Adenoiditis classification

Adenoiditis Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Mahshid Mir, M.D. [2]

Overview:

Adenoiditis can be classified into acute adenoiditis, recurrent acute adenoiditis, and chronic/persistant adenoiditis.

Classification

Acute adenoiditis

• Common acute adenoiditis symptoms:
  • Nasal airway obstruction
  • Snoring
  • Sleep apnea
  • Oral breathing
  • Sore or dry throat from breathing through the mouth
• Differentiation between adenoiditis and upper respiratory tract infection (URTI) is hard sometimes.
• The child may be have a severe disease when compared with a case of exclusive URTI.

Recurrent acute adenoiditis

• It is efined by presence of at least 4 or more than 4 episodes of acute adenoiditis within a 6 months period.
• Symptoms are the same as acute adenoiditis.
• Children who are suspected of immunodeficiency or other serious comorbidities (e.g. asthma) should be considered for prophylactic antibiotic. The dicision to start antibiotic therapy for these patients is controversial due to antibioic resistance and comorbidities.

Chronic/persistent adenoiditis

• Persistent nasal discharge
• Malodorous breath
• Postnasal drip
• Chronic nasal congestion
• Purulent rhinorrhea
• Nasal obstruction
• Fever
• Otitis
• Headache due to sinusitis
• Sore throat