Clinical profile and pattern of adenoids hypertrophy among children attending a private hospital in Enugu, South East Nigeria

Chinawa, Josephat M; Akpeh, James O.; Chinawa, Awoere T

doi:10.11604/pamj.2015.21.191.6028

Cited by 9 publications

(21 citation statements)

References 15 publications

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“…The prevalence of adenoidal hypertrophy was significantly higher in males than females in this present study. This is similar to the findings by Chinawa et al [6] and Evcimik et al [18] Mukai [19] also reported that number of males that had tonsillectomy was 2.3 times higher than females. The possibility of the higher number of males that had tonsillectomy was stated to be due to the finding of more males with hypertrophied tonsils than females.…”

Section: Discussionsupporting

confidence: 90%

“…Mean age of subjects at echocardiography in this present study was 4.07 years. This is higher than the mean age of 2.71 years at presentation reported by Chinawa et al [6] (Although echocardiography was not done for the subjects reported by these authors). The possible reason for the disparity in the mean age of subjects could be as a result disparity in the age range of subjects studied.…”

Section: Discussioncontrasting

confidence: 55%

“…The prevalence of adenoidal hypertrophy in this present study is 9.5%. This finding is higher than other studies in Nigeria by Eziyi et al [5] and Chinawa et al [6]. The possibility for the disparity is possibly due to a wider representation of subjects in both government and private facilities with high influx of patients compared to Chinawa et al [6] study where only one private hospital was used as well as the limitation in questionnaire based study done by Eziyi et al [5].…”

Section: Discussionmentioning

confidence: 59%

“…In Nigeria, the prevalence of adenoidal hypertrophy in primary schools studied by Eziyi et al [5] was 7.7% while a private hospital based study by Chinawa et al [6] had a prevalence of 1.3%. The lower prevalence in these Nigerian studies compared to the study by Aydin et al [4] could be as a result of variation due to environmental factors and in addition, Chinawa et al [6] had data limited to a private hospital.…”

Section: Introductionmentioning

confidence: 99%

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Echocardiographic Characteristics of Nigerian Children with Adenoidal Hypertrophy: A Multicenter Study

Animasahun¹,

Adekunle²,

Gbelee³

et al. 2016

Transl Med (sunnyvale)

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Background: Adenoidal hypertrophy is a common respiratory disease in childhood with a lethal complication of Cor-Pulmonale. There are few studies on the prevalence of adenoidal hypertrophy in children in Nigeria. The aim of the current study is to document the echocardiographic characteristics of Nigerian Children with adenoidal hypertrophy and compare the findings with those of other children in other parts of the world. Method: The study was prospective, involving subjects from three centers which were; a tertiary hospital, a private hospital and a major cardiology center. Children with clinical and radiological diagnosis of adenoidal hypertrophy had transthoracic echocardiography done by a cardiologist. Results: A total of 1,346 children had echocardiography done within the three years studied period in the centers. In all, 128 had adenoidal hypertrophy with a prevalence of 9.5%. Prevalence of pulmonary hypertension was 5.47% in subjects with adenoidal hypertrophy. More than 90% of the children with adenoidal hypertrophy had normal echocardiographic findings. Conclusion: Most Nigeria children with adenoidal hypertrophy had normal echocardiographic findings but some (5.5%) had abnormal echocardiographic findings. The prevalence of pulmonary hypertension among Nigerian Children with adenoidal hypertrophy is 5.5%. This is lower than that reported in subjects from other parts of the world.

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Section: Discussionsupporting

confidence: 90%

Section: Discussioncontrasting

confidence: 55%

Section: Discussionmentioning

confidence: 59%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Echocardiographic Characteristics of Nigerian Children with Adenoidal Hypertrophy: A Multicenter Study

Animasahun¹,

Adekunle²,

Gbelee³

et al. 2016

Transl Med (sunnyvale)

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“…Chinawa et al studied that the commonest symptoms presented by almost all adenoid hyperplasia patients are cough, catarrh and snoring and mouth breathing especially at night. 11 Ferreira et al reported in their study that the pre-and postoperative evaluation of OSA-18 scores showed a statistically significant improvement with the mean preoperative OSA-18 score (±SD) was 77.25±6.07 and the post- Major reason for extended stay in hospital is due the immediate post-operative pain. Since the immediate postoperative pain was negligible in coblation adenoidectomy, the time of hospital stay is also considerably reduced and increasing the acceptance of the procedure thereby.…”

