ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

What Is the Role of the Adenoid in Pediatric Chronic Rhinosinusitis?

by Laura Neff, MD, and Eelam A. Adil, MD, MBA • September 18, 2016

  • Tweet
  • Email
Print-Friendly Version

TRIO Best PracticeTRIO Best Practice articles are brief, structured reviews designed to provide the busy clinician with a handy outline and reference for day-to-day clinical decision making. The ENTtoday summaries below include the Background and Best Practice sections of the original article. To view the complete Laryngoscope articles free of charge, visit Laryngoscope.com.

You Might Also Like

  • The Role of Balloon Catheter Sinuplasty in Pediatric Sinus Disease
  • What Is the Role of Nasal Endoscopy in the Diagnosis of Chronic Rhinosinusitis?
  • Does Balloon Catheter Sinuplasty Have a Role in the Surgical Management of Pediatric Sinus Disease?
  • X-Ray, Nasal Endoscopy and Adenoid Hypertrophy in Children
Explore This Issue
September 2016

Background

Pediatric chronic rhinosinusitis (CRS) is broadly defined as 90 or more uninterrupted days of respiratory symptoms with corresponding endoscopic and/or computed tomography (CT) scan findings. It is a common yet difficult problem in the pediatric population. Otolaryngologists agree on initial medical management with nasal saline irrigations, nasal steroid sprays, and an antibiotic directed at the most common sinonasal pathogens. The majority of pediatric patients do not require surgery for CRS.

In children with sinus disease refractory to medical therapy, there is controversy regarding surgical management. Surgical options include adenoidectomy and endoscopic sinus surgery (ESS). The goal of surgery is to improve quality of life and prevent further disease. It is preferable to avoid the need for additional or revision surgeries. This review describes the evidence regarding the role of the adenoid in pediatric CRS. Of note, pediatric CRS associated with cystic fibrosis, immunodeficiency, nasal polyposis, allergic fungal disease, and/or ciliary dyskinesia is generally not treated with adenoidectomy alone; these patients are excluded from the discussion below.

Best Practice

Based on the current evidence, bacteria harbored within adenoid biofilms contribute to pediatric CRS, even in the absence of obstructive adenoid hypertrophy. Adenoidectomy is a reasonable first-line surgical option for pediatric patients with CRS that is refractory to medical therapy. The majority of studies that examine the role of adenoidectomy alone for pediatric CRS are limited to younger patients; therefore, its role in adolescents has yet to be determined.

This is a difficult topic with many directions for future research. A prospective study with a validated quality-of-life questionnaire and long-term follow-up is necessary to define which subgroup of pediatric patients benefit from adenoidectomy alone (Laryngoscope. 2015;125:1282-1283).

Filed Under: Pediatric, TRIO Best Practices Tagged With: adenoid, adenoidectomy, chronic rhinosinusitis, CRS, pediatrics, surgery, treatementIssue: September 2016

You Might Also Like:

  • The Role of Balloon Catheter Sinuplasty in Pediatric Sinus Disease
  • What Is the Role of Nasal Endoscopy in the Diagnosis of Chronic Rhinosinusitis?
  • Does Balloon Catheter Sinuplasty Have a Role in the Surgical Management of Pediatric Sinus Disease?
  • X-Ray, Nasal Endoscopy and Adenoid Hypertrophy in Children

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Experts Delve into Treatment Options for Laryngopharyngeal Reflux
    • Otolaryngologists Have a Major Role to Play in Treating COVID-19 Long-Haulers
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Podcasts Becoming More Popular Method of Education for Otolaryngologists
    • How to Embrace Optimism in the Midst of the COVID-19 Pandemic
    • Tips on How to Approach Conversations with Patients about the COVID-19 Vaccine
    • Steps You Should Take to Protect Your Voice and Hearing During Telemedicine Sessions
    • Routine Postoperative Adjunct Treatments Unnecessary for Idiopathic Cerebrospinal Fluid Leaks

Polls

Have you spoken with your patients about receiving the COVID-19 vaccine?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2021 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.