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ABC of Pediatric Surgical ImagingAdenoid Hypertrophy

ABC of Pediatric Surgical Imaging: Adenoid Hypertrophy Surgeon: O. Basson A Adenoid Hypertrophy Radiologist: S. Przybojewski Clinical Insights What the Surgeon Needs to Know The adenoid is a mass of lymphoid tissue Are the adenoids enlarged in proportion at the junction of roof and posterior wall to the size of the airway? of nasopharynx. Is there a visible adenoidal soft-tissue Hypertrophy is the most common cause of mass on X-ray? nasopharyngeal obstruction in babies and children. Symptoms due to disproportion in size of adenoids and nasopharynx are most common from 2–8 years. May present as feeding problems in Clinical Diff erential Diagnosis babies as they need to stop sucking to breathe. Nasal turbinate hypertrophy Leads to chronic mouth breathing, Choanal atresia rhinitis/sinusitis, snoring, sleep apnoea, L Masses: Encephalocoele, glioma day-time somnolence and otitis media. Deviation of nasal septum Polyps – Suspect cystic fi brosis Warning If airway obstruction is severe and prolonged, the patient can present with cor pulmonale. Controversy Lateral soft-tissue X-ray is less invasive, but less accurate, than nasoendoscopy. 4 Adenoid Hypertrophy – Surgical Aspects Imaging Options Primary: Lateral “soft-tissue” radiograph Secondary: Dynamic MRI (for obstruc- tive sleep apnea) ⚉ Imaging Findings Thick soft tissue in posterior “Soft-tissue” lateral view of the post-nasal space http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

ABC of Pediatric Surgical ImagingAdenoid Hypertrophy

Editors: Andronikou, Savvas; Alexander, Angus; Kilborn, Tracy; Millar, Alastair J. W.; Daneman, Alan
Basson, O.; Przybojewski, S.
Springer Journals — Jan 1, 2010
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Publisher
Springer Berlin Heidelberg
Copyright
© Springer-Verlag Berlin Heidelberg 2010
ISBN
978-3-540-89384-4
Pages
4 –5
DOI
10.1007/978-3-540-89385-1_2
Publisher site
See Chapter on Publisher Site

Abstract

Surgeon: O. Basson A Adenoid Hypertrophy Radiologist: S. Przybojewski Clinical Insights What the Surgeon Needs to Know The adenoid is a mass of lymphoid tissue Are the adenoids enlarged in proportion at the junction of roof and posterior wall to the size of the airway? of nasopharynx. Is there a visible adenoidal soft-tissue Hypertrophy is the most common cause of mass on X-ray? nasopharyngeal obstruction in babies and children. Symptoms due to disproportion in size of adenoids and nasopharynx are most common from 2–8 years. May present as feeding problems in Clinical Diff erential Diagnosis babies as they need to stop sucking to breathe. Nasal turbinate hypertrophy Leads to chronic mouth breathing, Choanal atresia rhinitis/sinusitis, snoring, sleep apnoea, L Masses: Encephalocoele, glioma day-time somnolence and otitis media. Deviation of nasal septum Polyps – Suspect cystic fi brosis Warning If airway obstruction is severe and prolonged, the patient can present with cor pulmonale. Controversy Lateral soft-tissue X-ray is less invasive, but less accurate, than nasoendoscopy. 4 Adenoid Hypertrophy – Surgical Aspects Imaging Options Primary: Lateral “soft-tissue” radiograph Secondary: Dynamic MRI (for obstruc- tive sleep apnea) ⚉ Imaging Findings Thick soft tissue in posterior “Soft-tissue” lateral view of the post-nasal space

Published: Jan 1, 2010

Keywords: Cystic Fibrosis; Obstructive Sleep Apnea; Sleep Apnea; Choanal Atresia; Mouth Breathing

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