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Adenoid surgery and allergy

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https://www.readbyqxmd.com/read/27801958/nasal-obstructive-disorders-induce-medical-treatment-failure-in-pediatric-persistent-allergic-rhinitis-the-nodpar-study
#1
Franklin S Mariño-Sánchez, Meritxell Valls-Mateus, Karen Ruiz-Echevarría, Isam Alobid, Paulina Cardenas-Escalante, Rosa Jiménez-Feijoo, Jaime Lozano-Blasco, María T Giner-Muñoz, Jesús Rodríguez-Jorge, Oliver Haag, Ana M Plaza-Martin, Joaquim Mullol
BACKGROUND: Allergic rhinitis (AR) is the most common chronic disease among children. To characterize the disease, a modified classification of severity (m-ARIA) has recently been validated in AR children. When medical treatment fails, surgery for nasal obstructive disorders (NOD) may be a therapeutic option. Our objective was to assess the prevalence of NOD and their influence in medical treatment response among children with persistent AR (PER). METHODS: In a prospective, real-life study, 130 pediatric PER patients (13...
November 1, 2016: Pediatric Allergy and Immunology
https://www.readbyqxmd.com/read/26634589/allergic-rhinitis-and-adenoid-hypertrophy-in-children-is-adenoidectomy-always-really-useful
#2
L Colavita, M Miraglia Del Giudice, G Stroscio, C Visalli, T Alterio, C Pidone, M R Pizzino, T Arrigo, R Chimenz, C Salpietro, C Cuppari
Allergic rhinitis (AR) and adenoid hypertrophy (AH) are common in children and are often associated with each other. Recent studies have shown improvement of respiratory symptoms and reduction in the adenoid volume after anti-allergic medical therapy (intranasal corticosteroids, antihistamines). The aim of our retrospective study is to evaluate the effectiveness of adenoidectomy on respiratory symptoms in pediatric patients with AR. We recruited 404 pediatric patients with AR, and we divided them into 4 groups (1...
April 2015: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/25856660/correlations-between-acoustic-rhinometry-subjective-symptoms-and-endoscopic-findings-in-symptomatic-children-with-nasal-obstruction
#3
COMPARATIVE STUDY
Andre Isaac, Michael Major, Manisha Witmans, Yaser Alrajhi, Carlos Flores-Mir, Paul Major, Noura Alsufyani, Mohamed Korayem, Hamdy El-Hakim
IMPORTANCE: Nasal obstruction is common in children and difficult to quantify objectively. Symptom quantification is paramount for surgical and medical decision making. Acoustic rhinometry is a relatively new technique aimed at the objective assessment of nasal obstruction. There is no standardized method for the objective assessment of the pediatric nasal airway. OBJECTIVE: To explore the correlations between acoustic rhinometry (AR), subjective symptoms, and endoscopic findings in children presenting with nasal obstruction...
June 2015: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/25596647/risk-factors-for-otitis-media-effusion-in-children-who-have-adenoid-hypertrophia
#4
Sultan Şevik Eliçora, Murat Öztürk, Rukiye Sevinç, Serhan Derin, Aykut Erdem Dinç, Duygu Erdem
OBJECTIVE: Many studies have shown that children with adenoid hypertrophy (AH) are more likely to have chronic otitis media with effusion (COME). However, not every child with AH has COME. In this study, we investigated the socio-demographic risk factors of children who underwent surgery for AH, including a subgroup with COME. Our aim was to identify the factors involved in the development of COME. METHODS: The study population consisted of 170 pediatric patients (118 males, 52 females) who underwent adenoidectomy between 2005 and 2008...
