Adenoids in Adults : A Rare Cause of Nasal Obstruction

Abstract

adults . Patients and methods : Retrospective study of six adult patients suffering from nasal obstruction found to have enlarged adenoids . The diagnosis were made in different ways . some were diagnosed preliminary by complete ear , nose and throat examination and lateral skull radiography , others by accidental finding during operations for septal and sinuses pathology , the above patients adenoidectomy was performed . the remaining one patient, excisional biopsy was done for postnasal space mass provisionally diagnosed angiofibroma by computed tomography and magnetic resonance imaging of the nasopharynx .There was an allergic rhinitis in some patients proved by skin test .Results : Out of six patients aged between 18 – 35 years with enlarged adenoids, two patients diagnosed preoperatively, another three patients with enlarged adenoids found accidentally during operations for septal and sinuses pathology . The remaining one patient, excisional biopsy was performed for the postnasal space mass provisionally diagnosed angiofibroma. Four patients out of the total number had evidence of allergic rhinitis .Conclusion : Although it is rare, enlarged should be considered in the differ entail diagnosis of adult suffering from nasal obstruction .