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Adenoids in school-aged children

Published online by Cambridge University Press:  29 June 2007

Jorma J. Haapaniemi
Jorma J. Haapaniemi*
Affiliation:
Department of Otolaryngology, University Central Hospital of Turku. Turku, Finland
*
Address for correspondence: Dr Jorma Happaniemi Ilveksenkatu 10, FIN-20760 Piispanristi, Finland. Fax: 356-21-81 32-42
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Abstract

A total of 687 school children, aged six to 15 years, were examined clinically, radiologically and audiometrically. Lateral radiological examination of paranasal sinuses was carried out in 663 (96.5 per cent) children for evaluation of the size of adenoids. The size of the soft tissue shadow (adenoids) was assessed as normal or large. It was large in 133 (25 per cent) children, three times more frequently in seven-year-old than in 14-year-old children. The occurrence of adenoidal symptoms (blocked nose, mouth breathing, snoring, snuffling or rhinitis) varied from 14.3 to 30.1 per cent in children with large adenoids compared to 7 to 9.8 per cent in children with normal adenoids. Logistic regression analysis revealed that only recurrent snoring and the child's age were significantly associated with radiologically large adenoids. The hearing thresholds were 1.1 to 4.2 dB poorer and mean middle ear pressure values were 60 to 70 mmH2O lower in children with large adenoids compared to those with normal size adenoids. Large adenoids have an influence on the hearing level of a child, but probably via the negative middle ear pressure.

Keywords

AdenoidsChildAdolescenceAcoustic impedance testsHearing tests
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 3 , March 1995 , pp. 196 - 202
Copyright
Copyright © JLO (1984) Limited 1995

