Background .To know the incidence of adenoid hypertrophy in adults causing nasal obstruction and other nasal complains.
Methods.Prospective studyof(140 ) adult patientstheir main chief complaint were nasal obstruction , presented to Otolaryngology department at Aljumhory Teaching Hospital in Mosul , from the period (september 2010 to september 2011) ,their age ranged from (21 to 53) years . They were investigated clinically, radiologicaly ,and nasal endoscopic examination was carried out (rigid and fibro-optic ) . Adenoidectomy was performed for those with adenoid hypertrophy and sent for histopathological study .
Results:. we found adenoid enlargement in(24) patients (17.14%),in addition to nasalobstruction they were also complaining of Post nasal discharge (19) patients, followed by snoring (17) patients , headache and facial pain (15) patients, deafness and tinnitus (8) patients and other rhinologicalsymtoms. The patients were followed up for a period ranged from (4 -16) months. We found that (91.6%) were relieved of their nasal obstruction, (82.3%) were relieved from snoring .
Other nasal symptoms ; post nasal discharge, headache and facial pain, sore throat and tonsillitis, deafness , tinnitus ,rhinorrhia, Rhinolaliaclausa, otalgia were improved in (68.4% - 50%).
Conclusions:Nasal obstruction ,snoring ,post-nasal discharge ,and aural symptoms were often caused by adenoid enlargements in adults .
Because the examination of the nasopharynx was inadequate ,many cases of enlarged adenoid were misdiagnosed. Adenoid enlargements in adults should always borne in mind as a cause of nasal obstruction and other rhinological symptoms. Nasal endoscopic examination including the nasopharynx should be done for proper diagnosis.
The reaction of LAs-Cl8 : [ (2,2- (1-(3,4-bis(carboxylicdichloromethoxy)-5-oxo-2,5- dihydrofuran-2-yl)ethane – 1,2-diyl)bis(2,2-dichloroacetic acid)]with sodium azide in ethanol with drops of distilled water has been investigated . The new product L-AZ :(3Z ,5Z,8Z)-2- azido-8-[azido(3Z,5Z)-2-azido-2,6-bis(azidocarbonyl)-8,9-dihydro-2H-1,7-dioxa-3,4,5- triazonine-9-yl]methyl]-9-[(1-azido-1-hydroxy)methyl]-2H-1,7-dioxa-3,4,5-triazonine – 2,6 – dicarbonylazide was isolated and characterized by elemental analysis (C.H.N) , 1H-NMR , Mass spectrum and Fourier transform infrared spectrophotometer (FT-IR) . The reaction of the L-AZ withM+n: [ ( VO(II) , Cr(III) ,Mn(II) , Co(II) , Ni(II) , Cu(II) , Zn(II) , Cd(II) and Hg(II)] has been i
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