Medical Treatment of Adenotonsillar Hypertrophy- Study of 50 cases

Authors

  • MA Matin Professor and Head of the Department of ENT & HNS, Shaheed Suhrawardy Medical College, Dhaka, Bangladesh
  • Md Abul Kalam Azad Associate Professor and Head of Paediatrics, Satkhira Medical College, Satkhira, Bangladesh
  • Masud Bin Hasan Oral and Maxillofacial Surgeon, Sir Salimullah Medical College & Mitford Hospital, Dhaka, Bangladesh
  • Muhammad Mahmudul Haque Deputed to BSMMU, DG Health, Dhaka, Bangladesh
  • Tanjhila Akhter Sir Salimullah Medical College & Mitford Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bjo.v28i1.60794

Keywords:

Adenotonsillar hypertrophy, intranasal steroid, monteleukast

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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Published

2022-07-20

How to Cite

Matin, M. ., Kalam Azad, M. A. ., Hasan, M. B. ., Haque, M. M. ., & Akhter, T. . (2022). Medical Treatment of Adenotonsillar Hypertrophy- Study of 50 cases. Bangladesh Journal of Otorhinolaryngology, 28(1), 16–21. https://doi.org/10.3329/bjo.v28i1.60794

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Original Articles