 12:20:47 2006 - - 1 Answers - 0 Comments A. In most cases, antibiotics and oral corticosteroids are given and are usually successful. For long-term problems, nasal steroid sprays can be used. Surgical removal of the adenoids is sometimes needed for those who do not respond to medicine. In most cases, antibiotics and oral corticosteroids are given and are usually successful. For long-term problems, nasal steroid sprays can be used. Surgical removal of the adenoids is sometimes needed for those who do not respond to medicine. Long-term problems include ear disease, such as chronic otitis media, and breathing through the mouth. Also, you might want to have him checked for allergies. Hope this helps... Answered by bettyboop - Fri Apr 7 12:36:44 2006 Post nasal space?
Q. Is there a measurement for the post nasal space in a skull x-ray/lateral view in case of hyepertrophy of the adenoids in children or it is just subjective by assessing the degree of hypertrophy of the adenoids and the degree of narrowing of the space? Asked by medo - Sun Sep 16 15:58:54 2007 - - 3 Answers - 1 Comments A. It is a comparative measurement. If the airway is less than half of the size of the soft palate, there significant obstruction. "Lateral neck x-ray: The goal of all techniques is to correlate the measurements with the clinical efficacy of adenoidectomy. Most techniques focus on the size of the nasopharyngeal stripe, which indicates the amount of airflow through the nasopharynx. This measurement seems to be most accurate. When the nasopharyngeal stripe is half the size of the soft palate, significant obstruction occurs." Answered by Lissacal - Sun Sep 16 19:14:21 2007 From Yahoo Answer Search: "Adenoid hypertrophy" |
