Role of Adenoidectomy in Otitis Media and Respiratory Function

Abstract

Adenoidectomy is among the most frequent surgical procedures performed on children. The rationale for adenoidectomy is to remove a chronically infected or enlarged and obstructing adenoid. Adenoidectomies are performed on children who have recurrent or chronic otitis media with effusion, on children with chronic rhinosinusitis, and on children with nasopharyngeal obstruction causing sleep disturbances and continuous mouth breathing. Various underlying factors that lead to adenoidectomy are also associated with asthma. Asthma is associated with recurrent respiratory tract infections predisposing individuals to recurrent or chronic otitis media and chronic rhinosinusitis. Children with asthma also have an increased risk of sleep-disordered breathing that is treated with adenoidectomy in the presence of nasopharyngeal obstruction. In nonasthmatic children, adenoidectomy does not influence the development of IgE-mediated allergy, bronchial hyperreactivity, or exhaled nitric oxide concentrations, all of which are surrogate asthma markers. Adenoidectomy in selected asthmatic children may relieve comorbidities associated with asthma.

Risks for upper respiratory infections in infants during their first months in day care included environmental and child‐related factors

“…Infants previously diagnosed with a respiratory infection were more likely to acquire an URTI and recurrent URTIs after enrolment to day care, which was in line with previous findings . The increased risk of recurrent infections has been attributed to a number of factors, such as genetic predisposition , an enlarged adenoid gland, especially otitis media and variations in anatomical structures .…”

Treatment principles of children with pharyngeal tonsil pathology in the background of allergic rhinitis (literature review): A review

“…Чаще это были дети до 7 лет и с бронхиальной астмой в анамнезе. P. Mattila сообщила об эффективности плановой аденотомии у детей [21]. Комплексное лечение, включающее местные антибактериальные средства и применение назальных стероидов, в ряде случаев позволяет добиться стойкой ремиссии у больных, страдающих сочетанной патологией гипертрофии аденоидов/ХА и АР, а также бронхиальной астмой [7,22].…”

The immunological consequences and risks of adenoidectomy

“…А значит, аденоидэктомия и тонзиллэктомия не повреждает иммунную функцию у детей! В общую картину безопасности АТ укладывается работа P. Mattila [24], в которой доказано, что удаление аденоидов не усиливает симптомов аллергии и даже облегчает течение бронхиальной астмы.…”

“…[26] сообщили об эффективности плановой АТ у детей с нарушениями гемодинамики. Комплексное лечение, включающее АТ и применение назальных стероидов, в ряде случаев позволяет добиться стойкой ремиссии у больных, страдающих аллергическим риносинуситом и бронхиальной астмой [24]. Е.В.…”