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Adenoids
The adenoids are absent at birth and then rapidly
proliferate during infancy. The adenoids reach
their maximum size between 2 and 10 years of
age and then begin to progressively decrease in
size beginning in the teenage years.
Adenoids larger in size than 12 mm and
associated with interim collapse of the posterior
nasopharynx on the cine MR images should be
considered enlarged.
Adenoids
The adenoids, along with the tonsils, help
prevent agents such as bacteria and viruses
from entering the body. The adenoids are
made up of a group of blood cells that create
antibodies. Antibodies are proteins that
neutralize foreign substances in the body.
When infection or inflammation occurs, the
adenoids can enlarge. Since they are seated at
the back of the nasal cavity, the swollen
adenoids can block airflow through the nose.
facial growth
The age of four (4), 60 percent of the
craniofacial skeleton has reached its adult size.
By the age of twelve, 90 percent of facial
growth has already occurred.
By age seven (7) the majority of the growth
and development of the maxilla is complete
and by age nine (9) the majority of the growth
and development of the mandible is complete.
Adenoidal hypertrophy
The adenoids, along with the tonsils, help
prevent agents such as bacteria and viruses
from entering the body. The adenoids are
made up of a group of blood cells that create
antibodies. Antibodies are proteins that
neutralize foreign substances in the body.
When infection or inflammation occurs, the
adenoids can enlarge. Since they are seated at
the back of the nasal cavity, the swollen
adenoids can block airflow through the nose.
Enlarged adenoids
Enlarged adenoids correlated with the open
mouth position.(AJR Am J Roentgenol. 2002
Aug;179(2):503-8 )
The nasopharynx and hypopharynx changes only
minimally with respiration any motion greater
than 5 mm should be considered abnormal.
Adenoid enlargement most likely does play a role
in the development of obstruction in obstructive
sleep apnea.
Facial growth
This basic understanding of facial growth and
development is relevant as adenoidal tissue
enlargement coincides with major facial
growth, i.e. they occur simultaneously.
Facial growth may be restricted by abnormal
development of adenoidal tissue resulting in
abnormal swallowing and breathing patterns.
Adenoidal hypertrophy
The adenoids, along with the tonsils, help
prevent agents such as bacteria and viruses
from entering the body. The adenoids are
made up of a group of blood cells that create
antibodies. Antibodies are proteins that
neutralize foreign substances in the body.
When infection or inflammation occurs, the
adenoids can enlarge. Since they are seated at
the back of the nasal cavity, the swollen
adenoids can block airflow through the nose.
RME
Maxillary constriction in particular has been
postulated to play a role in the pathophysiology
of OSA because of its association with low tongue
posture that may contribute to the orophayrnx
airway narrowing (Subtelny 1954).
Pirelli et al. grouped 31 children with OSA and
followed them up to 4 months after RME
treatment. All of these children had their apneahypoapnea index decreased while their mean
maxillary cross sectional width expanded to
about 4.5mm.
normal
Gummy smile
Flattened cheek
Dark Circles Under Eyes
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