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[Behavior research of allergic rhinitis with adenoid hypertrophy in children]
Yunlong Jing1, Binya Hu, Jing Huang
1Department of Otorhinolaryngology, Hunan Children' s Hospital, Changsha, 410007, China.
Insights
Endoscopic adenoidectomy significantly improved behavior symptoms in children with allergic rhinitis and adenoid hypertrophy, including snoring and sleep disturbances, compared to medical treatment alone.
Area of Science:
- Pediatric Otolaryngology
- Allergy and Immunology
Background:
- Allergic rhinitis and adenoid hypertrophy commonly coexist in children.
- These conditions can lead to significant behavioral and physical symptoms.
Purpose of the Study:
- To compare the behavioral outcomes of children with allergic rhinitis and adenoid hypertrophy treated with endoscopic adenoidectomy versus medical management.
- To assess differences in symptoms like snoring, sleep disturbance, and respiratory infections.
Main Methods:
- A study involving 117 children diagnosed with allergic rhinitis and adenoid hypertrophy.
- Children were divided into a study group (endoscopic adenoidectomy plus medication) and a control group (nasal steroid spray and antihistamine).
- Clinical presentations were evaluated via parental inquiry and a three-month follow-up.
Main Results:
- No significant differences were observed in adenoid hypertrophy size or general nasal symptoms between groups.
- The study group showed significant improvements in snoring, sleep disturbances, mouth breathing, and recurrent respiratory infections (P < 0.05).
Conclusions:
- Endoscopic adenoidectomy is a beneficial treatment option for children with allergic rhinitis and adenoid hypertrophy.
- Surgical intervention effectively improves associated behavioral symptoms and reduces respiratory issues.
Objective:
To investigate the behavior difference of allergic rhinitis with adenoid hypertrophy between study group and control group.
Method:
One hundred and seventeen children diagnosed as allergic rhinitis with adenoid hypertrophy were enrolled in our study were divided into study group and control group. Forty-two children treated with local steroid nasal spray for two to three months and antihistamine were control group. Seventy-five children treated with endoscopic adenoidectomy and drug treatment were study group; All children' parents were inquired for their clinical presentation.
Result:
No distinctive differences were found between the two groups (P > 0.05) in adenoid hypertrophy, accompanying nasal problems and clinical questionnaire scoring. Significant statistical distinction were found (P < 0.05) in snoring, sleep disturbance and frequent arousal, nasal obstructive moth-breathing, and recurrent respiratory tract infection between the two groups after three-month follow up.
Conclusion:
Endoscopic adenoidectomy should be taken into account for allergic rhinitis with adenoid hypertrophy in children. Adenoidectomy would be useful for the improvement of behavior symptoms.
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