Definition

Chronic inflammation/enlargement of the adenoids causing obstruction to the nasopharyngeal airway and consequent recurrent nasosino infection, otitis media or mal-developement of the face.

Etiology/Risk Factors

Recurrent attacks of rhinitis or sinusitis.

Clinical Features

1.    Nasal symptoms

•           Nasal obstruction

•           Anterior nasal discharge

•           Post nasal discharge

•           Obstructive sleep apnea

•           Hyponasal speech

2.   Aural symptom

•           Recurrent otalgia

•           Deafness

•           Ear discharge

3.    Throat symptoms

•           Recurrent sore throat

•           Dysphagia

•           Change in voice

Signs

•           Discharge is usually seen on the floor of nasal cavity

•           Cold spatula test shows decreased fogging

•           Retraced or bulging TM

•           Mucosal congestion of pharynx

•           Granular posterior pharyngeal wall

Investigations

•           Lateral neck radiograph

•           Flexible or rigid nasopharyngoscopy.

Management

A.    Pharmacological

•           Systemic antibiotics have been used long-term (i.e. 6 wk) for lymphoid tissue infection.

•           Topical nasal drops: OxymetazolineorXylometazoline

B.    Surgical

Adenoidectomy