TY - JOUR
T1 - Adenoidal hypertrophy and allergic rhinitis
T2 - Is there an inverse relationship?
AU - Ameli, Franco
AU - Brocchetti, Fabio
AU - Tosca, Maria Angela
AU - Signori, Alessio
AU - Ciprandi, Giorgio
PY - 2013/1
Y1 - 2013/1
N2 - Background: Nasal obstruction is a very common symptom in children. The main causes are allergic rhinitis (AR) and adenoidal hypertrophy (AH); the possible correlation between AR and AH has been investigated by few studies, mainly conducted using radiographic craniometry. This study aimed at investigating this topic by nasal endoscopy. Methods: There were 205 children (134 boys; mean age, 6.7 years age range, 4-12 years) studied. Clinical visit, nasal endoscopy, and skin-prick test were performed in all patients. Anterior nasal obstruction was graded using the Friedmann's classification. Adenoid size was graded using the Parikh's classification. Perception of symptoms by children was also assessed using the visual analog scale. Results: Ninety-two children (44.9%) had complete nasal obstruction and 28 children (13.7%) had choanae invasion. There was a negative significant correlation (r=-0.41; p <0.001) between nose obstruction severity and volume of adenoids. Decreased probability of greater adenoid volume was associated with increased severity of nose obstruction (odds ratio [OR] = 0.13) and in patients with allergy compared with nonallergic patients (OR = 0.31). Conclusion: This real-life study shows that large adenoids may be associated with absence of allergy, whereas large turbinates may be associated with small adenoids.
AB - Background: Nasal obstruction is a very common symptom in children. The main causes are allergic rhinitis (AR) and adenoidal hypertrophy (AH); the possible correlation between AR and AH has been investigated by few studies, mainly conducted using radiographic craniometry. This study aimed at investigating this topic by nasal endoscopy. Methods: There were 205 children (134 boys; mean age, 6.7 years age range, 4-12 years) studied. Clinical visit, nasal endoscopy, and skin-prick test were performed in all patients. Anterior nasal obstruction was graded using the Friedmann's classification. Adenoid size was graded using the Parikh's classification. Perception of symptoms by children was also assessed using the visual analog scale. Results: Ninety-two children (44.9%) had complete nasal obstruction and 28 children (13.7%) had choanae invasion. There was a negative significant correlation (r=-0.41; p <0.001) between nose obstruction severity and volume of adenoids. Decreased probability of greater adenoid volume was associated with increased severity of nose obstruction (odds ratio [OR] = 0.13) and in patients with allergy compared with nonallergic patients (OR = 0.31). Conclusion: This real-life study shows that large adenoids may be associated with absence of allergy, whereas large turbinates may be associated with small adenoids.
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U2 - 10.2500/ajra.2013.27.3854
DO - 10.2500/ajra.2013.27.3854
M3 - Article
C2 - 23406587
AN - SCOPUS:84876028651
VL - 27
JO - American Journal of Rhinology and Allergy
JF - American Journal of Rhinology and Allergy
SN - 1945-8924
IS - 1
ER -