Yüce Imdat, Somdaş Mehmet, Ketenci Ibrahim, Cağli Sedat, Unlü Yaşar
Department of Otolaryngology, Medicine Faculty of Erciyes University, Kayseri, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2007;17(3):130-2.
We evaluated the clinical significance of adenoidal vegetations which are overlooked as a cause of nasal obstruction in adults.
The study included 12 patients older than 15 years of age (10 males, 2 females; mean age 23.5 years; range 15 to 32 years) who presented with nasal obstruction due to adenoidal vegetations. The patients were evaluated with respect to age, sex, complaints, findings of physical examination, computed tomography of the nasopharynx, and nasal endoscopy, and histopathologic results.
All the patients had nasal obstruction. The most common symptom was snoring. Physical examination showed a vegetative mass in the posterior wall of the nasopharynx obstructing the choana. Five patients had bilateral serous otitis media and eight patients had postnasal purulent drainage. All the patients underwent adenoidectomy under general anesthesia and with transnasal endoscopic control. Histopathologic examination of surgical specimens showed lymphoid hyperplasia.
Although adenoidal tissue undergoes regression toward the adolescent period, it may present as the chief cause of nasal obstruction in adults.
我们评估了腺样体肥大作为成人鼻塞原因而被忽视的临床意义。
该研究纳入了12例年龄超过15岁的患者（10例男性，2例女性；平均年龄23.5岁；年龄范围15至32岁），这些患者因腺样体肥大出现鼻塞。对患者进行了年龄、性别、主诉、体格检查结果、鼻咽部计算机断层扫描、鼻内镜检查以及组织病理学结果等方面的评估。
所有患者均有鼻塞症状。最常见的症状是打鼾。体格检查显示鼻咽后壁有一个赘生物阻塞后鼻孔。5例患者有双侧浆液性中耳炎，8例患者有鼻后脓性分泌物。所有患者均在全身麻醉和鼻内镜控制下接受了腺样体切除术。手术标本的组织病理学检查显示淋巴组织增生。
尽管腺样体组织在青少年时期会逐渐退化，但它可能成为成人鼻塞的主要原因。
