Current Allergy and Asthma Reports

, Volume 10, Issue 6, pp 419–424

Role of Adenoidectomy in Otitis Media and Respiratory Function

Article

DOI: 10.1007/s11882-010-0138-7

Cite this article as:
Mattila, P.S. Curr Allergy Asthma Rep (2010) 10: 419. doi:10.1007/s11882-010-0138-7
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Abstract

Adenoidectomy is among the most frequent surgical procedures performed on children. The rationale for adenoidectomy is to remove a chronically infected or enlarged and obstructing adenoid. Adenoidectomies are performed on children who have recurrent or chronic otitis media with effusion, on children with chronic rhinosinusitis, and on children with nasopharyngeal obstruction causing sleep disturbances and continuous mouth breathing. Various underlying factors that lead to adenoidectomy are also associated with asthma. Asthma is associated with recurrent respiratory tract infections predisposing individuals to recurrent or chronic otitis media and chronic rhinosinusitis. Children with asthma also have an increased risk of sleep-disordered breathing that is treated with adenoidectomy in the presence of nasopharyngeal obstruction. In nonasthmatic children, adenoidectomy does not influence the development of IgE-mediated allergy, bronchial hyperreactivity, or exhaled nitric oxide concentrations, all of which are surrogate asthma markers. Adenoidectomy in selected asthmatic children may relieve comorbidities associated with asthma.

Keywords

Adenoidectomy Otitis media Asthma 

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of OtorhinolaryngologyHelsinki University Central HospitalHelsinkiFinland

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