The role of adenoids in pediatric rhinosinusitis

Shin, Kyung-Hoon; Cho, Seok Hyun; Kim, Kyung Rae; Tae, Kyung; Lee, Seung Hwan; Park, Chul Won; Jeong, Jin Hyeok

doi:10.1016/j.ijporl.2008.07.016

Cited by 89 publications

(67 citation statements)

References 27 publications

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“…Bernstein et al 1408 in 2001 found that bacteria from adenoids correlated with lateral nasal wall cultures in 89% of cases with PCRS. Shin et al 1409 cultured the adenoids in patients with various degrees of abnormalities of their maxillary sinuses on Waters views and found a significant increase in bacterial isolation rate with increasing severity of RS. Coticchia et al 1410 examined 16 adenoid samples for biofilm.…”

Section: Xib2 Pediatric Crs: Pathophysiologymentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

548

888

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Background:The body of knowledge regarding rhinosinusitis (RS) continues to expand, with rapid growth in number of publications, yet substantial variability in the quality of those presentations. In an effort to both consolidate and critically appraise this information, rhinologic experts from around the world have produced the International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR:RS). Methods:Evidence-based reviews with recommendations (EBRRs) were developed for scores of topics, using previously reported methodology. Where existing evidence was insufficient for an EBRR, an evidence-based review (EBR) was produced. The sections were then synthesized and the entire manuscript was then reviewed by all authors for consensus. Results:The resulting ICAR:RS document addresses multiple topics in RS, including acute RS (ARS), chronic RS (CRS) with and without nasal polyps (CRSwNP and CRSsNP), recurrent acute RS (RARS), acute exacerbation of CRS (AE-CRS), and pediatric RS. Conclusion:As a critical review of the RS literature, ICAR:RS provides a thorough review of pathophysiology and evidence-based recommendations for medical and surgical treatment. It also demonstrates the significant gaps in our understanding of the pathophysiology and optimal management of RS. Too o en the foundation upon which these recommendations are based is comprised of lowerlevel evidence. It is our hope that this summary of the evidence in RS will point out where additional research efforts may be directed. C 2016 ARS-AAOA, LLC. Key Words:rhinosinusitis; chronic rhinosinusitis; acute rhinosinusitis; recurrent acute rhinosinusitis; evidence-based medicine; systematic review; endoscopic sinus surgery List of Abbreviations Used

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Section: Xib2 Pediatric Crs: Pathophysiologymentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

548

888

View full text Add to dashboard Cite

show abstract

“…They concluded that the adenoids act as a mechanical barrier rather than a nidus of infection in these symptomatic children. However, others feel that the size of the adenoids is not critical to the development of rhinosinusitis [3][4][5]. In these patients it is probably the presence of pathogenic bacteria within the adenoids that serves as a reservoir causing persistent rhinorrhoea [4].…”

Section: Discussionmentioning

confidence: 99%

“…The adenoid/nasopharyngeal ratio was calculated as a/b. Adenoid size was graded as follows (based on adenoidnasopharyngeal ratio) [3] Grade 1 a/b \ 1/3 Grade 2 a/b is between 1/3 and 2/3 Grade 3 a/b [ 2/3…”

Section: Methodsmentioning

confidence: 99%

“…The adenoids are known to cause either mechanical obstruction and stasis of secretions or may be a nidus causing repeated episodes of upper respiratory infection [3]. The etiology of pediatric rhinosinusitis includes recurrent upper respiratory infections, sinonasal allergy, congenital anomalies like choanal atresia, gastroesophageal reflux, passive smoking, mucociliary disease and cystic fibrosis.…”

Section: Introductionmentioning

confidence: 99%

“…In many children adenoid hypertrophy and rhinosinusitis are known to coexist. The association between the two conditions is variable, with some authors finding that an association exists [4] and others showing that there is no such association [3,5].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Relative Etiological Importance of Adenoid Hypertrophy Versus Sinusitis in Children with Persistent Rhinorrhoea

Maheswaran

Rupa

Ebenezer

et al. 2014

Indian J Otolaryngol Head Neck Surg

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Persistent rhinorrhoea is a common, yet often neglected, problem among Indian children. This study was designed to evaluate the relative etiological importance of adenoid hypertrophy versus sinusitis in children with persistent rhinorrhea. Additionally, the association between S. pneumoniae colonization and adenoid hypertrophy was studied. Children aged 1-14 years with persistent rhinorrhea underwent clinical evaluation, rigid nasal endoscopy and xrays of the nasopharynx and paranasal sinuses to ascertain the presence of adenoid hypertrophy and sinusitis using standard criteria. Nasopharyngeal swabbing to ascertain the presence of nasopharyngeal colonization with S. pneumoniae was also performed. Adenoid hypertrophy was more consistently associated with persistent rhinorrhea than sinusitis (p \ 0.0001). Coincident adenoid hypertrophy and sinusitis occurred in 57 %. S. pneumoniae was cultured in only 29 % of children. Up to 47 % of patients had features of nasal allergy. There was no association between S. pneumoniae colonization and adenoid hypertrophy (p = 0.1). Adenoid hypertrophy is an important cause of persistent rhinorrhea in children. Measures to evaluate for and treat adenoid hypertrophy should be instituted early to alleviate the problem of persistent rhinorrhoea in children. S. pneumoniae colonization of the nasopharynx is not a major etiological factor for persistent rhinorrhoea in these children. Nasal allergy may be a cause of adenoid hypertrophy in roughly half the children.

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Endoscopic Sinus Surgery in Children: Con

Brietzke

2011

Arch Otolaryngol Head Neck Surg

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The role of adenoids in pediatric rhinosinusitis

Cited by 89 publications

References 27 publications

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Relative Etiological Importance of Adenoid Hypertrophy Versus Sinusitis in Children with Persistent Rhinorrhoea

Endoscopic Sinus Surgery in Children: Con

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