Otitis media with effusion and histopathologic properties of adenoid tissue

Yasan, Hasan; Doğru, Harun; Tüz, Mustafa; Çandir, Özden; Uygur, Kemal; Yariktaş, Murat

doi:10.1016/s0165-5876(03)00222-2

Cited by 24 publications

(22 citation statements)

References 16 publications

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“…[3] Chronic inflammation of the adenoids and increased bacterial load result in squamous cell metaplasia, changing reticular epithelium, fibrosis of the interconnective tissue and reduced mucociliary clearance in children with OME compared to children without OME. [17] Adenoidectomy is thought to remove the reservoir of pathogens that transiently colonize in the upper respiratory tract mucosa and contribute to the development of OM. [18] Recently, it has been suggested that chronic OM is associated with the persistence of bacterial pathogens in biofilms despite the use of antibiotics.…”

Section: Adenoidectomy Indicationsmentioning

confidence: 99%

Adenoidectomy: current approaches and review of the literature

Aydın²

2016

Kulak Burun Bogaz Ihtis Derg

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Adenoid is a secondary lymphoid organ located in the nasopharynx. Due to its location, it plays an important role in the host defense of the upper respiratory tract. Immunoglobulin G3 and immunoglobulin A1 antibodies are prevalent antibodies in the adenoid tissue. Adenoidal hypertrophy is a common condition in children causing symptoms such as mouth breathing, nasal discharge, snoring, sleep apnea, and hyponasal speech. It also plays a role in the pathogenesis of rhinosinusitis, recurrent otitis media, and otitis media with effusion. Currently, adenoidectomy is one of the most commonly performed pediatric surgical procedures worldwide. Although there is still poor evidence in the literature, recurrent upper respiratory infections, otitis media with effusion, and obstructive sleep apnea syndrome are considered to be the main indications of adenoidectomy. Adenoidectomy can be carried out with several techniques and instruments. Although rare, surgery possesses some risks and may cause emotional distress both for the patient and the family. Nonsurgical treatments such as intranasal steroids are also used in the treatment of adenoid hypertrophy. In this review, we discuss the current literature on the adenoid function, adenoidectomy indications, and treatment of adenoid hypertrophy.Keywords: Adenoidectomy; adenoidectomy indication; adenoidectomy technique; function of adenoid; immunology of adenoid. ÖZAdenoid, nazofarenkste yer alan sekonder lenfoid organdır. Yerleşim yeri nedeniyle, üst solunum yolundaki konak savunmasında önemli bir rol oynar. Immünglobulin G3 ve immünglobulin A1 antikorları, adenoid dokusunda yaygın bulunan antikorlardır. Adenoid hipertrofisi çocuklarda ağız solunumu, burun akıntısı, horlama, uyku apnesi ve hiponazal konuşma gibi semptomlara neden olan yaygın bir durumdur. Bununla birlikte, rinosinüzit, tekrarlayan otitis media ve efüzyonlu otitis media patogenezinde rol oynar. Günümüzde adenoidektomi tüm dünyada en sık uygulanan pediatrik cerrahilerden biridir. Literatürde henüz yeterli kanıt mevcut olmamasına rağmen, tekrarlayan üst solunum yolu enfeksiyonları, efüzyonlu otitis media ve tıkayıcı uyku apnesi sendromunun adenoidektominin başlıca endikasyonları olduğu düşünülmektedir. Adenoidektomi birçok teknik ve araç ile uygulanabilmektedir. Nadir olmasına karşın, cerrahi bazı riskler taşımakta ve hem hasta hem de aile için duygusal stres yaratabilmektedir. Adenoid hipertrofisinin tedavisinde intranazal steroid gibi cerrahi dışı tedaviler de kullanılmaktadır. Bu derlemede adenoid fonksiyonu, adenoidektomi endikasyonları ve adenoid hipertrofisinin tedavisine ilişkin mevcut literatür tartışıldı.Anahtar Sözcükler: Adenoidektomi; adenoidektomi endikasyonu; adenoidektomi tekniği; adenoid fonksiyonu; adenoid immünolojisi.Adenoidectomy is one of the most commonly performed pediatric surgical procedures all over the world today, either alone or in conjunction with tonsillectomy and/or insertion of ventilating tubes.[1] Annual adenoidectomy rates differ between countries.

