Swetal Mahajan

K J Somaiya Medical College, India

Background: Enlarged and infected adenoids may cause nasal (adenoiditis, rhinosinusitis), Aural (recurrent otitis and otitis

media with effusion), and obstructive sleep apnea. Present study was aimed to study clinical profile of chronic adenoiditis

in 0-12 years age group at a tertiary hospital. Material and Methods: Present study was a prospective, observational and

cross-sectional study conducted in children less than 12 years, who presented with snoring, mouth breathing, nasal

obstruction, nasal discharge, recurrent respiratory infections, hard of hearing and diagnosed as chronic adenoiditis. Results:

In present study, 72 children diagnosed as chronic adenoiditis were studied. Majority of children were from 5- 7 years

(45.83 %) and 8-10 years (29.17 %) age group, male (59.72 %). Clinical symptoms were nasal obstruction/snoring (100.00

%), nasal discharge (88.89 %), hearing difficulties (69.44 %), sore throat (30.56 %) and fullness of ear (20.83 %).

Associated clinical conditions noted were tonsillitis (27.78 %) and sinusitis (18.06 %). On otoscopic examination, tympanic

membrane was dull, lustreless, amber coloured in majority of children (61.11 %) and associated with minimal hearing loss

(63.89 %). Clinically, majority of children had grade 3 adenoiditis (51.39 %). On digital X-ray nasopharynx lateral view

majority had grade 3 (43.06 %) and grade 2 (34.72%) adenoiditis. On analyzing children endoscopically, 48.61 % of cases

presented with grade III, and 23.61 % presented with grade IV. Conclusion: The classical presentation of chronic

adenoiditis is mouth breathing, snoring, nasal obstruction and nasal discharge.

To be updated

2nd International Conference on Otorhinolaryngology Research and Treatment