Adenoid hypertrophy in Adult
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Synopsis
Adenoid hypertrophy is far more common in children than in adults because the adenoids often naturally atrophy with age. The typical child with adenoid hypertrophy will be a mouth breather with a hyponasal-sounding voice. When the adenoids become large enough, they can cause obstructive symptoms. Common complications of adenoid hypertrophy include sleep problems such as snoring or obstructive sleep apnea (OSA), persistent rhinorrhea or nasal congestion, and frequent ear infections.
Codes
ICD10CM:J35.2 – Hypertrophy of adenoids
SNOMEDCT:
111591002 – Hypertrophy of adenoids
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
- Foreign body
- Deviated nasal septum
- Nasal polyps (associated with cystic fibrosis in children)
- Allergic rhinitis
- Choanal atresia
- Pyriform aperture stenosis
- Nasopharyngeal neoplasm (see nasopharyngeal cancer)
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Management Pearls
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Therapy
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References
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Last Reviewed:08/13/2019
Last Updated:08/23/2019
Last Updated:08/23/2019
Adenoid hypertrophy in Adult