{"id":678,"date":"2025-04-04T13:36:15","date_gmt":"2025-04-04T10:36:15","guid":{"rendered":"https:\/\/wiki.voka.io\/diseases\/uncategorized\/maladies-du-nasopharynx\/"},"modified":"2026-06-01T11:34:23","modified_gmt":"2026-06-01T08:34:23","slug":"maladies-rhinopharyngees","status":"publish","type":"diseases_post","link":"https:\/\/wiki.voka.io\/fr\/maladies\/oto-rhino-laryngologie\/maladies-du-nasopharynx\/","title":{"rendered":"Maladies du nasopharynx : classification, causes, diagnostic et traitement"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p class=\"wp-block-paragraph\">Les maladies du nasopharynx repr\u00e9sentent un ensemble de pathologies fr\u00e9quentes, notamment chez les enfants. Ces pathologies sont associ\u00e9es \u00e0 une alt\u00e9ration de la fonction du tissu lympho\u00efde situ\u00e9 dans cette zone et peuvent entra\u00eener une d\u00e9t\u00e9rioration significative de la qualit\u00e9 de vie, des difficult\u00e9s respiratoires nasales, des troubles du sommeil, une perte auditive et d\u2019autres complications. Les maladies les plus fr\u00e9quentes sont une hypertrophie des v\u00e9g\u00e9tations ad\u00e9no\u00efdes et une <span class=\"glossary-term\" data-title=\"Ad\u00e9no\u00efdite\" data-tooltip=\"L&#039;ad\u00e9no\u00efdite est une inflammation aigu\u00eb ou chronique des amygdales pharyng\u00e9es (ad\u00e9no\u00efdes). Contrairement \u00e0 l&#039;hypertrophie, l&#039;ad\u00e9no\u00efdite est un processus inflammatoire infectieux actif qui constitue un foyer d&#039;infection chronique dans le nasopharynx.\" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/adenoidite\/\">ad\u00e9no\u00efdite<\/span>, tandis qu\u2019une hypertrophie des tonsilles tubulaires est plus rare. Ces conditions n\u00e9cessitent un diagnostic rapide et un traitement complexe impliquant des m\u00e9thodes conservatrices et chirurgicales.<\/p>\n<h2 id=\"definition-des-maladies-du-nasopharynx\" class=\"wp-block-heading\"><strong>D\u00e9finition des maladies du nasopharynx<\/strong><\/h2>\n<p class=\"wp-block-paragraph\"><strong>Hypertrophie des v\u00e9g\u00e9tations ad\u00e9no\u00efdes<\/strong> \u2014 une prolif\u00e9ration pathologique de l\u2019amygdale pharyngienne, observ\u00e9e principalement chez les enfants.<\/p>\n<p class=\"wp-block-paragraph\"><strong>Hypertrophie des cr\u00eates tubaires<\/strong> \u2014 une prolif\u00e9ration pathologique du tissu lympho\u00efde des amygdales tubaires, situ\u00e9es dans la r\u00e9gion des orifices des trompes auditives (cr\u00eates tubaires).<\/p>\n<p class=\"wp-block-paragraph\"><strong>Ad\u00e9no\u00efdite<\/strong> \u2014 une inflammation de l\u2019amygdale pharyngienne.<\/p>\n<h2 id=\"classification-des-maladies-du-nasopharynx\" class=\"wp-block-heading\"><strong>Classification des maladies du nasopharynx<\/strong><\/h2>\n<ol class=\"wp-block-list\">\n<li>Hypertrophie des v\u00e9g\u00e9tations ad\u00e9no\u00efdes : <\/li>\n<\/ol>\n<ul class=\"wp-block-list\">\n<li>hypertrophie du 1e degr\u00e9 ;<\/li>\n<li>hypertrophie du 2er degr\u00e9 ;<\/li>\n<li>hypertrophie du 3e degr\u00e9 ;<\/li>\n<li>hypertrophie du 4e degr\u00e9.<\/li>\n<\/ul>\n<ol start=\"2\" class=\"wp-block-list\">\n<li>Hypertrophie des torus tubaires.<\/li>\n<li>Inflammation des ad\u00e9no\u00efdes :<\/li>\n<\/ol>\n<ul class=\"wp-block-list\">\n<li>ad\u00e9no\u00efdite aigu\u00eb ;<\/li>\n<li>ad\u00e9no\u00efdite chronique.<\/li>\n<\/ul>\n<h2 id=\"etiologie\" class=\"wp-block-heading\"><strong>\u00c9tiologie <\/strong><\/h2>\n<p class=\"wp-block-paragraph\">La tonsille pharyng\u00e9e (v\u00e9g\u00e9tations ad\u00e9no\u00efdes) augmente en moyenne vers l\u2019\u00e2ge de 3 ans. L\u2019hypertrophie est fr\u00e9quente chez les enfants jusqu\u2019\u00e0 la pubert\u00e9, apr\u00e8s quoi il y a une involution, et \u00e0 20 ans, la tonsille est consid\u00e9r\u00e9e comme une petite formation.<br \/>Cet \u00e9tat est assez fr\u00e9quent \u2014 environ 35 cas pour 1 000, ce qui repr\u00e9sente plus de 50 % de toutes les consultations p\u00e9diatriques chez l\u2019oto-rhino-laryngologiste. Il arrive que les ad\u00e9no\u00efdes soient d\u00e9tect\u00e9s chez des enfants plus jeunes et puissent persister \u00e0 l\u2019\u00e2ge adulte. Les tonsilles tubaires peuvent \u00e9galement s\u2019agrandir chez les enfants d\u2019\u00e2ge pr\u00e9scolaire, bien que ce soit assez rare.