March 2015: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/24427580/adenoid-hypertrophy-in-adults-a-case-series
#5
Manas Ranjan Rout, Diganta Mohanty, Y Vijaylaxmi, Kamlesh Bobba, Chakradhar Metta
Adenoid hypertrophy is common in children. Size of the adenoid increases up to the age of 6 years, then slowly atrophies and completely disappears at the age of 16 years. Adenoid hypertrophy in adults is rare. Present study shows that adenoid hypertrophy is now increasing in adults because of various causes. Study has been conducted in the Department of ENT and Head & Neck Surgery, Alluri Sitarama Raju Academy of Medical science, Eluru, Andhra Pradesh, India. Study shows that incidence of adenoid hypertrophy is increasing as the cause of nasal obstruction in adults...
July 2013: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/22830294/pediatric-acute-and-chronic-rhinosinusitis-comparison-of-clinical-characteristics-and-outcome-of-treatment
#6
COMPARATIVE STUDY
Orapan Poachanukoon, Sira Nanthapisal, Utairat Chaumrattanakul
BACKGROUND: Rhinosinusitis (RS) is a common problem in children. There are very few published studies comparing acute rhinosinusitis (ARS) and chronic rhinosinusitis (CRS) in children. OBJECTIVE: To determine the clinical manifestations in children with ARS and CRS. METHODS: One hundred and fifty-four patients with a clinical diagnosis of RS were enrolled. ARS was defined as persistent symptoms for more than 10 days but less than 4 weeks and CRS was defined as persistent symptoms for longer than 8 weeks...
June 2012: Asian Pacific Journal of Allergy and Immunology
https://www.readbyqxmd.com/read/22447652/effect-of-passive-smoking-on-the-ultrastructure-of-the-nasal-mucosa-in-children
#7
COMPARATIVE STUDY
Samy Elwany, Ahmed Aly Ibrahim, Zeyad Mandour, Iman Talaat
OBJECTIVES/HYPOTHESIS: Passive exposure to cigarette smoke has been implicated in a number of respiratory childhood disorders. Most studies concerning smoking were directed to its carcinogenic effect on the lungs. However, the effects of smoking on nasal respiratory mucosa have not been widely studied. The aim of the present study was, therefore, to study the ultrastructural changes in the nasal mucosa of a pediatric population exposed to passive smoking. STUDY DESIGN: The study included 20 children between the ages of 5 and 11 years, who were scheduled for tonsillectomy and at the same time had a positive history of prolonged exposure to household passive smoke...
May 2012: Laryngoscope
https://www.readbyqxmd.com/read/22301106/factors-associated-with-revision-adenoidectomy
#8
Amy C Dearking, Brian D Lahr, Admire Kuchena, Laura J Orvidas
OBJECTIVE: To determine whether patient factors (eg, indication for initial surgery, medical comorbidity, or age) are associated with adenoid regrowth and subsequent need for revision adenoidectomy and whether surgical factors (eg, surgical technique or level of surgeon's training) are associated with adenoid regrowth and subsequent need for revision adenoidectomy. STUDY DESIGN: Historical cohort study. SETTING: Tertiary care academic medical center...
June 2012: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/20445984/why-do-palatine-tonsils-grow-back-after-partial-tonsillectomy-in-children
#9
Olaf Zagólski
Within the last decade, adenoidectomy with partial tonsillectomy has been revived in children with obstructive sleep-disordered breathing caused by adenotonsillar hyperplasia, generating debate about remaining tonsillar tissue regrowth. The study examined potential risk factors of the regrowth. Prospective, nonrandomised, case series feasibility study of children meeting the criteria for palatine tonsils regrowth after partial tonsillectomy performed in patients with obstructive sleep-related breathing disorder was carried out...
October 2010: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/17137896/persistence-of-obstructive-sleep-apnea-syndrome-in-children-after-adenotonsillectomy
#10
Riva Tauman, Tanya E Gulliver, Jyoti Krishna, Hawley E Montgomery-Downs, Louise M O'Brien, Anna Ivanenko, David Gozal
OBJECTIVE: To investigate the relative contribution of various risk factors to the surgical outcome of adenotonsillectomy for obstructive sleep apnea syndrome in children. STUDY DESIGN: Children (n = 110; mean age, 6.4 +/- 3.9 years) underwent two polysomnographic evaluations before and after adenotonsillectomy. In addition, 22 control children were studied. History for allergy and family history of sleep-disordered breathing was taken before each polysomnographic evaluation...
