Abstract
Objectives: To assess the association between enlarged adenoid and otitis media with effusion in children.
 Methods: This cross sectional comparative study was carried out in the Department of Otolaryngology-Head & Neck Surgery in Bangabandhu Sheikh Mujib Medical University, from July 2013 to June 2015. Thirty children with enlarged adenoids (case) and 30 children without enlarged adenoids (control) were included in this study. All patients subjected for history, local physical examination and evaluation of adenoid size by lateral X-ray of post nasal space. Tympanometry and pure tone audiometry are also done. Information’s recorded on a specially designed data sheet.
 Result: Among 30 case and 30 control, 12 (40.0%) and 2 (6.7%) patient had OME in case and control group respectively, mean age was 9.5 (2.76%) years and 9.96 (2.95%) in case and control group respectively. Male were predominant (70%) than female (30.0%) in cases. Among cases, grade- I was 20.0%, grade II- was 33.3% and grade-III was 46.7%. Hearing loss was found in 14 (46.7%) children. According to tympanometry, type A curve was in 17 (56.7%) children, type B in 9 (30.0%) and type C in 4 (13.3%) cases.
 Conclusion: Enlarged adenoids can be relevant in the pathogenesis of otitis media with effusion.
 Bangladesh J Otorhinolaryngol; April 2019; 25(1): 47-53
Highlights
The adenoid is a triangular mass of lymphoid tissue located on the posterior aspect of the nasopharynx
Enlarged adenoids can be relevant in the pathogenesis of otitis media with effusion
In our study otits media with effusion (OME) were found in 12 (40.0%) children with enlarged adenoids and 2 (6.7%) children with non-enlarged adenoids. The difference between these two groups was statistically significant (p
Summary
The adenoid (pharyngeal tonsil) is a triangular mass of lymphoid tissue located on the posterior aspect of the nasopharynx. Together with the lingual tonsils anteriorly, the palatine tonsils laterally, all together form a ring of lymphoid tissue known as Waldeyer’s tonsillar ring.[1]. The adenoid appears to be at largest in size at 7 years of age. Clinical symptoms are more common in the younger age group, due to the relative small volume of the nasopharynx and the increased frequency of the upper respiratory tract infections.[2] Nasal obstruction, rhinorrhoea, Bangladesh J Otorhinolaryngol and hyponasal voice are the usual presenting symptoms of adenoid hypertrophy.[3] The adenoid may be implicated in the upper respiratory disease due to partial or complete obstruction of the nasal choanae or as a result of sepsis.
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