Abstract
Adenoids and/or tonsil inflammation with concomitant obstructive hypertrophy is one of the oldest and most common pediatric problems. Adenoids are a component of Waldeyer's ring and because of their anatomic position can be relevant in the pathogenesis of otitis media when they are inflamed and/or enlarged. Adenoid pads can create mechanical eustachian tube obstruction. Therefore, in some cases, adenoidectomy may have a role in the clinical management of otitis media with effusion. However, eustachian tube dysfunction related to the adenoids may also have an allergy-related functional component. Allergic inflammation has been described for middle ear effusion, and some studies have reported that mast cells increase and allergic mediators release in adenoids as well. Nasal endoscopy has a key role in confirming a diagnosis of adenoid hypertrophy and/or adenoiditis and in detecting an association between adenoid inflammation/infection and otitis media with effusion, especially during infancy and early childhood.
| Original language | English |
|---|---|
| Pages (from-to) | 460-464 |
| Number of pages | 5 |
| Journal | Current Allergy and Asthma Reports |
| Volume | 9 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Oct 26 2009 |
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ASJC Scopus subject areas
- Immunology and Allergy
- Pulmonary and Respiratory Medicine
Cite this
Role of adenoids and adenoiditis in children with allergy and otitis media. / Marseglia, Gian Luigi; Poddighe, Dimitri; Caimmi, Davide; Marseglia, Alessia; Caimmi, Silvia; Ciprandi, Giorgio; Klersy, Catherine; Pagella, Fabio; Castellazzi, Anna Maria.
In: Current Allergy and Asthma Reports, Vol. 9, No. 6, 26.10.2009, p. 460-464.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Role of adenoids and adenoiditis in children with allergy and otitis media
AU - Marseglia, Gian Luigi
AU - Poddighe, Dimitri
AU - Caimmi, Davide
AU - Marseglia, Alessia
AU - Caimmi, Silvia
AU - Ciprandi, Giorgio
AU - Klersy, Catherine
AU - Pagella, Fabio
AU - Castellazzi, Anna Maria
PY - 2009/10/26
Y1 - 2009/10/26
N2 - Adenoids and/or tonsil inflammation with concomitant obstructive hypertrophy is one of the oldest and most common pediatric problems. Adenoids are a component of Waldeyer's ring and because of their anatomic position can be relevant in the pathogenesis of otitis media when they are inflamed and/or enlarged. Adenoid pads can create mechanical eustachian tube obstruction. Therefore, in some cases, adenoidectomy may have a role in the clinical management of otitis media with effusion. However, eustachian tube dysfunction related to the adenoids may also have an allergy-related functional component. Allergic inflammation has been described for middle ear effusion, and some studies have reported that mast cells increase and allergic mediators release in adenoids as well. Nasal endoscopy has a key role in confirming a diagnosis of adenoid hypertrophy and/or adenoiditis and in detecting an association between adenoid inflammation/infection and otitis media with effusion, especially during infancy and early childhood.
AB - Adenoids and/or tonsil inflammation with concomitant obstructive hypertrophy is one of the oldest and most common pediatric problems. Adenoids are a component of Waldeyer's ring and because of their anatomic position can be relevant in the pathogenesis of otitis media when they are inflamed and/or enlarged. Adenoid pads can create mechanical eustachian tube obstruction. Therefore, in some cases, adenoidectomy may have a role in the clinical management of otitis media with effusion. However, eustachian tube dysfunction related to the adenoids may also have an allergy-related functional component. Allergic inflammation has been described for middle ear effusion, and some studies have reported that mast cells increase and allergic mediators release in adenoids as well. Nasal endoscopy has a key role in confirming a diagnosis of adenoid hypertrophy and/or adenoiditis and in detecting an association between adenoid inflammation/infection and otitis media with effusion, especially during infancy and early childhood.
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U2 - 10.1007/s11882-009-0068-4
DO - 10.1007/s11882-009-0068-4
M3 - Review article
VL - 9
SP - 460
EP - 464
JO - Current Allergy and Asthma Reports
JF - Current Allergy and Asthma Reports
SN - 1529-7322
IS - 6
ER -