Image Based Question – 66175

Which among the following are true about the enlargement of the structure marked by an arrow in the picture below?

A. There is failure to thrive.

B. Mouth breathing is seen.

C. CT scan should be done to assess size.

D. a and b.

Show Answer

Correct Answer » D Explanation

Ans:D.a and b.There is failure to thrive and Mouth breathing is seen.

The structure marked by an arrow in the picture above represents Adenoid.

ADENOID

• Sub epithelial collection of lymphoid tissue at the junction of posterior wall and roof of nasopharynx.

ADENOID ENLARGEMENT

Clinical Features:

• Nasal obstruction is the commonest symptom

• Mouth breathing,Failure to thrive

• Recurrent URTI,Nasal discharge, sinusitis, epistaxis, voice change-Rhinolalia Clausa.

• Eustachian Tube obstruction: Conductive hearing loss- CSOM, SOM

• Adenoid is a common cause of Eustachian Disease

• Adenoid facies: elongated face with dull expression, open mouth, prominent and crowded upper teeth, hitched up upper lip, high arched palate

• Pulmonary hypertension and Cor pulmonale

• Aprosexia – lack of concentration.

Assessment:

• Size of adenoids may well be assessed using lateral radiograph of nasopharynx and Nasal Endoscopy and CT scan is not necessary

Treatment:

• For the treatment of enlarged adenoids when symptoms are not marked breathing excercise, decongenstant nasal drops and antihistaminics are used and when symptoms are marked, adenoidectomy is done.