Medical Treatment of Adenotonsillar Hypertrophy- Study of 50 cases

IF 0.1 Q4 OTORHINOLARYNGOLOGY Bangladesh Journal of Otorhinolaryngology Pub Date : 2022-07-20 DOI:10.3329/bjo.v28i1.60794
M. Matin, Md. Abul Kalam Azad, Masud Bin Hasan, M. Haque, Tanjhila Akhter
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Abstract

Objective: To examine the efficacy of combined use of intranasal steroids, antibiotics and monteleukast for improving adenotonsillar hypertrophy. Materials and Methods: This prospective study was done at Bangladesh ENT Hospital, Dhaka from January 2020 to June 2021. 50 children were included with primary symptoms of mouth breathing, snoring and sleep disturbances. X-ray soft tissue nasopharynx lateral view was done before and after treatment for comparison. All were prescribed intranasal fluticasone, phenoxymethyl penicillin and monteleukast for 3 months and followed up after completion of 3 months treatment. Results: The age of the children ranged from 2-12 years with mean age 5.4 years. There were 30 female and 20 male with female male ratio 3:2. 30 patients (60%) got complete relief of primary symptoms, 12patients (24%) got moderate improvement of symptoms and 8(16%) patients got no benefit of medical treatment and referred for surgery. Conclusion: Intranasal steroid along with oral penicillin and monteleukast are effective reducing size of adenotonsillar hypertrophy, relieving symptoms and reducing the need for surgery. Bangladesh J Otorhinolaryngol 2022; 28(1): 16-21
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50例腺扁桃体肥大的医学治疗
目的:观察类固醇、抗生素和孟亮司特联合应用治疗腺扁桃体肥大的疗效。材料和方法:这项前瞻性研究于2020年1月至2021年6月在达卡的孟加拉国耳鼻喉科医院进行。50名儿童主要症状为口腔呼吸、打鼾和睡眠障碍。治疗前后分别做鼻咽软组织X线平片对照。所有患者均接受了3个月的氟替卡松、苯氧甲基青霉素和孟亮卡斯特鼻内给药,并在3个月治疗结束后进行随访。结果:儿童年龄2~12岁,平均5.4岁。其中女性30例,男性20例,男女比例为3:2。30名患者(60%)的原发症状得到完全缓解,12名患者(24%)的症状得到中度改善,8名患者(16%)的药物治疗无效并转诊手术。结论:鼻内类固醇联合口服青霉素和孟亮卡斯特可有效缩小腺扁桃体肥大的体积,减轻症状,减少手术需要。孟加拉国耳鼻喉科杂志2022;28(1):16-21
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