Current trends of adenotonsillar hypertrophy presentation in a developing country, Nigeria

Adegbiji, Waheed Atilade; Aremu, Shuaib Kayode; Nwawolo, C C; Asoegwu, Chinyere N.

doi:10.18203/issn.2454-5929.ijohns20173030

Cited by 9 publications

(15 citation statements)

References 8 publications

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“…Preschool age, (1 -5) years group were predominant in this study more than another age group this may be due to a higher incidence of upper respiratory tract infection and higher activities of lymphoid tissue at the entrance of upper aerodigestive tract. These findings are similar to another study on the pathology of pediatric tonsils [27].…”

Section: Discussionsupporting

confidence: 92%

Pattern of Paediatric Adenoid and Tonsillar Surgery in Ekiti

Adegbiji¹,

Aremu²,

Aluko³

et al. 2018

IJCM

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Background: Surgeries of adenoid, tonsils or both are common pediatric performed by otorhinolaryngologist, head, and neck surgeon worldwide. Clinical pattern and management varied in a different center. This study aimed at determining the rate, socio-demographic features, indications, barriers, types, complications and patients' satisfaction with adenoid and tonsils surgery in low-income countries. Materials and Methods: This is a hospital-based retrospective study of pediatric patients who had adenotonsillectomy, adenoidectomy, and tonsillectomy in the study center. This study was carried out over a period of ten years from March 2007 to February 2017. Data for this study was obtained from the medical record department, ENT clinic operation booking register and theatre operation register. All the data obtained were statistically analyzed using SPSS version 16. The data were then expressed by descriptive statistics table, bar charts, and pie charts. Ethical clearance was sought for and obtained from the ethical committee of the institution. Results: A total of 463 patients were booked for adenoid and tonsillar surgery out of which 214 patients had surgery done during the study period. This represented 46.2% of the participants that had surgery done. Adenotonsillectomy peaked 38.3% at preschool age group: (1 -5) years. There were 58.9% males and male to female ratio was 1.5:1. Majority 42.5% of the patients reside in the city while minority 25.7% of the patients were village dwellers. Preschool ages were the majority 40.2% while post-secondary schools ages were the minority 8.4% of the patients. The parents of the majority of the patients were 27.1% health workers and 24.8% business men, while the parent of the minority of the patients was 11.7% farmers and 16.4% industrial workers. Major indications for surgery were 52.3% obstructive sleep apnoea syndrome and 21.5% recurrent tonsillitis. Less common indications for surgery in this study were 1.4% persistent fever and 1.9% cardi-How to cite this paper: Adegbiji, W.opulmonary complications. There were 7.0% patients admitted as day cases and 93.0% patients admitted as an in-patient. Postoperatively, 1.4% of the day cases were admitted as inpatients while 1.9% of inpatients were treated as day cases. In this study, the established high risk factors include age less than 1 year 13.6%, Down syndrome 1.4%, craniofacial abnormalities 1.9%, malnutrition 10.7%, serum electrolyte and urea imbalance 10.3%, cardiovascular disease 3.7%, respiratory disease 7.5%, anaemia 8.9%, haemoglobinopathy 3.3% and coagulopathy 1.9%. There were no specific comorbidities that may likely influence the surgical outcome in majority 70.6% of the patients. Adenotonsillectomy was performed on 43.9% patients. Adenoidectomy only was performed on 24.8% patients. The proportion of adenoidectomy alone performed among the age group was 19.2% and 0.5% forages (1 -5) and (16 -18) years respectively. Conclusion: Adenoid and tonsils surgery are common pediatric otorhinolaryngologist surgical procedures fac...

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Section: Discussionsupporting

confidence: 92%

Pattern of Paediatric Adenoid and Tonsillar Surgery in Ekiti

Adegbiji¹,

Aremu²,

Aluko³

et al. 2018

IJCM

Self Cite

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“…Major diagnoses in this study were obstructive sleep apnea, recurrent tonsillitis, and otitis media. Other studies also reported similar findings in their studies 12…”

Section: Discussionsupporting

confidence: 83%

“…Injuries and infections rate is more common in males than in females. This may be due to male is more active and prone to injuries and infections as reported in other studies 12. As illustrated in this study, adenotonsillar surgeries are performed in all sociodemographic strata.…”

