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Adenoid Hypertrophy in Adults: A case Series

  • Manas Ranjan Rout
  • Diganta Mohanty
  • Y. Vijaylaxmi
  • Kamlesh Bobba
  • Chakradhar Metta
Original Article

Abstract

Adenoid hypertrophy is common in children. Size of the adenoid increases up to the age of 6 years, then slowly atrophies and completely disappears at the age of 16 years. Adenoid hypertrophy in adults is rare. Present study shows that adenoid hypertrophy is now increasing in adults because of various causes. Study has been conducted in the Department of ENT and Head & Neck Surgery, Alluri Sitarama Raju Academy of Medical science, Eluru, Andhra Pradesh, India. Study shows that incidence of adenoid hypertrophy is increasing as the cause of nasal obstruction in adults. This study identified the different causes of adenoid hypertrophy in adult patients. The common causes of adenoid hypertrophy in adults are chronic infection and allergy. Pollution and smoking are also important predisposing factors. Sometimes it is also associated with sinonasal malignancy, lymphoma and HIV infection. Study shows that 21 % of adult nasal obstruction is due to adenoid hypertrophy. But in case of the patient with chronic tonsillitis only 9 % were associated with adenoid hypertrophy. Males are more commonly involved (70 %) then female, may be because of out door activities and more commonly exposed to pollutants. And most commonly involved age group is 16–25 years (60 %). Majority of the cases with adenoid hypertrophy are associated with infection and allergy i.e. descending infection in 33.3 % cases, ascending infection in 20 % cases and allergic rhinitis in 30 % cases. Association of malignant sinonasal tumors, non Hodgkin’s lymphoma and HIV infections are rare i.e. 3.3 % each. So any cases of adult adenoid hypertrophy should be treated seriously to exclude the dangerous causes.

Keywords

Waldeyer’s Ring Tonsillectomy Adenoidectomy Rhinoscopy 

References

  1. 1.
    Wysocka J, Hassmann E, Lipska A, Musiatowicz M (2003) Naïve and memory T cells in hypertrophied adenoids in children according to age. Int J Pediatr Otorhinolaryngol 67:237–241PubMedCrossRefGoogle Scholar
  2. 2.
    Yildrim N, Sahan M, Karsliglu Y (2008) Adenoid hypertrophy in adults: clinical and morphological characteristics. J Int Med Res 36:157–162CrossRefGoogle Scholar
  3. 3.
    Kamel RH, Ishak EA (1990) Enlarged adenoid and adenoidectomy in adults: endoscopic approach and histopathological study. J Laryngol Otol 104:965–967PubMedCrossRefGoogle Scholar
  4. 4.
    Bitar MA, Rahi A, Khalifeh M, Madanat LM (2006) A suggested clinical score to predict the severity of adenoid obstruction in children. Eur Arch Otorhinolaryngol 263:924–928PubMedCrossRefGoogle Scholar
  5. 5.
    Brodsky L (1989) Modern assessment of tonsils and adenoids. Pediatr Clin North Am 36:1551–1569PubMedGoogle Scholar
  6. 6.
    Brandtezaeg P (2003) Immunology of the tonsils and adenoids: everything the ENT surgeon needs to know. Int J Pediatr Otorhinolaryngol 67:69–76CrossRefGoogle Scholar
  7. 7.
    Modrzynski M, Zawisza E, Rapiejko P (2003) Serum immunoglobulin E levels in relation to Waldeyer’s ring surgery. Przegl Lek 60:325–328PubMedGoogle Scholar
  8. 8.
    Yuce I, Somdas M, Ketenci I, Caqli S, Unlu Y (2007) Adenoidal vegetation in adults: an evaluation of 100 cases. Kulak Burun Boqaz Ihtis Derg 17(3):130–132Google Scholar
  9. 9.
    Minnigerode B, Blass K (1974) Persistent adenoid hypertrophy [Die persistierende Rachenmandel-hypertrophy]. HNO 22:347–349 [in German]PubMedGoogle Scholar
  10. 10.
    Frenkiel S, Black MJ, Small P (1980) Persistent adenoid presenting as a nasopharyngeal mass. J Otolaryngol 9:357–360PubMedGoogle Scholar
  11. 11.
    Finkelstein Y, Malik Z, Kopolovic J et al (1997) Characterization of smoking-induced nasopharyngeal lymphoid hyperplasia. Laryngoscope 107:1635–1642PubMedCrossRefGoogle Scholar
  12. 12.
    Barcin C, Tapan S, Kursakloglu H et al (2005) Türkiye!de sag¢likli genç eris¸kinlerde koroner risk faktörlerinin incelenmesi: Kesitsel bir analiz. Türk Kardiyoloji Dern Ars 33:96–103Google Scholar
  13. 13.
    Hamdan AL, Sabra O, Hadi U (2008) Prevalence of adenoid hypertrophy in adult with nasal obstruction. J Otolaryngol Head Neck Surg 37(4):469–473PubMedGoogle Scholar
  14. 14.
    Moazzez AH, Alvi A (1998) Head and neck manifestations of AIDS in adults. Am Fam Physician 57(8):1813–1822PubMedGoogle Scholar
  15. 15.
    Demirhan H et al (2010) Medical treatment of adenoid hypertrophy with fluticasone propionate nasal drop. Int J Pediatr Otorhinolaryngol 74(7):733–736CrossRefGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2012

Authors and Affiliations

  • Manas Ranjan Rout
    • 1
  • Diganta Mohanty
    • 1
  • Y. Vijaylaxmi
    • 1
  • Kamlesh Bobba
    • 1
  • Chakradhar Metta
    • 1
  1. 1.Department of ENT and Head & Neck SurgeryASRAM Medical CollegeEluru, W. G DistrictIndia

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