Hostname: page-component-6766d58669-bkrcr Total loading time: 0 Render date: 2026-05-24T16:30:29.659Z Has data issue: false hasContentIssue false
  • English
  • Français

Inferior turbinate hypertrophy predicts adenoid hypertrophy in children with obstructive sleep disorders

Published online by Cambridge University Press:  30 July 2025

Tyler Wanstreet Open the ORCID record for Tyler Wanstreet [Opens in a new window] ,
Helene Dabbous ,
Ruifeng Cui  and
Hussein Jaffal
Tyler Wanstreet
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, West Virginia University School of Medicine, Morgantown, WV, USA
Helene Dabbous
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, West Virginia University School of Medicine, Morgantown, WV, USA
Ruifeng Cui
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, West Virginia University School of Medicine, Morgantown, WV, USA
Hussein Jaffal*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, West Virginia University School of Medicine, Morgantown, WV, USA
*
Corresponding author: Hussein Jaffal; Email: Hussein.jaffal@hsc.wvu.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Adenoid hypertrophy contributes to nasal obstruction and obstructive sleep disorders in children, but can be difficult to assess. This study examines whether inferior turbinate hypertrophy can predict adenoid hypertrophy severity in children with obstructive sleep disorders.

Methods

This retrospective cohort study included children (0–18 years) with a diagnosis of obstructive sleep-disordered breathing or obstructive sleep apnoea who underwent drug-induced sleep endoscopy. Analyses explored demographic, clinical and endoscopic associations with adenoid hypertrophy.

Results

A total of 269 children were included. Separate univariate analyses showed that older age and greater inferior turbinate hypertrophy predicted greater adenoid hypertrophy (p < 0.05). However, in multivariate ordered logistic regression, only inferior turbinate hypertrophy remained significant (p < 0.01), while age did not (p = 0.11).

Conclusion

These findings suggest inferior turbinate hypertrophy may serve as a proxy for adenoid hypertrophy, aiding clinicians in assessment and guiding further evaluation or intervention.

Keywords

adenoidssleep disordered breathingsleep medicinesleepinferior turbinates

Information

Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 139 , Issue 11 , November 2025 , pp. 1115 - 1117
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

Footnotes

Hussein Jaffal takes responsibility for the integrity of the content of the paper

References

Joshua, B, Bahar, G, Sulkes, J, Shpitzer, T, Raveh, E. Adenoidectomy: long-term follow-up. Otolaryngol Head Neck Surg 2006;135:576–80CrossRefGoogle ScholarPubMed
Calvo-Henriquez, C, Branco, AM, Lechien, JR, Sandoval-Pacheco, V, Maldonado-Alvarado, B, Maza-Solano, J, et al. Assessing the effect of adenoidectomy on nasal resistance and airflow. A systematic review and meta-analysis. Int J Pediatr Otorhinolaryngol 2021;151:110969CrossRefGoogle ScholarPubMed
Soldatova, L, Otero, HJ, Saul, DA, Barrera, CA, Elden, L. Lateral neck radiography in preoperative evaluation of adenoid hypertrophy. Ann Otol Rhinol Laryngol 2020;129:482–8CrossRefGoogle ScholarPubMed
Ameli, F, Brocchetti, F, Tosca, MA, Signori, A, Ciprandi, G. Adenoidal hypertrophy and allergic rhinitis: is there an inverse relationship? Am J Rhinol Allergy 2013;27:e5–10CrossRefGoogle ScholarPubMed
Lertsburapa, K, Schroeder, JW Jr, Sullivan, C. Assessment of adenoid size: a comparison of lateral radiographic measurements, radiologist assessment, and nasal endoscopy. Int J Pediatr Otorhinolaryngol 2010;74:1281–5CrossRefGoogle Scholar
Cheng, PW, Fang, KM, Su, HW, Huang, TW. Improved objective outcomes and quality of life after adenotonsillectomy with inferior turbinate reduction in pediatric obstructive sleep apnea with inferior turbinate hypertrophy. Laryngoscope 2012;122:2850–4CrossRefGoogle ScholarPubMed
Wang, H. Chronic adenoiditis. J Int Med Res 2020;48:300060520971458CrossRefGoogle ScholarPubMed
Seidman, MD, Gurgel, RK, Lin, SY, Schwartz, SR, Baroody, FM, Bonner, JR, et al. Clinical practice guideline: allergic rhinitis. Otolaryngol Head Neck Surg 2015;152(1 Suppl):S1–43Google ScholarPubMed
Jaffal, H, Coutras, SW, Dewey, J, McArdle, E, Cui, R. Reliability and validity of a pediatric drug-induced sleep endoscopy grading system (PedDISE-8). Ann Otol Rhinol Laryngol 2025;134(6):420–6CrossRefGoogle ScholarPubMed