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Article Type

Original Study

Subject Area

Oral and Maxillofacial Surgery, Otolaryngology, Otorhinolaryngologic Diseases, Nose and paranasal sinuses

Abstract

Background: Adenoid hypertrophy in children poses a common health concern, affecting various aspects of their well-being, including obstructive sleep apnea. The efficacy of different treatment modalities, specifically the use of intranasal corticosteroids alone versus a combination of intranasal and systemic corticosteroids, remains a subject of investigation. Objectives: This study aims to compare the effectiveness of intranasal corticosteroids alone versus the combination of intranasal and systemic corticosteroids in the treatment of adenoid hypertrophy in children. The primary goal is to assess the impact of these interventions on symptoms, including obstructive sleep apnea, and to evaluate any potential differences in outcomes. Materials and Methods: The study was conducted over six months at the outpatient clinic of the ENT Department in Benha University Hospitals. Sixty children aged 3–12 years, meeting specific inclusion criteria, were randomly assigned to two groups: Group 1 received intranasal corticosteroid treatment, while Group 2 received a combination of intranasal and systemic corticosteroids. Comprehensive assessments, including clinical examination, imaging studies, and endoscopic evaluations, were conducted at baseline and after six weeks of treatment. Results: Demographic characteristics of the two groups were comparable. Both treatment groups exhibited significant improvements in symptoms, with no statistically significant differences between them. Rhinorrhea, mouth breathing, snoring, and nasal airway ratio all showed statistically significant improvements after six weeks of treatment in both groups. Endoscopic examination results indicated a positive response to treatment in terms of adenoid size reduction. Conclusions: Both intranasal corticosteroids alone and the combination of intranasal and systemic corticosteroids are effective in alleviating symptoms and reducing adenoid hypertrophy in children.

Keywords

Adenoid hypertrophy, Intranasal corticosteroids, Obstructive sleep apnea, Pediatric patients, Systemic corticosteroids

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