Adenoiditis Flashcards
When do adenoids start to enlarge?
3-6 mo old
How long do adenoids grow?
until 6 yo
What happens to adenoid during adolescence or early adulthood?
involute
What is the pathology of adenoids?
hypertrophy, recurrent infection, chronic rhinitis, chronic sinusitis, ETD
When does adenoid hypertrophy usually occur?
after age 1-2 yo
What are symptoms of adenoid hypertrophy?
nasal obstruction, snoring, mouth breathing, adenoid facies, apnea
What is adenoid facies?
dennie’s lines, nasal crease, allergic shiners
MOUTHBREATHERS
What are dennie’s lines?
horizontal creases under both eyelids
How do you dx adenoid hypertrophy?
clinically, maybe soft tissue lateral neck x ray to confirm
What are indications for adenoidectomy?
chronic adenoiditis/rhinitis, chronic rhinosinusitis, >4 episodes of recurrent adenoiditis
adenoid hypertrophy and sleep disordered breathing
Adenoid hypertrophy and chronic otitis media with effusion
How is the recovery from adenoidectomy?
recovery minimal, return to school 1 day post op, 1 week bad breath
complications - bleeding, velopharyngeal insufficiency
What is something that can occur in kids
adenoids can grow back
