Role of adenoids and adenoiditis in children with allergy and otitis media

Autor: Gian Luigi Marseglia, Silvia Caimmi, Alessia Marseglia, Catherine Klersy, Fabio Pagella, Anna Maria Castellazzi, Davide Caimmi, Dimitri Poddighe, Giorgio Ciprandi
Rok vydání: 2009
Předmět:
Zdroj: Current Allergy and Asthma Reports. 9:460-464
ISSN: 1534-6315
1529-7322
DOI: 10.1007/s11882-009-0068-4
Popis: Adenoids and/or tonsil inflammation with concomitant obstructive hypertrophy is one of the oldest and most common pediatric problems. Adenoids are a component of Waldeyer's ring and because of their anatomic position can be relevant in the pathogenesis of otitis media when they are inflamed and/or enlarged. Adenoid pads can create mechanical eustachian tube obstruction. Therefore, in some cases, adenoidectomy may have a role in the clinical management of otitis media with effusion. However, eustachian tube dysfunction related to the adenoids may also have an allergy-related functional component. Allergic inflammation has been described for middle ear effusion, and some studies have reported that mast cells increase and allergic mediators release in adenoids as well. Nasal endoscopy has a key role in confirming a diagnosis of adenoid hypertrophy and/or adenoiditis and in detecting an association between adenoid inflammation/infection and otitis media with effusion, especially during infancy and early childhood.
Databáze: OpenAIRE
Externí odkaz: