低年齢児(3歳未満)のアデノイド増殖症の特徴

概要

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1) A total of 102 children under three years of age, underwent adenoidectomy between May 1977 and June 1990. The youngest patient Adenoidectomy alone was done on most of the children under one year of age. Among children from 1 to 2 years of age, half received adenoidecwas 6 months old. Three times as many boys as girls underwent surgery.tomy only and the other half adenotonsillectomy. However, among cases between 2 and 3 years of age, the number of adenotonsillectomies was significantly greater than that of adenoidectomies alone.<BR>2) The number of adenoidectomies of younger children has recently been inreasing and the average age ot patients has been falling. We have performed adenoidectomies on children under one year of age since 1986.<BR>3) It is difficult to diagnose adenoid hypertrophy with only X-ray films. We prefer to use sedative drugs and/or fiberscopy and/or contrast medium.<BR>4) We consider the degree of upper airway stenosis and adenoid hypertrophy to be the most important factors in deciding whether or not to perform adenoidectomy.