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Does Adenoid Hypertrophy Increase the Risk of Orbital Complication in Children with Acute Sinusitis?

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Abstract

Adenoid hypertrophy (AH) plays a role as a reservoir for bacterial growth and decreases mucociliary clearance which might contribute to the development of an infection. To compare the presence of AH in the pediatric population presenting with orbital complications as a result of ABRS and the control group radiologically. Patients who were diagnosed with OC as a result of ABRS labeled as case group, and the patients who had undergone computed tomography (CT) for indications other than sinonasal diseases were assigned as control group. Both groups were retrospectively reviewed to measure the adenoid, nasopharynx, and adenoid/nasopharynx ratio (ANR) in the axial and mid-sagittal planes. We compared 52 patients from case group to 57 control group. In the CT axial plane, adenoid length was greater in the OC group compared to the control group, with a significant difference (p-value = 0.02) of 14.2 ± 3.5 mm compared to 11.2 ± 7 mm, respectively. The ANRs were 2.9 in the OC group and 2.8 in the control group, with a p-value of 0.089. In the mid-sagittal plane, only the anteroposterior length was significantly greater in the OC group, with a mean of 19.9 ± 5.3 mm compared to 15.2 ± 8.8 mm in the control group (p-value = 0.007). The process of inflammation increased the anteroposterior length of the adenoids. However, the ANR was similar between the two groups, indicating that adenoid hypertrophy is not directly related as a risk factor for OC in pediatric patients with ARBS.

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No funding was received for this study.

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Author notes

  1. Ahmed Alhussien

    Present address: Otolaryngology - Head and Neck Surgery Department, College of Medicine, King Saud University Medical City, Riyadh, Saudi Arabia

Authors and Affiliations

  1. Otorhinolaryngology - Head and Neck Surgery Department, King Fahad Medical City, Riyadh, Saudi Arabia

    Ayshah Almahboob

  2. Otolaryngology - Head and Neck Surgery Department, College of Medicine, King Saud University Medical City, Riyadh, Saudi Arabia

    Kholoud AlAmari & Saad Alsaleh

  3. Radiology Department, King Saud University Medical City, Riyadh, Saudi Arabia

    Adeena Khan

  4. Ophthalmology Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia

    Yasser AlFaky

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  1. Ayshah Almahboob
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  2. Ahmed Alhussien
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  4. Adeena Khan
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Correspondence to Ahmed Alhussien.

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The study was approved by the Institutional Review Board of King Saud University, College of Medicine.

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Almahboob, A., Alhussien, A., AlAmari, K. et al. Does Adenoid Hypertrophy Increase the Risk of Orbital Complication in Children with Acute Sinusitis?. Indian J Otolaryngol Head Neck Surg 75, 352–357 (2023). https://doi.org/10.1007/s12070-022-03269-w

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  • DOI: https://doi.org/10.1007/s12070-022-03269-w

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