ETIOLOGICAL FACTORS AND CLINICAL FEATURES OF CHRONIC ADENOIDITIS IN CHILDREN AGED 2–10 YEARS

Background: Chronic adenoiditis is among the most common upper respiratory tract pathologies in children, associated with impaired nasal breathing, adenoid hypertrophy, and middle ear complications. Aim: To investigate the primary etiological factors and clinical characteristics of chronic adenoiditis in children aged 2–10 years. Methods: A comprehensive evaluation was conducted on 87 children treated at the Happy Life Clinic and the clinical base of Tashkent State Medical University between 2023 and 2025. Clinical, endoscopic, microbiological, allergological, and functional diagnostic methods were employed. Results: Bacterial infection was identified as the leading etiological factor, detected in 71.3% of cases. Herpesvirus infections played a significant role in younger children, whereas the impact of allergic sensitization increased with age. Grade II–III adenoid hypertrophy was identified in 75.9% of patients, and Eustachian tube dysfunction was detected in 24.1% of the examined children. Conclusion: These findings underscore the necessity of a comprehensive approach to the diagnosis and management of chronic adenoiditis, factoring in the predominant etiological triggers. Keywords: chronic adenoiditis; children; adenoid hypertrophy; Epstein–Barr virus; allergic rhinitis; Eustachian tube dysfunction.

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