Esra Kavaz, Sinan Atmaca, Özgür Kemal, Uğur Yıldırım, Mehmet Koyuncu

Endotrakeal entübasyon gerektiren akut ağır üst havayolu tıkanıklığının nadir bir nedeni: adenoid hipertrofisi

Adenoid hipertrofisi, çocuklardaki üst havayolu tıkanıklığının en sık görülen sebeplerinden biridir. Genellikle dört yaş civarında, uyku ile ilişkili solunum bozukluğu ve benzeri belirtiler ile ortaya çıkar. Buna karşın, adenoid hipertrofisi nedeniyle akut üst solunum yolu tıkanıklığı görülmesi çok ender bir durumdur. Özellikle bir yaşın altındaki bir hastada bu durumun görülmesi son derece nadirdir. Bu yazının amacı, adenoid hipertrofisi nedeniyle endotrakeal entübasyon gerektirecek kadar ağır akut üst solunum yolu obstrüksiyonu olan yedi aylık erkek hastayı sunarak dizine katkı sağlamaktır.

A rare cause of acute severe upper airway obstruction that required endotracheal intubation: adenoid hypertrophy

Adenoid hypertrophy is one of the common causes of upper airway obstruction in children. It usually presents with sleep-related breathingdisorders and associated findings generally occur around the age of4 years. However, the development of acute upper airway obstructiondue to adenoid hypertrophy is extremely rare. Acute upper airway obstruction due to adenoid hypertrophy in a patient aged under 1 year isan extremely unexpected condition. The aim of this case report was tocontribute to the literature by reporting the presence of adenoid hypertrophy causing severe acute airway obstruction leading to endotrachealintubation in a 7-month-old male patient.

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1. Bhat VK, Shetty D, Nagaiah PH. Effects of adenoidectomy and adenotonsillectomy on the components of Waldeyer ring. Int J Otorhinolaryngol Head Neck Surg 2017; 3: 290−7. [CrossRef ]
2. Berlucchi M, Salsi D, Valetti L, Parrinello G, Nicolai P. The role of mometasone furoate aqueous nasal spray in the treatment of adenoidal hypertrophy in the pediatric age group: preliminary results of a prospective, randomized study. Pediatrics 2007; 119: e1392–7. [CrossRef ]
3. Liang C, Ruiz AG, Jensen EL, Friedman NR. Indications, clinical course, and postoperative outcomes of urgent adenotonsillectomy in children. JAMA Otolaryngol Head Neck Surg 2015; 141: 236–44. [CrossRef ]
4. Darrow DH, Siemens C. Indications for tonsillectomy and adenoidectomy. Laryngoscope 2002; 112: 6–10. [CrossRef ]
5. Mandal A, Kabra SK, Lodha R. Upper Airway Obstruction in Children. Indian J Pediatr 2015; 82: 737–44. [CrossRef ]
6. Coyle P, Marzouk SD, Gerolympou M, Marais J. Hot tonsillectomy for paediatric obstructive sleep apnoea. BMJ Case Rep 2014; 2014: bcr2013203378. [CrossRef ]
7. Malbora B, Malbora N, Avci Z, Olgac A, Erkan AN. A case of transient cortical blindness associated with hypercapnia as a result of extremely enlarged adenoid tissue. Ear Nose Throat J 2015; 94: E14–6.
8. Brouillette RT, Morielli A, Leimanis A, Waters KA, Luciano R, Ducharme FM. Nocturnal pulse oximetry as an abbreviated testing modality for pediatric obstructive sleep apnea. Pediatrics 2000; 105: 405–12. [CrossRef ]
9. Sdralis T, Berkowitz RG. Early adenotonsillectomy for relief of acute upper airway obstruction due to acute tonsillitis in children. Int J Pediatr Otorhinolaryngol 1996; 35: 25–9. [CrossRef ]
10. Khirani S, Leboulanger N, Ramirez A, Fauroux B. Lifethreatening obstructive sleep apnea caused by adenoid hypertrophy in an infant with noonan syndrome. Case Rep Pediatr 2012; 2012: 514514. [CrossRef ]