Adenoid hypertrophy in adults: causes and precipitating factors
Talal Althobaiti, Wael Ali Hadaidi, Ahmad Saeed A. Alghamdi, Khaled Fahad J. Alghashmari, Abdulrahman Ali Hadaidi, Tamer Mohamed Abd-Elrahman.
Abstract
Background: Adenoid hypertrophy (AH) is suspected in case of nasal obstruction. Recurrent acute infections and allergic episodes are reported as the most common causes of adenoid hypertrophy. The present study aimed to determine the prevalence, symptoms, and possible causes of adenoid hypertrophy in adults.
Methodology: A retrospective cross-sectional study was carried out in the Armed Forces Hospitals, Taif region, Saudi Arabia, during the period from February 2016 to February 2020. All the cases of adenoid hypertrophy diagnosed with nasal obstruction as the chief complaint and patients planned for tonsillectomy were included in this study.
Results: Forty-six adult patients were diagnosed with adenoid hypertrophy: 32 in group A (patients complaint with nasal obstruction) and 14 in group B (patients planned for tonsillectomy); 33 were male and 13 were female. The most commonly involved age group was 17-26 years (65%). The most presenting symptoms were nasal obstruction (100%), snoring (86.9%), and post-nasal discharge (71.7%). The commonest predisposing factor for adenoid hypertrophy was allergic rhinitis (39.1%). Twenty-five cases (54.4%) had associated nasal polyps, while five cases (10.9%) had adenoid hypertrophy along with inferior turbinate hypertrophy.
Conclusion: Adenoid hypertrophy in adults has an increasing incidence nowadays because of chronic infection, allergy, and pollutions. All patients presented with nasal obstruction and other rhinological symptoms, which should be evaluated for adenoid hypertrophy.
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