No2-3(2) 2019
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DOI 10.37219/2528-8253-2019-2-63 |
Yaremchuk SE
Hypertrophy of adenoid vegetation: causes and methods of treatment |
Yaremchuk Svetlana E.
State Institution «Institute of otolaryngology named after prof. O.S.
Kolomiychenko of the National Academy of Medical Sciences of Ukraine»; Kyiv,
Ukraine
Department of inflammatory diseases of the ENT organs
Doctor of Medical Sciences
E-mail: s.yarem4uk@gmail.com |
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Abstract
Topicality: Nasal congestion, nasal breathing disorders and nasal
discharge are the most common complaints that parents of ill children refer
to an otolaryngologist and pediatrician. The prevalence of allergic
pathology in patients with adenoid vegetation hypertrophy (AН) varies from
22 to 73% according to various authors.
Aim: To determine the prevalence of allergic rhinitis among patients
with hypertrophy of adenoid vegetations, a prospective study was conducted.
Materials and methods: 50 children with hypertrophy of adenoid
vegetation aged 4 to 14 years were examined. A comprehensive screening study
to detect specific IgE sensitization to the most common inhalation and food
allergens.
Results: Sensitization to inhaled allergens was detected in 48% of
cases. In 8% of cases it coincided with food with food allergy. Only food
allergy was detected in 1 child (2%). Timely etiopathogenetic therapy with
topical nasal corticosteroids in patients with AN will avoid relapses after
adenoidectomy and normalize nasal breathing, and in some cases, avoid
surgery. |
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Keywords
adenoid vegetation, allergy, adenoidectomy, mometasone furoate. |
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