The Clinical Analysis Of Related Diseases Caused By Adenoid Hyperplasia

Adenoids is also known as the pharyngeal tonsil or adenoid located in the posterior wall of nasopharynx top. It is a part of waldeyer's ring belonging to the body's immune organs containing lymphocytes in various developmental stages. Adenoids gradually increased after birth, a rational hypertrophy will happen at the age of 2-10, and it will be greatest at the age of 6. Then it will decline gradually after 10 and gradually disappear before puberty.When subject to various bacteria, viruses and other upper respiratory tract infection, hypertrophy will be caused and corresponding symptoms such as night-time snoring, mouth breathing, nasal obstruction, rhinorrhea, and hearing loss will appear, which is referred to as adenoid hypertrophy. [1] Adenoidal hypertrophy is common among children and adolescents. It may also occur in some adults, often associated with chronic tonsillitis, and surgery is the principal means of its treatment. [2] Adenoidal hypertrophy can lead to children's being infected with many diseases like chronic sinusitis, secretory otitis media, children obstructive sleep apnea-hypopnea syndrome and other complications. [3,4] Adenoidal hypertrophy may cause hypoxia-ischemia of tissues and organs, leading to multiple organ dysfunction, especially the lungs, heart and brain blood vessel damage. [5] Adenoidectomy has become an important means of treatment.There are two concepts of adenoidectomy noteworthy. First, when the children show with adenoidal hypertrophy and associated with complications, the indications appear for adenoidectomy. Second, the hypertrophy of adenoids is definitely sick. Adenoidal hypertrophy is normal adenoids with a response to antigen stimulation, while the adenoids with chronic infection is often accompanied with the appearance of complications, but it is not adenoid hypertrophy, because it can not produce an immune response. Moreover, the pathogens of adenoids are almost similar to that of secretory otitis media and sinusitis pathogens, hemolytic streptococcus and haemophilus influenzae being the main flora. Therefore, the need for adenoidectomy should be based on the severity of complications and duration. We believe that adenoidectomy treatment on the prognosis-related diseases is effective.The Purpose of Research:Try to probe into the relationship between adenoidal hypertrophy and secretory otitis media, nasal-sinusitis and children snoring, as well as the surgical methods of adenoidectomy and the curative effect on the analysis of related diseases.The Methods of Reseach:Select the cases of patients in Huangshan People's Hospital, Anhui Province from August, 2008 to September, 2009. These patients are of adenoid hypertrophy and have evidence of being taken operation. They have the preoperative examination including nasal endoscopy, acoustic impedance, blood tests, chest radiography and ECG examination. After the adenoids surgery, postoperative follow-up is taken on a regular basis, including asking the patients about subjective symptoms, reviewing nasal endoscopy, acoustic impedance, electrical checking of serious patients before and after the operation and understanding patients'conditions of postoperative recovery without complication.Result:Through 45 cases of children with adenoidal hypertrophy, 26 cases with the secretory otitis media, 35 cases with snoring, 19 cases with sinusitis and 12 cases with tonsillar hypertrophy, it is found that there are differences between every two of adenoid size and the distribution of three kinds of complications, thus there is statistical significance (P <0.05). There are no differences between adenoid size and the distribution of three types of sinusitis, so it is not statistically significant (P> 0.05). Patients are followed up 1 to 3 months, and the improved efficiency of their syptoms of nasal obstruction, rhinorrhea, snoring, and hearing are respectively 90%, 89.3%, 97.1%, 85.7%. After the adenoidectomy surgery, otitis media shows with 80.8% cure rate, acoustic impedance of preoperative B, C-type changes to A-type surgery, postoperative by X2 test shows with statistical significance (P <0.01).Conclusion: Adenoidal hypertrophy may be complicated with secretory otitis media, rhinitis, sinusitis and snoring. By endoscopic adenoidectomy, the surgical field is clear; the extent of resection is precise, and the operative method is easy to master. Adenoidectomy are of positive effects for the prognosis of children with the disease.