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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
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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.

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Footnotes

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

References

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