A study on the relationship between adenoid vegetation and rhinosinusitis

Fukuda, Katsunori; Matsune, Shoji; Ushikai, Masato; Imamura, Yoko; Ohyama, Masaru

doi:10.1016/0196-0709(89)90066-5

Cited by 22 publications

(17 citation statements)

References 5 publications

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“…Hibbert 21 reported that the incidence of rhinosinusitis symptoms such as nasal discharge, cough, headache, and mouth-breathing in patients who had undergone adenoidectomy was similar to that in normal children. Our findings were consistent with data obtained from Fukuda et al, 18 Wang et al, 20 and Hibbert,21 confirming that there seems to be no correlation between the degree of adenoid vegetation and the extent of chronic sinusitis. Lee and Rosenfeld 22 postulated that Haemophilus influenzae, group A β-hemolytic streptococci, and Staphylococcus aureus were the most frequent pathogens encountered in adenoid tissue, and that there was a correlation between these pathogens and sinonasal infection symptom scores.…”

Section: Resultssupporting

confidence: 95%

Relationship between Sinusitis and Adenoid Size in Pediatric Age Group

Berçin¹,

Ural²,

Kutluhan³

et al. 2007

Ann Otol Rhinol Laryngol

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Section: Resultssupporting

confidence: 95%

Relationship between Sinusitis and Adenoid Size in Pediatric Age Group

Berçin¹,

Ural²,

Kutluhan³

et al. 2007

Ann Otol Rhinol Laryngol

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“…Although the correlation of sinusitis and the corresponding sinonasal symptoms with the size of adenoid tissue seems to be logical, it has not been confirmed in studies observing adenoid volume, weight, and adenoidal‐nasopharyngeal ratio . In our study, a relationship between adenoid size and CBF was not confirmed, which, together with previous results, suggest that there are most likely other factors causing ciliary slowing and RRI in patients with AH.…”

Section: Discussioncontrasting

confidence: 95%

Ciliary beat frequency in children with adenoid hypertrophy

Marusiakova

Ďurdík

Jeseňák

et al. 2020

Pediatric Pulmonology

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Background Children with adenoid hypertrophy (AH) have impaired respiratory system defense mechanisms, such as mucociliary clearance. We hypothesized that AH negatively affects one of the most important aspects of mucociliary clearance—ciliary beat frequency (CBF) and that adenoidectomy could potentially restore this essential defence mechanism of the airways. This study evaluated the influence of AH and endoscopic adenoidectomy on the CBF of the nasal respiratory epithelium in children. Methods This prospective study included 64 children with confirmed AH aged 3 to 18 years and 43 age‐ and sex‐matched healthy controls. Nasal CBF was analyzed using a digital high‐speed video microscope and the software application Ciliary Analysis (NI LabVIEW). The preoperative adenoid size was assessed according to Cassano. Clinical symptoms of chronic rhinosinusitis were evaluated using the SNOT‐20 questionnaire. Results Children with AH had a median CBF of 5.35 ± 1.06 Hz. Six months after surgery, the median CBF was significantly higher (6.48 ± 0.88 Hz; P < .001) and reached the values of healthy children (6.37 ± 0.71 Hz; P = .512). The size of the adenoid tissue did not correlate with the CBF. No influence of age or gender on the CBF was found. After adenoidectomy, a significant reduction of the mean total SNOT‐20 score was recorded (P < .01). Conclusion Children with clinically symptomatic AH have impaired mucociliary clearance due to decreased nasal CBF. Removal of hypertrophic adenoid tissue normalizes the CBF and reduces the presence of clinical symptoms of rhinosinusitis.

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“…Conversely, Tuncer et al [5] found no statistically significant correlation between adenoid size and maxillary sinus aspiration culture results. Fukuda et al [27] reported no difference in adenoidal-nasopharyngeal ratio between sinusitis and control groups. Bercin et al [19] also reported no correlation between sinusitis severity, expressed as the Lund-Mackay score, and adenoid volume on CT scan.…”

Section: Discussionmentioning

confidence: 98%