DISEASES OF THE NOSE, THROAT AND NASOPHARYNX : ADENOIDS IN THE NASOPHARYNX (VEGETATIONES ADENOIDAE) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Hypertrophy of the third tonsils located in the nasopharynx. In the etiology of adenoids has the value:
The adenoids can be observed in children up to 7 - 8 years and older they can sometimes disappear. Early adenoidsobserved soon after birth, can sometimes be a symptom of congenital syphilis.
Symptoms, the course and complications. Long lasting runny nose, shortness of nasal breathing, especially at night, snoring away, povezali restless sleep with frequent interruptions, dulling the sense of smell, open mouth, causing the lower lip droops, nasolabial folds are smoothed - special adenoid face. Stuffy nose affect it, causing a closed twang, tongue-tied; if he has a blocked nose in the air not sufficiently cleaned from impurities, dust, insufficiently humidified why there are frequent laryngotracheitis. Mouth breathing causes oxygen starvation, stagnation in the chest and skull, chest deformity, hearing loss, frequent otitis media, laryngotracheitis, bronchitis, dry mouth, incorrect (high) the development of the hard palate, which may contribute to the deviated septum, mandibular prognathism, enlargement of regional lymph nodes, headaches, a number of reflexes as night terrors, bedwetting.
Adenoid children irritable, tearful, lethargic, suffer from aprosexia, i.e., weakness of memory, and sometimes the so-called adenoid homosocial.
Based on history, the anterior and posterior rhinoscopy (finger to the study resorted to only in extreme cases; it is strictly forbidden after acute otitis media). Mix can adenoid vegetations with nasopharyngeal fibroids, sarcoma, choanal polyp; fibroma occurs in adolescence, the study of the finger gives a sense of hardness; sarcoma gives sharp headaches, bleeding; rapid evolution; choanal polyp is smooth, has a leg coming from one of the choanae.
The prediction of the surgical removal of the adenoids is good.
Treatment operative. Contraindications: blood disorders, acute infection, or even suspected it. After infectious diseases to operate can be no earlier than 2 months.