The Relationship between Adenoid Hypertrophy and Maxillary Rhinosinusitis in Children

Taha Yaseen, Ehab

	The Relationship between Adenoid Hypertrophy and Maxillary Rhinosinusitis in Children
IRAQI JOURNALOF COMMUNITY MEDICINE
Article 1, Volume 24, Issue 4, 2011, Pages 335-338
Author
Ehab Taha Yaseen
Abstract
Back ground: The role of adenoids in rhinosinusitis is not completely understood. Current opinion states that the adenoids act as a reservoir for pathogenic bacteria and interferes with nasal mucociliary clearance, even without being obstructive. Obstructive adenoids on the other hand may cause stasis of nasal secretions with resultant infection. Objective: To evaluate the effect of adenoid size in pediatric rhino sinusitis as a cause of mechanical blockage. Patients and Methods: This cross sectional study included (150) Children. The size of adenoid was graded according to endoscopic findings. The grades of maxillary rhinosinusitis were determined by radiological findings of water’s view. The results were analyzed and the X-ray findings of the maxillary sinuses were correlated with the size of adenoid on endoscopic examination. Results: The highest incidence of adenoid hypertrophy was seen in 3-5 years old Children (60%), with male: female ratio as 1.1:1.The frequency of positive water's view maxillary sinus X-ray findings among hypertrophied adenoid patients were (51%), The highest frequency of maxillary sinus X-ray findings was noted in grade III adenoid (46.7%). Conclusions: The adenoid grade determined endoscopically is significantly associated with increasing in positivity of water’s view x-ray findings. Key words: Paediatric rhinosinusitis. Adenoid hypertrophy. Maxillary sinusitis.
Keywords
Paediatric rhinosinusitis; Adenoid hypertrophy; Maxillary sinusitis

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