Adenoid Hypertrophy in Adult Patients and Its Relation with Various Factors

Digvijay  Singh Rawat; Yogesh  Aseri; Vipul  Kumar Choudhary; Manish  Kumar Tailor; Vikrant  Kumar Sharma; P C  Verma

Digvijay Singh Rawat Assistant Professor, Department of ENT, JLN Medical College, Ajmer.
Yogesh Aseri Assistant Professor, JLN Medical College and Hospital, Ajmer.
Vipul Kumar Choudhary Senior Resident, JLN Medical College and Hospital, Ajmer.
Manish Kumar Tailor Senior Resident, JLN Medical College and Hospital, Ajmer.
Vikrant Kumar Sharma Junior Specialist, JLN Medical College and Hospital, Ajmer.
P C Verma Senior Professor & Head of Deptt, JLN Medical College and Hospital, Ajmer.

Keywords: Waldeyer's Ring, Tonsillectomy, Adenoidectomy, Rhinoscopy

Abstract

Abstract
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, Jawahar Lal Nehru medical college, Ajmer. Study shows that incidence of adenoid hypertrophy is increasing as the cause of nasal obstruction in adults. This study identified the different causes of adenoid hypertrophy in adult patients. The common causes of adenoid hypertrophy in adults are chronic infection and allergy. Pollution and smoking are also important predisposing factors. Sometimes it is also associated with sinonasal malignancy, lymphoma and HIV infection. Study shows that 21 % of adult nasal
obstruction is due to adenoid hypertrophy. But in case of the patient with chronic tonsillitis only 8 % were associated with adenoid hypertrophy. Males are more commonly involved (80 %) then female, may be because of out door activities and more commonly exposed to pollutants. And most commonly involved age group is 16–25 years. Majority of the cases with adenoid hypertrophy are associated with infection and allergy i.e. allergic rhinitis in 38 % cases descending infection in 28 % cases, and ascending infection in 22 % cases. Association of sinonasal tumors, are rare i.e. 4 % each. So any cases of adult adenoid hypertrophy should be treated seriously to exclude the dangerous causes.