Clinical Research Directory

Inclusion Criteria: * Age : children (9 - 18 years old ) only. * Patients with bilateral nasal obstruction or sleep-disordered breathing, and having adenoid hypertrophy diagnosed by nasal endoscopy, with bilateral inferior turbinate hypertrophy investigated by CT and confirmed by endoscopy despite 3 months of medical treatment with intranasal corticosteroid and oral antihistaminic. * Sex : both males and females. * Patients were selected from the otorhinolaryngology outpatient clinic of Al-Azhar University hospital in Assiut in a consecutive manner. * All patients were generally well and fit for surgery. Exclusion Criteria: * • Patients with recent upper respiratory tract infection. * Evidence of any bleeding disorders . * Patients with serous otitis media and chronic tonsillitis. * patients contraindicated to do adenoidectomy after phoniatric consultation. * patients with atrophic rhinitis * patients with nasal obstruction due to other causes such as : deviated nasal septum and antrochoanal polyp. * Patients with sinonasal pathology like a marked septal deviation or nasal polyposis, and those exhibiting symptoms that could indicate chronic or recurrent rhinosinusitis, such as fever, headaches, facial pain, rhinorrhea, antibiotic requirements, and purulence seen on nasal endoscopy.