Adenoiditis natural history, complications and prognosis
If left untreated, most of the patients with recurrent adenoiditis may progress to develop chronic adenoiditis, recurrent sinusitis and recurrent otitis media. Common complications of adenoiditis include sleep apnea, sinusitis, speech abnormalities, and otitis media. Acute adenoiditis is usually self limited. With medical and surgical treatment, the prognosis of adenoidtis is usually good.
- Acute adenoiditis will usually present with:
- It is usually combined with tonsilitis due to close anatomical location.
- Acute adenoiditis usually runs its course without complications and resolves within three to four days.
- It is common to see the disease's symptoms in infants before 6 months.
- Recurrent adenoiditis will usually not resolve itself and will require:
- If left untreated, recurrent adenoiditis may persist and recur over periods of time and lead to infectious complications.
- Speech abnormalities
- Otitis media
- Acute sinusitis
- Adenoid hyperplasia
- Peritonsillar abscess
- Sleep apnea
- Scarlet fever
- Rheumatic fever and cardiomyopathies
- Mostly due to streptotoxin
- The prognosis for acute adenoiditis without treatment is usually good; the disease is usually self-limited and will resolve itself within 3-4 days.
- The prognosis for recurrent adenoiditis varies based on the presence of complications.
- With treatment, the prognosis of acute and recurrent adenoidtis is usually good.
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