The Impact of Adenoid Hypertrophy on Pediatric Chronic Maxillary Sinusitis

Background:The hypertrophied adenoids lay a role in rhinosinusitis, which is not fully unknown. The present view proposed that the hypertrophied adenoids perform as a bacterial pool and restricts the nasal mucociliary clearance. Obstructive adenoids may lead to stasis of nasal secretions with subseq...

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Autores principales:	Mohamed Mahmoud Fatthy Ramadan, Walaa Mohamed Omar Ashry
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	pediatrics chronic maxillary rhinosinusitis adenoid hypertrophy computerized axial tomography Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/8f315c62316b4fce877da066ca4e3af2
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spelling	oai:doaj.org-article:8f315c62316b4fce877da066ca4e3af22021-12-02T19:02:51ZThe Impact of Adenoid Hypertrophy on Pediatric Chronic Maxillary Sinusitis2636-41742682-378010.21608/ijma.2021.186021https://doaj.org/article/8f315c62316b4fce877da066ca4e3af22021-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_186021_39c83a999b7278c6ebe98496213e62e3.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background:The hypertrophied adenoids lay a role in rhinosinusitis, which is not fully unknown. The present view proposed that the hypertrophied adenoids perform as a bacterial pool and restricts the nasal mucociliary clearance. Obstructive adenoids may lead to stasis of nasal secretions with subsequent infection. Aim of the Work:The current work aimed to assess the impact of adenoid enlargement on pediatric chronic maxillary sinusitis [PCMS]. Patients and Methods:This study included 60 Children. The size of adenoid was graded through endoscopic examination. The Clemens grading system was used. Paranasal sinuses were radiologically investigated by computerized axial tomography scan. The radiological and endoscopic data were correlated. Additionally, all adenoid samples were cultivated for bacteriological growth. Result:The highest incidence of adenoid hypertrophy was seen in the age group 3-6 years old [60%], with similar male to female affection rate [1:1]. The positive computed tomography [CT] scan findings among children with hypertrophied adenoid were [55%]. The highest incidence of positive CT findings was found in grade-III adenoids, which is the highest grade of size [33.3%]. Adenoidectomy was performed for all patients and specimens were examined for bacteriological growth. 20% of adenoid tissue had multiple growth and 80.0% showed single organism. The frequency of isolated organism were H. Influenzae, S. Pneumoniae, S. Pyogenes, S. Aureus and Methicillin Resistant Staphylococcus Aureus. Conclusion: The endoscopically graded adenoid hypertrophy is significantly correlated to positive CT scan signs of rhinosinusitis in children. Isolation of bacteria from adenoid tissue supports the inflammatory mechanism of adenoid in pathogenesis of rhinosinutis in addition to its obstructive action. Early initiation of empirical antibiotic therapy is crucial and adenoidectomy provides a cure for adenoid hypertrophy and rhinosinusitis.Mohamed Mahmoud Fatthy RamadanWalaa Mohamed Omar AshryAl-Azhar University, Faculty of Medicine (Damietta)articlepediatricschronic maxillary rhinosinusitisadenoid hypertrophycomputerized axial tomographyMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 3, Pp 1651-1656 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	pediatrics chronic maxillary rhinosinusitis adenoid hypertrophy computerized axial tomography Medicine (General) R5-920
spellingShingle	pediatrics chronic maxillary rhinosinusitis adenoid hypertrophy computerized axial tomography Medicine (General) R5-920 Mohamed Mahmoud Fatthy Ramadan Walaa Mohamed Omar Ashry The Impact of Adenoid Hypertrophy on Pediatric Chronic Maxillary Sinusitis
description	Background:The hypertrophied adenoids lay a role in rhinosinusitis, which is not fully unknown. The present view proposed that the hypertrophied adenoids perform as a bacterial pool and restricts the nasal mucociliary clearance. Obstructive adenoids may lead to stasis of nasal secretions with subsequent infection. Aim of the Work:The current work aimed to assess the impact of adenoid enlargement on pediatric chronic maxillary sinusitis [PCMS]. Patients and Methods:This study included 60 Children. The size of adenoid was graded through endoscopic examination. The Clemens grading system was used. Paranasal sinuses were radiologically investigated by computerized axial tomography scan. The radiological and endoscopic data were correlated. Additionally, all adenoid samples were cultivated for bacteriological growth. Result:The highest incidence of adenoid hypertrophy was seen in the age group 3-6 years old [60%], with similar male to female affection rate [1:1]. The positive computed tomography [CT] scan findings among children with hypertrophied adenoid were [55%]. The highest incidence of positive CT findings was found in grade-III adenoids, which is the highest grade of size [33.3%]. Adenoidectomy was performed for all patients and specimens were examined for bacteriological growth. 20% of adenoid tissue had multiple growth and 80.0% showed single organism. The frequency of isolated organism were H. Influenzae, S. Pneumoniae, S. Pyogenes, S. Aureus and Methicillin Resistant Staphylococcus Aureus. Conclusion: The endoscopically graded adenoid hypertrophy is significantly correlated to positive CT scan signs of rhinosinusitis in children. Isolation of bacteria from adenoid tissue supports the inflammatory mechanism of adenoid in pathogenesis of rhinosinutis in addition to its obstructive action. Early initiation of empirical antibiotic therapy is crucial and adenoidectomy provides a cure for adenoid hypertrophy and rhinosinusitis.
format	article
author	Mohamed Mahmoud Fatthy Ramadan Walaa Mohamed Omar Ashry
author_facet	Mohamed Mahmoud Fatthy Ramadan Walaa Mohamed Omar Ashry
author_sort	Mohamed Mahmoud Fatthy Ramadan
title	The Impact of Adenoid Hypertrophy on Pediatric Chronic Maxillary Sinusitis
title_short	The Impact of Adenoid Hypertrophy on Pediatric Chronic Maxillary Sinusitis
title_full	The Impact of Adenoid Hypertrophy on Pediatric Chronic Maxillary Sinusitis
title_fullStr	The Impact of Adenoid Hypertrophy on Pediatric Chronic Maxillary Sinusitis
title_full_unstemmed	The Impact of Adenoid Hypertrophy on Pediatric Chronic Maxillary Sinusitis
title_sort	impact of adenoid hypertrophy on pediatric chronic maxillary sinusitis
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/8f315c62316b4fce877da066ca4e3af2
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The Impact of Adenoid Hypertrophy on Pediatric Chronic Maxillary Sinusitis

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