Adenoid face

Introduction A common adenoid is the pharyngeal tonsil. Normal pharyngeal tonsils develop to the maximum when they reach the age of six, and gradually begin to degenerate. If the pharyngeal tonsil hyperplasia affects the surrounding tissues and causes some symptoms, it is called adenoid hypertrophy. If adenoids develop pathological hyperplasia and hypertrophy due to repeated stimulation of inflammation, it will affect the growth and development of children. Because the child's nasopharynx is relatively small, when the adenoid is hypertrophied, the nasal congestion affects the breathing and the mouth is open to breathe. The long-term use of the mouth to breathe, the airflow impacts the hard sputum, which will deform the hard palate and the high arch. Over time, the development of the face will be deformed. The upper lip is short and thick, the mandible is drooping, the nasolabial fold disappears, the hard palate is high arched, the teeth are not arranged neatly, the upper incisors are prominent, the occlusion is poor, the nasal septum is flat, etc. The facial muscles are not easy to move, lack expression, and look very much like Pig Ba Jie or ugly duckling, medically known as "aggressive face".

Cause

Childhood is prone to acute rhinitis, acute tonsillitis and influenza, etc., if repeated episodes, adenoids can rapidly proliferate and hypertrophy, resulting in increased nasal obstruction, obstructing nasal drainage, and rhinitis and sinusitis secretions stimulate the adenoid to continue Hyperplasia, forming a vicious circle of mutual causality. More common in children, often combined with chronic tonsillitis.

an examination

Related inspection

Eye and palate CT examination of the head and face palpation

Check the adenoid face, the hard palate is high and narrow, the posterior nasal examination shows that the nasopharynx has a pink, lobulated lymphoid tissue block, the nasopharyngeal palpation can touch the soft mass, if necessary, can be used as X-ray nasopharynx A slice that helps diagnose.

Differential diagnosis

(1) Nasopharyngeal carcinoma: The age of onset is relatively large, and there is a history of sputum with bloodshot. CT examination shows the soft tissue shadow of the posterior pharyngeal wall thickening. The left and right sides are more asymmetrical, the asymmetry of the pharyngeal recess disappears, and the parapharyngeal space is blurred. , narrowed or even occluded, may have skull base bone destruction.

(2) Abscess wall of the pharynx: more history of pharyngeal foreign body stab wounds, local thickening soft tissue shadow is more extensive, can be seen in the front of the nasopharynx, oropharynx, throat and pharynx, density is uneven, visible low density abscess Shadow, visible air shadow in the abscess, enhanced examination can be seen that the abscess wall is more uniform and obvious enhancement.

(3) pharyngeal cyst: located between the left and right head long muscles, round gas or liquid low-density stove, the edge is clear.

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