Relationship between transverse maxillary constriction and adenoid hypertrophy in pediatric patients

Relevance. Collaborative assessments by maxillofacial surgeons and otolaryngologists have revealed a high prevalence of ear, nose, and throat (ENT) disorders among patients with transverse maxillary constriction. Investigating the association between adenoid hypertrophy, nasal obstruction, and maxillary narrowing is of current clinical relevance, particularly in the context of developing an interdisciplinary approach to diagnosis and treatment.

Materials and methods. A retrospective analysis was conducted on 156 medical records of patients diagnosed with transverse maxillary constriction to identify the presence of ENT-related disorders. Patients were grouped according to the type of disorder, and a treatment algorithm was developed for each subgroup.

Results. Among the 156 patients reviewed from 2023-2024, chronic conditions were identified in 65 cases, with ENT disorders present in 63 of them. In the younger age group, adenoid hypertrophy was the most prevalent condition, while nasal septum deviation predominated among older patients. A comprehensive treatment algorithm was proposed for each subgroup.

Conclusion. The findings indicate a strong association between transverse maxillary constriction and adenoid hypertrophy. A properly developed treatment algorithm ensures complete patient rehabilitation, thereby enabling harmonious development in children.

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