Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2025, Vol. 39 ›› Issue (5): 34-41.doi: 10.6040/j.issn.1673-3770.0.2023.373

• Original Article • Previous Articles    

Correlation of allergic rhinitis, tonsil adenoid hypertrophy, and sinusitis in children and analysis of its clinical guiding value

HUANG Huan1,2, HUA Hongli3, DENG Yuqin3, JIANG Chengyang4, WANG Yuwei1,2, YANG Xinghai4   

  1. 1. Wuhan University of Science and Technology & Maternal and Child Hospital of Hubei Province Graduate Joint Training Base, Wuhan 430070, Hubei, China2. Medical College, Medical Department of Wuhan University of Science and Technology, Wuhan 430065, Hubei, China3. Department of Otorhinolaryngology & Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei, China4. Department of Pediatric Surgery, Maternal and Child Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430070, Hubei, China
  • Published:2025-09-19

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Abstract: Objective This study aimed to study the correlation between allergic rhinitis, tonsil hypertrophy, adenoid hypertrophy, and sinusitis in children and analyze its clinical value. Methods The clinical data of 1,275 children aged 3-14 years old, who treated for sleep problems were retrospectively analyzed. Data on sex, age, skin prick test for allergens, lateral skull radiography, sinus computed tomography, outpatient history, and physical examination were collected. The study analyzed the correlation between allergic rhinitis, tonsil hypertrophy, adenoid hypertrophy, and sinusitis. It also discussed the influence of allergic rhinitis on adenoid hypertrophy in patients with different degrees of tonsil hypertrophy and the correlation between adenoid hypertrophy and sinusitis at different ages. Results Allergic rhinitis was not significantly associated with tonsil hypertrophy or sinusitis in children. Compared to non-allergic rhinitis patients, patients with allergic rhinitis primarily presented with moderate adenoid hypertrophy. Notably, adenoids were positively correlated with tonsil hypertrophy. In patients with grades Ⅰ-Ⅱ tonsil hypertrophy, the degree of adenoid hypertrophy differed between patients with and without allergic rhinitis. However, no significant difference was observed between patients with grades Ⅲ-Ⅳ tonsil hypertrophy. The prevalence of sinusitis and Lund-Mackay scores were higher in patients with adenoid hypertrophy compared to children with normal adenoid size. Nonetheless, there was no significant correlation between sinusitis and the degree of adenoid hypertrophy in patients with the condition. Interestingly, the severity of sinusitis in patients aged 6-9 years was associated with adenoid hypertrophy, while no significant correlation was found in patients aged less than 6 and older than 10 years. Conclusion Allergic rhinitis affected the degree of adenoid hypertrophy, but had no significant correlation with tonsil hypertrophy or sinusitis. Specifically, whether allergic rhinitis affected the degree of adenoid hypertrophy depended on the degree of tonsil hypertrophy. In patients with adenoid hypertrophy, the occurrence and severity of sinusitis did not significantly correlate with the degree of adenoid hypertrophy. However, the association between sinusitis and adenoid hypertrophy was age-related.

Key words: Children, Allergic rhinitis, Adenoid hypertrophy, Tonsil hypertrophy, Sinusitis, Correlation analysis

CLC Number: 

  • R762
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