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Adenoidal Hypertrophy

Posted Tuesday 20 October 2009 - 15:12 PM by David Chan

First Line Drugs

  1. TRIAMCINOLONE (R01AD11)

Reference

Comments/Instructions

Topical steroids for nasal airway obstruction in children with moderate to severe enlarged adenoids

Adenoidal hypertrophy is generally considered a common condition of childhood, and represents one of the most frequent indications for surgery in children. In less severe cases, non-surgical interventions may be considered, however few medical alternatives are currently available. This review was conducted to assess the effectiveness of intranasal corticosteroids for improving nasal airway obstruction in children aged 0-12 years with moderate to severe adenoidal hypertrophy. Limited evidence derived from the five randomised controlled trials included in this review suggests that intranasal steroids may significantly improve symptoms of nasal obstruction in children with adenoidal hypertrophy and that this improvement may be associated with the reduction of adenoid size. Further large and high quality randomised controlled trials are warranted.

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