Extra-esophageal acid reflux induced adenotonsillar hyperplasia: case report and literature review.
The etiology of adenotonsillar hyperplasia is not well understood. A 3-year-old child presented with obstructive sleep apnea believed to be secondary to enlarged tonsils and adenoids. Subglottic stenosis was encountered during intubation; the adenotonsillectomy was cancelled. Severe extra-esophageal reflux was identified and treated. At follow-up endoscopy 3 weeks later, the tonsils and adenoids were no longer enlarged or obstructing the airway. The role of extra-esophageal reflux in the pathogenesis adenotonsillar hyperplasia is discussed.
Stapleton
Amanda
A
Department of Otolaryngology and Pediatrics, University at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY, USA.
Brodsky
Linda
L
D000233:Adenoidectomy; D000234:Adenoids / Q000473:pathology* / Q000601:surgery; D002675:Child, Preschool; D005764:Gastroesophageal Reflux / Q000150:complications*; D006801:Humans; D006965:Hyperplasia / Q000209:etiology / Q000473:pathology / Q000601:surgery; D008297:Male; D014066:Palatine Tonsil / Q000473:pathology* / Q000601:surgery; D014068:Tonsillectomy