Adenoid Hypertrophy

Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Diagnostic Tests

Optional medical device diagnostics. Endoscopy (reflection) of the nose and nasopharynx (nasopharyngeal cavity): rhinoscopy Anterior rhinoscopy: reflection of the palate area. Posterior rhinoscopy (= postrhinoscopy): reflection of the pharyngeal tonsil (tonsilla pharyngea). This is located on the roof of the nasopharynx, in the area behind the nose[enlarged and reddish, lobulated, longitudinally furrowed organ; concealed posterior … Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Diagnostic Tests

Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Surgical Therapy

There are two strategies for treating adenoid hyperplasia: Observational waiting (watchful waiting) and Adenotomy (surgical removal of so-called adenoid growths; pharyngeal tonsillectomy). The indications for adenotomy are listed below. Indications (areas of application) Hyperplasia of the pharyngeal tonsils (adenoid hyperplasia) leading to chronic obstruction of nasal breathing Chronic recurrent (frequently recurring) inflammation of the pharyngeal … Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Surgical Therapy

Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate adenoid hyperplasia/pharyngeal tonsillar hyperplasia (adenoid enlargement): Leading symptoms Obstructed nasal breathing (nasal obstruction). Nasal voice (“nasal voice”) Rhinolalia aperta: nasal vocal sound resulting from a lack of or insufficient closure of the posterior outlet of the nasopharynx (nasopharynx) in the region of the palatal arches Rhinophonia clausa: closed … Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Symptoms, Complaints, Signs

Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Causes

Pathogenesis (development of disease) The tonsil pharyngea is located at the roof of the nasophyarynx (nasopharynx), in the area behind the nose. It is not visible when the mouth is open. Adenoid hyperplasia of the pharyngeal tonsil (adenoids) is a hyperplasia (proliferation) of lymphoepithelial tissue. This is triggered by recurrent infections, which lead to an … Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Causes

Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Medical History

Medical history (history of illness) represents an important component in the diagnosis of adenoid hyperplasia/pharyngeal tonsillar hyperplasia (adenoid enlargement). Family history Social history Current anamnesis/systemic anamnesis (somatic and psychological complaints). Is there impaired nasal breathing? Is the voice nasal? Is breathing predominantly through the mouth (mouth breathing)? Does snoring occur? If so, do breathing pauses … Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Medical History

Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Or something else? Differential Diagnosis

Differential diagnoses primarily related to the symptom of nasal obstruction (“stuffy nose“) are listed below. Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Choanal atresia, unilateral (unilateral) – congenital absence of the posterior nasal opening (= congenital membranous or bony closure of the posterior nasal opening); unilateral choanal atresia, in contrast to bilateral, is often not … Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Or something else? Differential Diagnosis

Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Complications

The following are the most important diseases or complications that can be caused by adenoid hyperplasia/ adenoid hyperplasia (adenoids): Respiratory system (J00-J99) Nasal obstruction (stuffy nose). Pharyngitis (inflammation of the throat) Rhinitis (rhinitis) Ears – mastoid process (H60-H95) Otitis media (inflammation of the middle ear) Tympanic effusion (synonym: seromucotympanum); accumulation of fluid in the middle … Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Complications

Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing) of the oral cavity. Skin and mucous membranes Examination of the nasopharynx (nasopharynx) by rhinoscopy. Anterior rhinoscopy: reflection of the palate area. Posterior rhinoscopy: reflection of … Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Examination

Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Test and Diagnosis

The diagnosis is made on the basis of clinical appearance and physical examination, including postrhinoscopy (see below Medical Device Diagnostics). Second-order laboratory parameters-depending on the results of the history, physical examination, and obligatory laboratory parameters-are used for differential diagnosis. Small blood count Differential blood count [eosinophilia/indication of allergy, if applicable]. Inflammatory parameters – CRP (C-reactive … Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Test and Diagnosis

Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Drug Therapy

Therapeutic targets Symptom relief Cure or avoid surgery Therapy recommendations Symptomatic therapy: nasal drops, nasal sprays, or brine-based nasal irrigation (NaCl/saline). For acute mucosal swelling, short-term administration of vasoconstrictive nasal drops (→ decongestion of the nasal mucosa): e.g., xylometazoline* Note: Use only for a short time (-7 d) because of the risk of mucosal damage … Pharyngeal Tonsil Enlargement (Adenoid Hyperplasia): Drug Therapy