Abstract
The role of endoscopic management of choanal adenoid in adult with persistent nasal symptoms
Highlights
Patients and Methods The current study is a prospective study that done at the department of Otorhinolaryngology, Minia University hospital from January 2018 and December 2018 to describe transnasal endoscopic powered adenoidectomy using a microdebrider in patients with choanal adenoids
The current study revealed that choanal adenoidectomy in adults gave the patients the most benefit if choanal adenoid is the only cause of nasal obstruction or with other causes of nasal obstruction like Hypertrophied inferior turbinate, Deviated nasal septum as regard operative time, postoperative nasal obstruction & postoperative complication mostly crustation after 2 weeks, 1month & 3 months postoperative
The study was done on 40 patients, 13(32.5%) were only choanal adenoidectomy and 27
Summary
Adenoid is the condensation of lymphoid tissue at the back of the nose or on the posterosuperior wall of nasopharynx. Adenoid is the part of Waldeyers Ring. It appears to have an important role in the development of an (immunological memory) in children (Wysoka J et al, 2003). Adenoid hypertrophy occurs physiologically in children between the age of 6-10 years, atrophy at the age of 16 years (Yildrim N et al, 2008). Adenoid enlargement is un common in adults and because examination of the nasopharynx by indirect posterior rhinoscopy is in adequate ,many cases of enlarged adenoid in adult is misdiagnosed and maltreated. Presence of lymphoid hyperplasia in the adult nasopharynx, including the persistence of childhood adenoid is associated with chronic inflammation. Regressed adenoidal tissue may re-proliferate in response to infections and irritants (Kamel RH and Ishak EA., 1990)
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