December 2006: Journal of Pediatrics
https://www.readbyqxmd.com/read/16177665/-allergic-tonsillitis-myth-or-reality
#11
REVIEW
Marek Modrzyński, Henryk Mazurek, Edward Zawisza
The tonsils are part of Waldeyer's ring, the basic function of which is antibody formation; they react later against a wide variety of antigens. Allergic sensitization of the airways occurs not only in the mucosa of the afflicted organ, but also in the lymphatic stations draining these structures. The lymphatic structures closest to the nasal mucosa in humans are the adenoids and tonsils. Adenoidal, nasal, and middle ear diseases are frequent health problems in young children. Pediatric adenoidal obstruction of the nasal airway is associated with significant morbidity and is also a frequent indication for surgery...
September 13, 2005: Postȩpy Higieny i Medycyny Doświadczalnej
https://www.readbyqxmd.com/read/15138413/clinical-practice-guideline-otitis-media-with-effusion
#12
Richard M Rosenfeld, Larry Culpepper, Karen J Doyle, Kenneth M Grundfast, Alejandro Hoberman, Margaret A Kenna, Allan S Lieberthal, Martin Mahoney, Richard A Wahl, Charles R Woods, Barbara Yawn
The clinical practice guideline on otitis media with effusion (OME) provides evidence-based recommendations on diagnosing and managing OME in children. This is an update of the 1994 clinical practice guideline "Otitis Media With Effusion in Young Children," which was developed by the Agency for Healthcare Policy and Research (now the Agency for Healthcare Research and Quality). In contrast to the earlier guideline, which was limited to children aged 1 to 3 years with no craniofacial or neurologic abnormalities or sensory deficits, the updated guideline applies to children aged 2 months through 12 years with or without developmental disabilities or underlying conditions that predispose to OME and its sequelae...
May 2004: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/15121966/otitis-media-with-effusion
#13
REVIEW
(no author information available yet)
The clinical practice guideline on otitis media with effusion (OME) provides evidence-based recommendations on diagnosing and managing OME in children. This is an update of the 1994 clinical practice guideline "Otitis Media With Effusion in Young Children," which was developed by the Agency for Healthcare Policy and Research (now the Agency for Healthcare Research and Quality). In contrast to the earlier guideline, which was limited to children 1 to 3 years old with no craniofacial or neurologic abnormalities or sensory deficits, the updated guideline applies to children aged 2 months through 12 years with or without developmental disabilities or underlying conditions that predispose to OME and its sequelae...
May 2004: Pediatrics
https://www.readbyqxmd.com/read/15052722/-efficacy-of-the-medical-treatment-of-adenoid-hypertrophy-in-children-with-house-dust-mite-allergy
#14
Marek Modrzyński, Edward Zawisza, Piotr Rapiejko, Grzegorz Przybylski, Agnieszka Lipiec, Janusz Królikiewicz
Allergic sensitisation of the airways occurs in the mucosa of the shock organ, or in the lymphatic stations draining these structures. The lymphatic structure closest to the nasal mucosa in humans is the adenoid. Pediatric adenoidal obstruction of the nasal airway is associated with significant morbidity and is a frequent indication for surgery. Because efficacious medical alternatives to adenoidectomy are lacking, we assessed the potency of standard-dose topical nasal fluticasone propionate and Cetirizine in reduction of adenoidal obstruction of the nasal airway...
