The adenoids are in the midline of the nasopharynx, and the Eustachian tubes open from either ear to the right and left of them. Eustachian tubes ventilate the middle ear.
Very large adenoids will block the air passage in both the nose and the ears. This obstruction of normal air ventilation can lead to both sinusitis and otitis media (middle ear infections with effusion) with congestion, pain and some hearing loss.
Childhood obstructive sleep apnea (OSA) syndrome is characterized by episodic upper airway obstruction due to enlarged adenoids,that occurs during sleep.(Snoring and apnea). Therefore the child is sleepy, tired and drowsy during the day
Due to nasal airway obstruction caused by the enlarged adenoids the sense of smell is decreased and hence the child’s appetite.
Adenoidectomy, the treatment of choice for adenoid hyperplasia, is commonly recommended for the patient with recurrent or prolonged mouth breathing, nasal speech, adenoid facies, recurrent otitis media, constant nasopharyngitis, and nocturnal respiratory distress. This procedure usually eliminates recurrent nasal infections and ear complications and reverses secondary hearing loss.
Adenoidectomy should be performed in conjunction with tympanotomy tube placement when the adenoidal hypertrophy contributes to ear disorders. Antibiotics may be used to treat infection. Decongestants may be used to decrease edema.
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