Gupta Nitika, Saraf Neha, Saraf Aditiya, Bhagat Samiksha, Kalsotra Parmod
Department of ENT and Head and Neck Surgery, SMGS Hospital, Government Medical College and Hospital, Jammu, 180001 Jammu and Kashmir India.
Department of Anatomy, HBT Medical College and Dr RN Cooper Municipal General Hospital, Mumbai, India.
Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4554-4558. doi: 10.1007/s12070-024-04918-y. Epub 2024 Jul 25.
To determine the association of adenoid hypertrophy with allergic rhinitis in pediatric patients based on Simplified Visual Analog Scale and serum IgE levels. The present study was conducted in our tertiary care centre on 130 patients planned for adenoidectomy from May 2022 to June 2023. Children were divided into two groups based on IgE levels and Allergic history- Group I: who had raised immunoglobulin E levels with allergic rhinitis (according to ARIA guidelines) before adenoidectomy ( = 69) and Group II: who had normal immunoglobulin E levels pre-operatively ( = 72). VAS scoring was done in both groups and compared pre and post operatively. In our study it was found that the adenoid volume was more in patients with allergic history and increased IgE levels as compared to those with normal IgE levels ( < 0.05) pre-operatively. Also, the difference between pre-operative VAS score among Group I and Group II was statistically significant ( = 0.046). Also, the difference between postoperative VAS score among Group I and group II was also statistically significant ( = 0.043). There was statistically significant higher change in VAS score in Group II post-operatively ( = 0.027). sOur study demonstrates that children with allergic rhinitis tend to present earlier with symptoms of adenoid hypertrophy. In addition, children without allergic history show better post-operative VAS scores as the allergic component still prevails in children with allergic history.
基于简化视觉模拟量表和血清IgE水平确定儿科患者腺样体肥大与过敏性鼻炎的关联。本研究于2022年5月至2023年6月在我们的三级医疗中心对130例计划行腺样体切除术的患者进行。根据IgE水平和过敏史将儿童分为两组——第一组:腺样体切除术前行腺样体切除术(n = 69)前免疫球蛋白E水平升高且患有过敏性鼻炎(根据ARIA指南);第二组:术前免疫球蛋白E水平正常(n = 72)。对两组进行VAS评分,并在术前和术后进行比较。在我们的研究中发现,与IgE水平正常的患者相比,有过敏史且IgE水平升高的患者术前腺样体体积更大(P < 0.05)。此外,第一组和第二组术前VAS评分之间的差异具有统计学意义(P = 0.046)。同样,第一组和第二组术后VAS评分之间的差异也具有统计学意义(P = 0.043)。第二组术后VAS评分的变化在统计学上有显著升高(P = 0.027)。我们的研究表明,患有过敏性鼻炎的儿童往往更早出现腺样体肥大症状。此外,没有过敏史的儿童术后VAS评分更好,因为过敏因素在有过敏史的儿童中仍然占主导地位。