2003: Przegla̧d Lekarski
https://www.readbyqxmd.com/read/14750422/-the-influence-of-birch-pollen-on-adenoid-hypertrophy-in-children-with-seasonal-allergic-rhinitis
#15
Marek Modrzyński, Edward Zawisza
The adenoid is a part of Waldeyer's ring, the basic function of which is antibody formation, they react later against a great variety of antigens. Pediatric adenoidal obstruction of the nasal airway is associated with significant morbidity and is a frequent indication for surgery, but its relationship to allergy has not been often studied. To examine the influence of atopy on the adenoid hypertrophy we studied 9 children ages 4 to 8 years, who had hypersensitivity to birch pollen and the seasonal allergic rhinitis...
2003: Przegla̧d Lekarski
https://www.readbyqxmd.com/read/10885154/-morphological-study-of-the-palatine-tonsils-clinical-and-histopathological-considerations
#16
V Torre, S Bucolo, G Abbate, G Fera, Calabrese, B Galletti
This study examined 71 pediatric tonsillectomy patients through accurate case history and clinical examination, placing particular emphasis on pathologies concomitant to tonsillopathy. In an attempt to find anatomo-clinical correlations, these data were processed together with the results of a histomorphological study of thetonsil epithelium, performed on all tonsillectomy samples. The majority of these patients were females and none more than 13 years of age. Numerous pathologies were found associated with the tonsillopathy and in varying combinations, first and foremost of which was adenoid hypertrophy...
February 2000: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/10696547/prolonged-morbidity-due-to-delays-in-the-diagnosis-and-treatment-of-obstructive-sleep-apnea-in-children
#17
W Richards, R M Ferdman
The inclusion of a query concerning the presence of snoring in a questionnaires used by the Allergy Service of Childrens Hospital Los Angeles (CHLA) uncovered a significant number of patients who were experiencing prolonged and discomforting symptoms owing to previously undiagnosed obstructive sleep apnea (OSA) caused by adenotonsillar hypertrophy. Of 352 patients who were discharged with a diagnosis of OSA and tonsillectomy and/or adenoidectomy at CHLA in 1996-1997, a retrospective study of the first 45 randomly selected patients who agreed to participate in a telephone interview was performed...
February 2000: Clinical Pediatrics
https://www.readbyqxmd.com/read/8297571/prevalence-of-ige-mediated-hypersensitivity-in-children-with-adenotonsillar-disease
#18
J L Griffin, H H Ramadan, R E Adham
OBJECTIVE: To determine the prevalence of allergy in children with severe adenotonsillar disease and to determine if the persistence of symptoms following tonsillectomy may be related to the allergic state. DESIGN: A prospective study of a cohort of 108 patients. SETTING: Academic tertiary referral medical center. PARTICIPANTS: Consecutive children scheduled to undergo tonsillectomy for obstructive hypertrophy or recurrent infection were eligible to enroll in this study...
February 1994: Archives of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/7675479/pediatric-endoscopic-nasal-and-sinus-surgery
#19
J A Stankiewicz
A total of 83 children and teenagers underwent endoscopic nasal and sinus surgery. Six patients had surgery for choanal atresia (4) and adenoid hypertrophy (2) and will only be briefly mentioned. Seventy-seven children and teenagers underwent endoscopic sinus surgery for acute and chronic sinusitis, choanal polyposis, and nasal polyposis with a minimum 2-year follow-up. One hundred thirty-three ethmoidectomies, 37 sphenoidotomies, and 119 maxillary antrostomies were performed. Subjective evaluation of the sinus surgery patients indicated that 38% of patients were cured and 55% improved during an average of 3...
September 1995: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/3223261/immunological-basis-of-indications-for-tonsillectomy-and-adenoidectomy
#20
M D Ying
The tonsils are immune organs. The necessity for T & A should have a more rational approach for selected cases. The tonsils have a large immune function. The defense function of the tonsils is much greater in children than in adults. The children develop their resistance to infection by the time they are 7-8 years old. Tonsils and adenoids should not be removed below the age of eight unless there are absolute indications. Tonsillectomy has little or no effect on allergy. It is being done on account of tonsillar sepsis, and no other results are to be expected...
1988: Acta Oto-laryngologica. Supplementum
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