耳鼻喉学课件：腺样体肥大、咽部脓肿、鼻咽部良恶性肿瘤.pptx

adenoid vegetation
definition
Pathological hyperplasia of adenoids is caused by repeated stimulation of inflammation. The disease is often associated with chronic tonsillitis, most in children.
cause
It is related to recurrent inflammation of nasopharynx, and chronic rhinitis, rhinitis or chronic rhinosinusitis are prone to the disease;
Children suffering from acute infectious diseases and allergic diseases also have adenoid hypertrophy;
Genetic factors should be considered.
Clinical manifestation
Nasal symptoms: often complicated with rhinitis, sinusitis, nasal congestion and running nose. Patients often Speak with closed rhinolalia, and sleep with snoring.
Ear symptoms: obstruction of the eustachian tube will be accompanied by secretory otitis media, resulting in hearing loss and tinnitus.
Throat and lower respiratory tract symptoms: due to the secretion stimulates respiratory tract mucosa, often cause pharyngeal discomfort, cough, easily complicated with trachea, bronchitis.
Local symptom
Systemic symptoms
The body development and nutrition status of poor, often have night terrors, molar, enuresis, unresponsive, lack of concentration.
Obstructive sleep apnea syndrome (OSAHS): adenoid hypertrophy is an important cause of OSAHS in children, with snoring, mouth breathing, shortness of breath, daytime sleepiness.
Patients with a long-term mouth breathing, resulting in facial bone development disorders, longer maxilla, high arched palate, uneven dentition, protrusion of upper incisors, thick lips, lack of expression, the so-called “adenoid face”;
Purulent nasal discharge;
The posterior wall of the oropharynx is attached by the secretions from the nasopharynx, often accompanied by hypertrophy of the palatine tonsils.
Diagnosis -- clinical manifestation
The diagnosis was made according to the family complaints, clinical manifestations and the following examinations:
Most of the children complained of snoring and mouth breathing, presented wi