[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.
Abstract

Related Concept Videos

Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
Chronic Pharyngitis01:23

Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Asthma-II: Pathophysiology and Classification01:26

Asthma-II: Pathophysiology and Classification

Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Adrenergic Agonists: Mixed-Action Agents01:28

Adrenergic Agonists: Mixed-Action Agents

Mixed-action adrenergic agonists, like ephedrine and pseudoephedrine, directly and indirectly affect adrenergic receptors. These agents stimulate adrenoceptors and indirectly release stored neurotransmitters, amplifying the adrenergic response.
Ephedrine and pseudoephedrine lack a catecholamine group, making them less susceptible to degradation by metabolic enzymes. They have increased oral bioavailability and lipophilicity, resulting in a longer duration of action. Their response is reduced by...
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features01:24

Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features

Chronic bronchitis is a key phenotype of chronic obstructive pulmonary disease (COPD), characterized by airway-centered inflammation and mucus overproduction. It develops from long-term exposure to harmful particles or gases, most commonly cigarette smoke, which triggers a persistent inflammatory response.Cellular and Structural ChangesInflammation initially affects the large bronchi and later the smaller airways, with infiltration by immune cells, including neutrophils, macrophages, and...
Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.