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References

Alhady, R. A., Sharnoubi, M. E. (1984) Tympanometric findings in patients with adenoid hyperplasia, chronic sinusitis and tonsillitis. Journal of Laryngology and Otology 98: 671–676.Google Scholar
Bylander, A., Ivarsson, A., Tjernström, Ö. (1981) Eustachian tube function in normal children and adults. Acta Otolaryngologica (Stockholm) 92: 481–491.CrossRefGoogle ScholarPubMed
Cooper, J. C., Langley, L. R., Meyerhoff, W. L., Gates, G. A. (1977) The significance of negative middle ear pressure. Laryngoscope 87: 92–97.Google Scholar
Crowe, S. J., Burnam, C. F. (1941) Recognition, treatment and prevention of hearing impairment in children. Annals of Otology, Rhinology and Laryngology 50: 15–31.Google Scholar
Crowe, S. J., Guild, S. R., Langer, E., Loch, W. E., Robbins, M. H. (1942) Impaired hearing in school children. Laryngoscope 52: 790–804.Google Scholar
Dolen, W. K., Spofford, B., Selner, J. C. (1990) The hidden tonsils of Waldeyer's ring. Annals of Allergy 65: 244–250.Google Scholar
Fujioka, M., Young, L. W., Girdany, B. R. (1979) Radiographic evaluation of adenoidal size in children: adenoidal–nasopharyngeal ratio. American Journal of Roentgenology 133: 401–404.Google Scholar
Fujita, A., Takahashi, H., Honjo, I. (1988) Etiological role of adenoids upon otitis media with effusion. Acta Otolaryngologica (Stockholm) 454 (Suppl.): 210–213.Google Scholar
Gates, G. A., Avery, C. A., Cooper, J. C., Prihoda, T. J. (1989) Chronic secretory otitis media: effects of surgical management. Annals of Otology, Rhinology and Laryngology 98: 138 (Suppl.): 1–32.Google Scholar
Guild, S. R., Polvogt, L. M., Sandstead, H. R., Loch, W. E., Langer, E., Robbins, M. H., Parr, W. A. (1940) Impaired hearing in school children. Laryngoscope 50: 731–746.CrossRefGoogle Scholar
Hibbert, J., Tweedie, M. C. K. (1977) the value of signs and symptoms in the diagnosis of enlarged adenoids. Clinical Otolaryngology 2: 297–304.Google Scholar
Jeans, W. D., Fernando, D. C. J., Maw, A. R. (1981a) How should adenoid enlargement be measured? A radiological study based on interobserver agreement. Clinical Radiology 32: 337–340.Google Scholar
Jeans, W. D., Fernando, D. C. J., Maw, A. R., Leighton, B. C. (1981b) A longitudinal study of the growth of the nasopharynx and its contents in normal children. British Journal of Radiology 54: 117–121.Google Scholar
Lildholdt, T., Courtois, J., Kortholm, B., Schou, J. W., Warrer, H. (1979) The correlation between negative middle ear pressure and the corresponding conductive hearing loss in children. A 12-month study of 352 unselected 7-year-old children. Scandinavian Audiology 8: 117–120.Google Scholar
Linder-Aronson, S. (1970) Adenoids. Their effect on mode of breathing and nasal airflow and their relationship to characteristics of the facial skeleton and the dentition. Acta Otolaryngologica (Stockholm) 265 (Suppl.): 1–132.Google Scholar
Marttila, T. I. (1986) Results of audiometrical screening in Finnish schoolchildren. International Journal of Pediatric Otorhinolaryngology 11: 39–46.Google Scholar
Maw, A. R., Jeans, W. D., Fernando, C. J. (1981) Inter-observer variability in the clinical and radiological assessment of adenoid size, and the correlation with adenoid volume. Clinical Otolaryngology 6: 317–322.Google Scholar
Maw, A. R. (1983) Chronic otitis media with effusion (glue ear) and adenotonsillectomy: prospective randomized controlled study. British Medical Journal 287: 1586–1588.Google Scholar
McCandless, G. A., Thomas, G. K. (1974) Impedance audiometry as a screening procedure for middle ear disease. Transactions – American Academy of Ophthalmology and Otolaryngology 78: 98–102.Google ScholarPubMed
Mills, R. P., Brain, C. E. (1985) A history of acute suppurative otitis media and allergic symptomatology in children with secretory otitis media and controls. Clinical Otolaryngology 10: 303–310.Google Scholar
Pruzansky, S. (1975) Roentgencephalometric studies of tonsils and adenoids in normal and pathological states. Annals of Otology, Rhinology and Laryngology 84 (Suppl. 19): 55–62.Google Scholar
Qvarnberg, Y. (1981) Acute otitis media. A prospective clinical study of myringotomy and antimicrobial treatment. Acta Otolaryngology (Stockholm) 375 (Suppl.): 1–157.Google ScholarPubMed
Smyth, V. (1977) Impedance audiometry, stapedius reflex threshold measurements and auditory pure-tone sensitivity: normative data for Australian conditions. Journal of Otolaryngology Society of Australia 4: 132–138.Google Scholar
Takasaka, T. (1990) Epidemiology of otitis media with effusion in Japan. In Workshop on Epidemiology of Otitis Media. (Bluestone, C. D., Casselbrant, M. L., Scheetz, M. D., eds.). Annals of Otology, Rhinology and Laryngology 99 (Suppl. 149): 13–14.Google Scholar
Tankel, J. W., Cheesman, A. D. (1986) Symptom relief by adenoidectomy and relationship to adenoid and post-nasal airway size. Journal of Laryngology and Otology 100: 637–640.Google Scholar
Tos, M. (1984) Pathology of acute otitis media and chronic secretory otitis media. Clinical Review of Allergy 2: 285–302.Google Scholar
Tuohimaa, P., Palva, T. (1987) The effect of tonsillectomy and adenoidectomy on the intra-tympanic pressure. Journal of Laryngology and Otology 101: 892–896.Google Scholar
Van Bon, M. J. H., Zielhuis, G. A., Rach, G. H., van den Broek, P. (1989) Otitis media with effusion and habitual mouth breathing in Dutch preschool children. International Journal of Pediatric Otorhinolaryngology 17: 119–125.Google Scholar
Wang, D., Clement, R., Kaufman, L., Derde, M. P. (1992) Fibreoptic examination of the nasal cavity and nasopharynx in children. International Journal of Pediatric Otorhinolaryngology 24: 35–44.CrossRefGoogle ScholarPubMed
Wormald, P. J., Prescott, C. A. J. (1992) Adenoids: comparison of radiological assessment methods with clinical and endoscopic findings. Journal of Laryngology and Otology 106: 342–344.Google Scholar