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Section: Adenoidectomy Indicationsmentioning

confidence: 99%

Adenoidectomy: current approaches and review of the literature

Aydın²

2016

Kulak Burun Bogaz Ihtis Derg

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“…33 While Yassan 2003 and Khayat 2008 both demonstrated that OME incidence among children (3-13 years old) with adenoid enlargement was near 35%. 14,30 The difference in the incidence between our study and the other studies could be due higher incidence of upper respiratory tract infections among children participated in their studies through cold seasons. Regarding the main finding in this study about the relation between adenoid enlargement and tympanometry types, among the 71 patients with adenoid enlargement, 20 cases had grossly enlarged adenoid in which 75% had normal tympanometry findings while 25% showed abnormal tympanometry.…”

Section: Resultsmentioning

confidence: 51%

“…Both Yassan 2003 and Agidir 2006 showed that 60% of cases with abnormal tympanometry were males and the rest were females. [30][31] Khayat 2008 also found that 55% male patients had abnormal tympanometry and OME and 45% of females had OME. 14 While in other studies like Tong 2005 did not find any significant difference between both genders in the prevalence of OME.…”

Section: Resultsmentioning

confidence: 99%

Untitled

2016

Zanco J Med Sci

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“…8 Both Yassan in 2003 and Agidir in 2006 showed that 60% of cases with abnormal tympanometry were males and the rest were females. 11,12 Khayat in 2008 also found that 55% male patients had abnormal tympanometry and OME and 45% of females had OME. 13 While in other studies like Tong 2005 did not find any significant difference between both genders in the prevalence of OME.…”

Section: Discussionmentioning

confidence: 99%

Tympanometric changes following adenoidectomy in children with adenoid hypertrophy

Rajashekhar

Shinde

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Adenoid Hypertrophy is the commonest disorder in children. The size of adenoids varies from child to child and also in the same individual as he grows and attains maximum size between age of 3 to 7 years. Adenoid hypertrophy plays a significant role in the pathogenesis of otitis media with effusion. Our objective was to study the tympanogram changes following adenoidectomy. i.e to find out the effect of adenoidectomy on Otitis Media with Effusion.Methods: Patients showing >50% of airway obstruction by the adenoids were included in the study. 20 patients with adenoid hypertrophy underwent adenoidectomy. Pre-operative and postoperative tympanograms of 40 ears were studied. Results: Type A curve (normal) was found in 12 ears. Type B Flat tympanogram – 12 ears s/o Gross Serous Otitis Media. Type C tympanogram – 8 ears s/o uncomplicated eustachian tube obstruction. 5 ears showed tympanogram s/o Eustachian tube block without significant collection of middle ear fluid. 3 ears showed tympanogram s/o uncomplicated eustachian tube obstruction. Post adenoidectomy, 32 ears showed normal tympanogram. 8 ears showed tympanogram s/o negative middle ear pressure with normal compliance.Conclusions: Our study shows high prevalence of Otitis Media with Effusion in patients with adenoid hypertrophy. Otitis Media with Effusion is treated by adenoidectomy in most of the patients which is confirmed by post adenoidectomy tympanogram. Also, problem of decreased attention in school due to reduced hearing secondary to OME can be corrected by adenoidectomy. Hence, all patients should undergo pre and post-adenoidectomy tympanometry to know the compliance and pressure changes in the middle ear.

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Otitis media with effusion and histopathologic properties of adenoid tissue

Cited by 24 publications

References 16 publications

Adenoidectomy: current approaches and review of the literature

Adenoidectomy: current approaches and review of the literature

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Tympanometric changes following adenoidectomy in children with adenoid hypertrophy

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