THE ROLE OF ADENOIDECTOMY IN THE PROGNOSIS OF ACUTE SINUTITIS IN CHILDREN

*Abdullah Alomori and Yasser Ali

ABSTRACT

Background: The pharyngeal tonsil, in addition to its immunological function as part of Waldeyer’s ring, occupies a significant and distinct anatomical location. This position grants it a crucial influence on the dynamics of respiratory airflow, thereby affecting respiratory function and the ventilation of both the middle ear and the paranasal sinuses. Numerous studies have been published on the relationship between adenoidectomy and chronic sinusitis in children. However, few have examined the association between adenoidectomy and the progression of acute sinusitis to chronicity and its impact on the disease course. Objective: Evaluation of the Impact of Adenoidectomy on the Recurrence of Sinusitis in Children and Its Progression to Chronicity. Patients and Methods: A Prospective Pre- and Post-Study Involving Pediatric Patients Attending the Department of Otolaryngology at Tishreen University Hospital in Latakia Between 2020-2022, Who Suffer from Nasal Obstruction Symptoms and Have Been Diagnosed with Adenoid Hypertrophy via Radiographic Imaging or Nasal Endoscopy Results: The study included 142 children, 87 of whom were males (61.3%) and 55 females (38.1%). The children were divided into three age groups: the first group (1-2 years) comprised 25.4%, the second group (3-4 years) comprised 42.3%, and the third group (5-7 years) comprised 32.4%. Group 0 was defined as patients who had one or two infections in the year prior to the study (1.4%), group 1 had 3-4 infections (21.1%), group 2 had 5-6 infections (38.7%), and group 3 had more than 6 infections (38.1%).Out of the total sample, 81 patients underwent adenoidectomy, while 61 did not (43%). The number of infections was reassessed in the year following the surgery. The number of children in group 0 increased to 42 (29.6%), group 1 increased to 54 (38%), group 2 decreased to 37 (26.1%), and group 3 decreased to only 9 children (4.2%). The difference in the category for each child was calculated before and after entering the study, and an improvement score was assigned. The statistical relationship between the improvement score and adenoidectomy was studied, revealing a significant association between adenoidectomy and the improvement of sinusitis In children (P-Value=0.001). Conclusion: The study showed a significant improvement in the symptoms and frequency of acute sinusitis episodes in children who underwent adenoidectomy, as well as a reduction in the progression of their sinusitis to chronicity.

Keywords: Sinutitis, Adenoid hypertrophy, Adenoidectomy.