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Halitosis in children with adenoid hypertrophy
Małgorzata Sikorska-Żuk1,2, Marek Bochnia1
1Department of Otolaryngology, Faculty of Dentistry, Wroclaw Medical University, Poland.
Journal of Breath Research
|November 18, 2017
Summary
Adenoid hypertrophy is a common cause of halitosis (bad breath) in children. Removing enlarged adenoids significantly reduced bad breath and associated bacterial levels in a pediatric study.
Area of Science:
- Pediatric Otolaryngology
- Microbiology
- Oral Health
Background:
- Adenoid hypertrophy is a condition characterized by enlarged adenoids, often leading to obstructive symptoms in children.
- Halitosis, or bad breath, is a common concern in pediatric populations, with various potential underlying causes.
- The relationship between adenoid hypertrophy and halitosis requires further investigation to identify specific microbial contributors.
Purpose of the Study:
- To determine the prevalence of halitosis in children with adenoid hypertrophy.
- To identify the bacterial sources of halitosis associated with adenoid hypertrophy.
- To evaluate the impact of adenoidectomy on halitosis and its microbial profile.
Main Methods:
- A study involving pediatric patients undergoing adenoidectomy for obstructive symptoms.
- Exclusion of patients with other identifiable causes of halitosis.
- Assessment of halitosis using organoleptic scores (Rosenberg scale) and volatile sulfur compound (VSC) levels pre- and post-adenoidectomy.
- Microbiological analysis of adenoid tissue for bacterial identification.
Main Results:
- Halitosis was present in 22.1% (30 out of 136) of children with adenoid hypertrophy.
- Adenoidectomy resulted in a significant reduction in organoleptic scores and VSC levels in 90% of affected children.
- Anaerobic bacteria and Staphylococcus aureus were more prevalent in adenoid tissue of children with halitosis, while Streptococcus oralis was more common in those without halitosis.
Conclusions:
- Adenoid hypertrophy is a significant source of halitosis in children.
- Surgical removal of adenoids is an effective treatment for halitosis linked to this condition.
- Specific bacterial profiles in adenoid tissue correlate with the presence or absence of halitosis.
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