Section: Discussionmentioning

confidence: 56%

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Outcome of adenotonsillar specimen histology in a private hospital setting

Adegbiji

Aremu

Oladipo³

2019

Niger Med J

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Background:All adenoid and tonsils tissue specimens are routinely histologically examined in pediatric otorhinolaryngology practice worldwide. This study aimed at determining the sociodemographic features, clinical presentation, indications, postoperative management, and histological diagnosis of the adenoid and tonsils tissues.Materials and Methods:This is a retrospective hospital-based study of patients who had adenotonsillectomy done between August 2008 and July 2018 at Golden Cross Infirmary Hospital, Festac Town, Lagos, Nigeria. All data were obtained from the patients' record, case note, and theater operation register. All the data obtained were collated and analyzed using SPSS version 18.0.Results:There were 59.2% of males with a male-to-female ratio of 1.5:1. Clinical presentation among the pediatric patients was 71.8% difficulty breathing, 64.8% snoring, 63.4% sleep apnea, 60.6% catarrh, and 54.9% noisy breathing. The most common indications for adenoid and tonsils surgery were obstructive sleep apnea in 64.8%. Adenoidectomy in 42.3% was the most common form of pediatric adenoid and tonsils surgery. The most common complication of adenoid and tonsils surgery was pain at surgical site/odynophagia in all the patients. Postoperative histological reports were reactive lymphoid hyperplasia in all the patients.Conclusion:Adenoid and tonsils surgeries are common pediatric otorhinolaryngology, head-and-neck surgical procedures. The most common indication found for adenoid and tonsils surgery was obstructive sleep. Adenoidectomy was the most common form of pediatric adenoid and tonsils surgery. All the adenoid and tonsils tissue specimens revealed histological benign diseases.

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“…Majority of our study population (55.4%) were males and werre between the ages of 2 and 7years. A similar study by Adegbiji et al [ 11 ] from Nigeria also reported study population between 0 and 8 years. ATH is usually seen in children between 2 and 6 years of age and the process of lymphoid involution especially of adenoid may start after this age.…”

Section: Discussionsupporting

confidence: 53%

Adenoid and Tonsil Hypertrophy in Zaria, North Western Nigeria

Shuaibu

Usman

Ajiya

et al. 2022

Journal of West African College of Surgeons

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Background: Adenotonsillar hypertrophy is one of the most common childhood disorder that necessitates presentation to the ear nose and throat specialist. The disorder may be managed conservatively or by surgery. Aim: To highlight the clinical presentation and surgical treatment outcome of patients managed for adenoid and tonsillar hypertrophy at Ahmadu Bello University Teaching Hospital Zaria, Nigeria. Materials and Methods: The case records of patients managed for adenoid and tonsil hypertrophy were reviewed from January 2013 to December 2017 at the Division of Otorhinolaryngology, Department of Surgery Ahmadu Bello University Teaching hospital Zaria, - Northwestern Nigeria. Case notes with incomplete information and /or missing pages were excluded. The data were analyzed using IBM SPSS (for windows, version 23) Results: There were 56 (55.4%) males and 45 (44.6%) females with male to female ratio of 1.2:1. Their ages ranged from 2–16 years with a mean and standard deviation of 4.0 and 3.2 respectively. The most common symptom at presentation was snoring 85 (84.2%) followed by rhinorrhea 81(80.2%). Findings from the radiologic investigations revealed that majority of the patients had severely narrowed nasopharyngeal air column 83(82,2%) Adenotonsillectomy was the most common surgery performed on most of the patients 63(62.4%) who presented with adenotonsillar hypertrophy. Majority of the patients 95(94.1%) had resolution of symptoms within the period of follow up. Four (4.0%) of them had recurrent adenoidal growth. Conclusion: Snoring, rhinorrhea and mouth breathing were the most common symptoms of adenotonsillar hypertrophy. The outcome of adenotonsillar surgeries in our patients is good, with the majority having resolution of symptoms.

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Current trends of adenotonsillar hypertrophy presentation in a developing country, Nigeria

Cited by 9 publications

References 8 publications

Pattern of Paediatric Adenoid and Tonsillar Surgery in Ekiti

Pattern of Paediatric Adenoid and Tonsillar Surgery in Ekiti

Outcome of adenotonsillar specimen histology in a private hospital setting

Adenoid and Tonsil Hypertrophy in Zaria, North Western Nigeria

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