PREVALENCE AND MANEGEMENT OUTCOME OF ADENOID HYPERTROPHY AMONG CHILDREN LESS THAN EIGHT YEARS OLD ATTENDED ENT DEPARTMENT AT KCMC FROM JANUARY 2015 TO DECEMBER 2015
Abstract
Description
INTRODUCTION
Adenoid hypertrophy is a global health problem which causes major illness and disability
worldwide. It is a symptomatic disorder of the upper airway induced by viral or bacterial
infection on the collection of lymphoid tissues in nasopharynx. Adenoid hypertrophy is
characterized by snoring, mouth breathing and sleep apnea.
OBJECTIVE
This study aim at determining the prevalence and management outcome adenoid hypertrophy
among children under 8 years of age attended ENT department in KCMC
METHODOLOGY
This study was hospital based retrospective cross section study in which data was collected from
ENT and medical record department of corresponding files for children under eight years old
who presented with adenoid hypertrophy at ENT from January 2015 to December 2015.the
collected data was processed and analyzed using statistical package for the social science (SPSS)
version 16. A 95% confidence interval and P-value of 0.05 was considered significant
RESULTS
Of 230 children less than eight years admitted at KCMC ENT department, 160(69.6%) had
adenoid hypertrophy. Most children were admitted due to 113(86.9%) with snoring, mouth
breathing 109(83.5%), difficulty breathing 104(80%), sleep apnea 100(76.9%) and fever 68.8%
Of 130 children, 126 recovered with recovery rate of 96.9% and 4 died with a mortality rate of
3.1%. The children had a mean hospital stay of 2 days. The most common complication of
adenoid hypertrophy was sleep disorder breathing 106 (81.5%) and other complications were
adenoid face 4(3.1%) and cardio-pulmonary deficiency 9(7%).
CONCLUSION
The prevalence of Adenoid hypertrophy in our setting is high and the common symptoms are
snoring, mouthing, difficulty in breathing, fever and sleep apnea. The common complication
is sleep disordered breathing and other complications are adenoid face and pulmonary
hypertension.
Keywords
Research Subject Categories::MEDICINE