Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-25T19:31:38.304Z Has data issue: false hasContentIssue false
  • English
  • Français

Enlarged adenoid and adenoidectomy in adults: Endoscopic approach and histopathological study

Published online by Cambridge University Press:  29 June 2007

Reda H. Kamel  and
Elia A. Ishak
Reda H. Kamel*
Affiliation:
Lecturer of Otolaryngology, Head and Neck Surgery, Cairo University, Egypt.
Elia A. Ishak
Affiliation:
Assistant Professor of Pathology, Cairo University, Egypt.
*
Flat 6, 5 Dokky Street, Dokky-12311, Giza, Cairo, Egypt.
Get access Rights & Permissions [Opens in a new window]

Abstract

Adenoid enlargement is uncommon in adults and because examination of the nasopharynx by indirect posterior rhinoscopy is inadequate, many cases of enlarged adenoid in adults are misdiagnosed and accordingly maltreated.

This study was conducted on 35 cases of enlarged adenoid aged between 20 and 42 years. The nasal endoscope was utilized to identify the adenoid mass. Adenoidectomy under transnasal endoscopic control was performed and all the excised material was sent for histopathological examination. Adenoidectomy resulted in marked improvement in 94 per cent of cases without major complications. Histopathological examination revealed non-specific inflammatory reaction in 15 cases (43 per cent), pure reactive changes, predominantly follicular hyperplasia, in two cases (6 per cent) and mixed pattern in 18 cases (51 per cent). Endoscopic follow-up for an average 17 months identified recurrence in only two patients. It was concluded that enlarged adenoid tissue in adults has some histopathological differences from that in children and adenoidectomy under transnasal endoscopic control is safe and reliable.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 12 , December 1990 , pp. 965 - 967
Copyright
Copyright © JLO (1984) Limited 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Cowan, D. L. (1982): In Logan Turner's Diseases of the Nose, Throat and Ear. (Birrel, J. F., ed.), 9th edn., Wright. PSG: Bristol, p. 129–139.Google Scholar
Fairley, J. W., Dhillon, R. S., Weller, I. V. (1988): HIV, glue ear and adenoidal hypertrophy. Lancet, 2: 1422.CrossRefGoogle ScholarPubMed
Fujiyoshi, T., Watanbe, T., Ichimiya, I., Mogi, G. (1989): Functional architecture of the nasopharyngeal tonsil. American Journal of Otolaryngology, 10: 124–131.CrossRefGoogle ScholarPubMed
Gray, L. P. (1977): The T's and A's problem–Assessment and reassessment. Journal of Laryngology and Otology, 91: 11–32.CrossRefGoogle Scholar
Haffner, D. K. (1987): Pathology of the tonsils and adenoids. Otolaryngologic Clinics of North America, 20, 2: 279–286.CrossRefGoogle Scholar
Hibbert, J. (1987): In Scott-Brown's Otolaryngology. (Evans, J. N. G. and Kerr, A. G. eds.), 5th edn., Vol. 6, Butterworth: London, Boston. p 368–383.Google Scholar
Horiguti, S., Yasuo, I. (1973): Headache with particular relationship to nasopharyngitis. Bulletin of Tokyo Medical and Dental University, 20: 173–192.Google Scholar
Maves, M. D. (1986): In Otolaryngology Head and Neck Surgery. (Cummings, C. W. and Schuller, D. E., eds.), Vol. 2, The C. V. Mosby Company; St. Louis, Toronto, p 1117–1127.Google Scholar
Michaels, L. (1987): In Ear, Nose and Throat Histopathology, Springer-Verlag: London, Berlin, Heidelberg, New York, p 239–243.CrossRefGoogle Scholar
Raphael, G., Kaliner, M. (1987): Allergy and the pharyngeal lymphoid tissue. Otolaryngologic Clinics of North America, 20, 2: 295–304.Google Scholar
Theobald, W. H. (1948): Associated symptomatology of diseases of the epipharynx. Journal of Laryngology and Otology, 57: 677–685.Google Scholar