ADENOID HYPERTROPHY

@ayesigwa
• This is the unusual growth of adenoids (pharyngeal
tonsils)
• There is very little lymphoid tissue Inthe nosophary
nx of young babies called adenoids and start to get
sizable in the first year but how big they get is varia
ble between individuals
Causes
• Like other lymphoid tissue, adenoids enlarge when i
nfected by bacteria and viruses. Alagens can also ca
use enlargement.
Clinical features
• Mouth breathing
• Hypernosal speech
• Recurrent epistaxis
• Recurrent or chronic otitis media
• Tympanic effusion
Diagnostics
• Flexible nosopharyngoscopy
Treatment
• Surgical removal of the adenoids called adenoidect
omy or adenotonsilectomy
• Treat the underlying cause.
Indications
• Chronic otitis media
• Chronic sinusitis
• Severe symptoms nosoal obstruction e.g. obstructiv
e sleep apnea
Preoperative care
• Admit the child the day before surgery
• Anesthesiologist review the night before surgery
• Nitrous diet
• Vital observations
• Nil per oral 8 hours prior to surgery
• Sign the consent form the morning of the surgery
Post operative care
• After recovering receive the child from theater
• Follow all post operative instructions as ordered by surgeon
• Iv fluids N/S : R/L : D50% in the same ratio as ordered
• Antibiotics for prophylaxis may also be prescribed by the do
ctor.
• Pain management, strong analgesics such as pethidine may
be given in theatre then the surgeon may prescribe tramad
ol or paracetamol.
• Give nitrous diet, but avoid chilly foods as they may irritate
the throat . Maintain soft diet and fluids such juices.