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Pediatric ENT Problems

Pediatric ENT Problems

Causes of nasal obstruction

Rhinitis

Allergic

It is IgE mediated immunologic response of nasal mucosa to air- borne allergens

allergic rhinitis affects 10-30% of adults  and over 40% of children .it usually presents in childhood. Positive family history of atopy present. Symptoms include nasal congestion , itching , sneezing ,rhinorrhea. It may be of two types seasonal and perennial. Seasonal variety occurs in spring ,summer and  fall due to outdoor molds  or pollens. Symptoms improve when weather turns cold or after hard frosts. Perennial allergic rhinitis occur throughout the year. It is mainly caused by dust mites , animal dander, cockroaches or indoor mold.

Causes of nasal obstruction

Adenoid

It is nasopharyngeal tonsil situated at the junction of roof and posterior wall of nasopharynx.

  • Clinical features
  • Nasal obstruction
  • Nasal discharge
  • Sinusitis
  • Epistaxis

Aural symptoms- tubal obstruction, recurrent attacks of acute otitis media, serous otitis media.

Causes of nasal obstruction

Adenoid

It is nasopharyngeal tonsil situated at the junction of roof and posterior wall of nasopharynx.

  • Clinical features
  • Nasal obstruction
  • Nasal discharge
  • Sinusitis
  • Epistaxis

Aural symptoms- tubal obstruction, recurrent attacks of acute otitis media, serous otitis media.

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