Display options
Share it on

J Clin Med. 2019 Sep 23;8(10). doi: 10.3390/jcm8101528.

Adenoidal Disease and Chronic Rhinosinusitis in Children-Is there a Link?.

Journal of clinical medicine

Antonio Mario Bulfamante, Alberto Maria Saibene, Giovanni Felisati, Cecilia Rosso, Carlotta Pipolo

Affiliations

  1. Otorhinolaryngology Unit, Department of Health Sciences, San Paolo Hospital, Università degli Studi di Milano, 20142 Milan, Italy. [email protected].
  2. Otorhinolaryngology Unit, San Paolo Hospital, 20142 Milan, Italy.
  3. Otorhinolaryngology Unit, Department of Health Sciences, San Paolo Hospital, Università degli Studi di Milano, 20142 Milan, Italy.

PMID: 31548504 PMCID: PMC6832509 DOI: 10.3390/jcm8101528

Abstract

Adenoid hypertrophy (AH) is an extremely common condition in the pediatric and adolescent populations that can lead to various medical conditions, including acute rhinosusitis, with a percentage of these progressing to chronic rhinosinusitis (CRS). The relationship between AH and pediatric CRS has been extensively studied over the past few years and clinical consensus on the treatment has now been reached, allowing this treatment to become the preferred clinical practice. The purpose of this study is to review existing literature and data on the relationship between AH and CRS and the options for treatment. A systematic literature review was performed using a search line for "(Adenoiditis or Adenoid Hypertrophy) and Sinusitis and (Pediatric or Children)". At the end of the evaluation, 36 complete texts were analyzed, 17 of which were considered eligible for the final study, dating from 1997 to 2018. The total population of children assessed in the various studies was of 2371. The studies were categorized as surgical-observational, microbiological, genetic-immunological, and radiological. The analysis of the studies confirms the relationship between AH and CRS and supports the existing consensus on medical and surgical therapy. Furthermore, these studies underline the necessity to adapt medical and surgical treatment considering age, comorbidities including asthma and, if present, the Computed Tomography (CT) score.

Keywords: adenoid hypertrophy; children; chronic rhinosinusitis

Conflict of interest statement

The authors declare no conflict of interest.

References

  1. Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2015;36(3):71-6 - PubMed
  2. Otolaryngol Head Neck Surg. 2014 Oct;151(4):542-53 - PubMed
  3. Med Sci (Basel). 2019 Feb 25;7(2):null - PubMed
  4. Otolaryngol Head Neck Surg. 2009 Jul;141(1):91-6 - PubMed
  5. Int J Pediatr Otorhinolaryngol. 2008 Nov;72(11):1643-50 - PubMed
  6. Clin Anat. 2014 Apr;27(3):346-52 - PubMed
  7. Int J Pediatr Otorhinolaryngol. 2007 Apr;71(4):581-3 - PubMed
  8. Int J Pediatr Otorhinolaryngol. 2004 Apr;68(4):447-51 - PubMed
  9. Chin Med J (Engl). 2015 Nov 5;128(21):2913-8 - PubMed
  10. Am J Rhinol Allergy. 2015 Nov-Dec;29(6):414-20 - PubMed
  11. Int J Pediatr Otorhinolaryngol. 2009 Oct;73(10):1412-6 - PubMed
  12. Laryngoscope. 2013 Oct;123(10):2360-3 - PubMed
  13. Arch Otolaryngol Head Neck Surg. 2004 Sep;130(9):1029-32 - PubMed
  14. Am J Rhinol Allergy. 2013 May-Jun;27 Suppl 1:S16-9 - PubMed
  15. Otolaryngol Head Neck Surg. 2001 Dec;125(6):593-7 - PubMed
  16. Am J Orthod Dentofacial Orthop. 2015 Feb;147(2):197-204 - PubMed
  17. Int J Pediatr Otorhinolaryngol. 2015 Dec;79(12):2321-6 - PubMed
  18. Ann Otol Rhinol Laryngol. 2017 Sep;126(9):634-639 - PubMed
  19. Curr Allergy Asthma Rep. 2019 Feb 22;19(2):14 - PubMed
  20. Pediatrics. 2013 Jul;132(1):e262-80 - PubMed
  21. Am J Rhinol Allergy. 2014 Jan-Feb;28(1):e80-2 - PubMed
  22. Sleep Med Rev. 2018 Apr;38:101-112 - PubMed
  23. Arch Otolaryngol Head Neck Surg. 1997 Jul;123(7):675-8 - PubMed
  24. Curr Allergy Asthma Rep. 2018 Apr 25;18(5):32 - PubMed
  25. J Laryngol Otol. 1952 Feb;66(2):84-91 - PubMed
  26. Pediatr Ann. 2014 Aug;43(8):e201-9 - PubMed
  27. Laryngoscope. 2018 Dec;128(12):2893-2897 - PubMed
  28. Prim Care Respir J. 2008 Jun;17(2):79-89 - PubMed
  29. Arch Otolaryngol Head Neck Surg. 2007 Feb;133(2):110-4 - PubMed
  30. Eur Arch Otorhinolaryngol. 2012 Feb;269(2):503-11 - PubMed
  31. Jundishapur J Microbiol. 2014 Aug;7(8):e11134 - PubMed
  32. Int J Pediatr Otorhinolaryngol. 2016 Jan;80:82-7 - PubMed
  33. Clin Otolaryngol Allied Sci. 1997 Apr;22(2):172-7 - PubMed
  34. Laryngoscope. 2008 May;118(5):871-3 - PubMed
  35. Laryngoscope. 2007 Jun;117(6):1080-3 - PubMed
  36. Clin Exp Allergy. 2001 Apr;31(4):609-15 - PubMed

Publication Types