Section: Discussionmentioning

confidence: 91%

Role of coblation in reducing pain and morbidity of adenoidectomy

Thomas

Thekkethil

Thomas

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Adenoidectomy is one of the most commonly performed paediatric surgical procedure by otorhinolaryngologists. Over the past few decades, adenoidectomy has evolved and different techniques have been proposed to reduce morbidity and surgical risk. Controlled ablation or Coblation® is capable of low temperature molecular disintegration within soft tissue causing its dissolution. In this study, we report our experience of adenoidectomy using Coblation®, and its role in reducing pain, morbidity and its significant outcomes are discussed.Methods: A total number of 25 children aged 3-15 years, who underwent coblation adenoidectomy between March 2017 and April 2018 were included in this study.Results: The mean age was 7.8 years (males 7.79 years and females 7.81 years). Pre operatively 100% patients had sleep disturbance and after coblation adenoidectomy only 12% patients have disturbed sleep and the rest 88% patients have comfortable sleep. 80% patients did not have pain in immediate post-operative period and 88% had no pain when they visited hospital for first review. 76% patients had less than one day of hospital stay and 24% patients had more than one day of hospital stay. 68% patients had no episode of upper respiratory tract infection (URTI) within the first one year after surgery.Conclusions: Over the years, many different adenoidectomy techniques have evolved and is surgeon specific or centre specific. Endoscopic-assisted coblation adenoidectomy is a safe and effective method of adenoidectomy.

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Evaluation of risk factors and clinical presentation of adenoid hypertrophy among children attending the pediatric outpatient department of tertiary care hospital in Dhaka division

Alam¹,

Razzak²,

Rahman³

et al. 2022

Int J Contemp Pediatr

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Background: Adenoid hypertrophy (AH), also known as enlarged adenoid, refers to the unusual growth of the adenoids. AH and its consequences are common in the entire childhood period. The adenoids are small masses of lymphatic tissue located in the upper airway, between the nose and the back of the throat.Methods: This cross-sectional study was conducted from January 2021 to December 2021 over a period of 12 months. All the children aged 1-18 years attending the pediatric outpatient department (OPD) who had known risk factors or sign-symptoms of AH underwent a lateral nasopharyngeal x-ray to confirm the presence of an enlarged adenoid. Those children who had enlarged adenoids were analyzed in this study.Results: A total of 1289 children aged 1-18 years attended the pediatric OPD over 1 year of the study period, out of them, 118 had evidence of enlarged adenoid on lateral nasopharyngeal x-ray, giving a prevalence of 2.3%. Among the 118 radiologically proved AH cases, 112 (95%) were symptomatic and 6 (5%) were asymptomatic having risk factors only. The peak age of diagnosis of AH in this study was between 12-72 months (43.4%). The mean age of presentation was 100.6±58 months. There was a male predominance with male to female ratio of 1.6:1. AH may be presented without symptoms in 5% of cases or may be presented with complications such as OSA (27%), adenoid facies (14%), and otitis media with effusion with or without hearing impairment (13%).Conclusions: The prevalence of AH among children attending the pediatric outpatient department was 2%, of them 18% had an indication for adenoidectomy. The most common two clinical presentations were mouth breathing and nasal obstruction and the most common complication was obstructive sleep apnea.

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Clinical profile and pattern of adenoids hypertrophy among children attending a private hospital in Enugu, South East Nigeria

Cited by 9 publications

References 15 publications

Echocardiographic Characteristics of Nigerian Children with Adenoidal Hypertrophy: A Multicenter Study

Echocardiographic Characteristics of Nigerian Children with Adenoidal Hypertrophy: A Multicenter Study

Role of coblation in reducing pain and morbidity of adenoidectomy

Evaluation of risk factors and clinical presentation of adenoid hypertrophy among children attending the pediatric outpatient department of tertiary care hospital in Dhaka division

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