<\/p>\n<p class=\"wp-block-paragraph\">Les causes de l\u2019hypertrophie des ad\u00e9no\u00efdes et des tonsilles tubaires sont identiques, les deux \u00e9tant constitu\u00e9es de tissu lympho\u00efde et localis\u00e9es dans le nasopharynx. Le facteur le plus courant est infectieux : bact\u00e9ries, virus et champignons provoquent une stimulation antig\u00e9nique, mais le tissu lympho\u00efde immature produit un nombre insuffisant d\u2019anticorps, ce qui conduit \u00e0 une hypertrophie compensatoire. Par la suite, apr\u00e8s la formation de l\u2019immunit\u00e9, le tissu diminue en taille.<\/p>\n<p class=\"wp-block-paragraph\">De plus, l\u2019\u00e9largissement des ad\u00e9no\u00efdes et des tonsilles tubaires est favoris\u00e9 par des allerg\u00e8nes domestiques et alimentaires, ainsi que par la maladie de reflux gastro-\u0153sophagien (RGO), o\u00f9 se produit une irritation des tissus du nasopharynx par les vapeurs d\u2019acide chlorhydrique. Selon des \u00e9tudes, la taille des tonsilles pharyngiennes est \u00e9galement influenc\u00e9e par le tabagisme des parents et la pr\u00e9disposition h\u00e9r\u00e9ditaire.<\/p>\n<p class=\"wp-block-paragraph\">Les virus et les bact\u00e9ries jouent un r\u00f4le principal dans le d\u00e9veloppement de l\u2019ad\u00e9no\u00efdite. Les agents pathog\u00e8nes les plus courants :<\/p>\n<ul class=\"wp-block-list\">\n<li>RS-virus ;<\/li>\n<li>ad\u00e9novirus ;<\/li>\n<li>virus de la grippe et parainfluenza ;<\/li>\n<li>virus de l\u2019herp\u00e8s (y compris le virus Epstein-Barr) ;<\/li>\n<li>streptocoques (<em>St. pneumoniae<\/em>, <em>St. pyogenes<\/em>) ;<\/li>\n<li>staphylocoques (<em>S. aureus<\/em>, <em>S. epidermidis<\/em>) ;<\/li>\n<li><em>Pseudomonas aeruginosa<\/em> ;<\/li>\n<li><em>Moraxella catarrhalis<\/em> ;<\/li>\n<li>activation de la microflore opportuniste du nasopharynx.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\">Les pathologies concomitantes, comme les maladies respiratoires sup\u00e9rieures r\u00e9currentes ou chroniques (rhinite, sinusite, bronchite), le RGO, l\u2019allergie, peuvent favoriser le d\u00e9veloppement de la maladie et aggraver son \u00e9volution. Des troubles hormonaux ou immunitaires, tels que le diab\u00e8te sucr\u00e9, les troubles de la glande thyro\u00efde ou une infection par le VIH, ont \u00e9galement un effet n\u00e9gatif sur l\u2019\u00e9volution de la maladie. L\u2019absence d\u2019ant\u00e9c\u00e9dents d\u2019allaitement et un d\u00e9ficit en vitamine D aggravent et prolongent \u00e9galement l\u2019\u00e9volution de l\u2019ad\u00e9no\u00efdite.<\/p>\n<p class=\"wp-block-paragraph\">Il ne faut pas n\u00e9gliger l\u2019\u00e9tat de l\u2019environnement : l\u2019air sec, un r\u00e9gime de temp\u00e9rature inad\u00e9quat, l\u2019encombrement des pi\u00e8ces, le travail dans des entreprises nocives affectent n\u00e9gativement l\u2019\u00e9tat des voies respiratoires sup\u00e9rieures et alourdissent les manifestations de la maladie.<\/p>\n<h2 id=\"anatomie\" class=\"wp-block-heading\"><strong>Anatomie <\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Les ad\u00e9no\u00efdes sont situ\u00e9s dans la vo\u00fbte sup\u00e9rieure du nasopharynx. Ils sont class\u00e9s en degr\u00e9s en fonction de leur taille et de leur protrusion dans la lumi\u00e8re du nasopharynx :<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>ad\u00e9no\u00efdes de 1er degr\u00e9<\/strong> : situ\u00e9s dans la partie sup\u00e9rieure du nasopharynx et couvrent \u2153 du vomer ;<\/li>\n<li><strong>ad\u00e9no\u00efdes de 2e degr\u00e9<\/strong> : occupent \u00bd du nasopharynx et couvrent \u00bd du vomer ;<\/li>\n<li><strong>ad\u00e9no\u00efdes de 3e degr\u00e9<\/strong> : couvrent \u2154 du nasopharynx, laissant peu d\u2019espace pour la respiration ;<\/li>\n<li><strong>ad\u00e9no\u00efdes de 4e degr\u00e9<\/strong> : bloquent totalement la lumi\u00e8re du nasopharynx, descendent dans l\u2019oropharynx et couvrent le vomer.<\/li>\n<\/ul>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Diseases%20of%20the%20nasopharynx%3A%20classification%2C%20causes%2C%20diagnosis%2C%20treatment\/2nd%20degree%20hypertrophy%20(adenpids).webp\" alt=\"Hypertrophie des v\u00e9g\u00e9tations ad\u00e9no\u00efdes \"><figcaption class=\"wp-element-caption\">Hypertrophie des v\u00e9g\u00e9tations ad\u00e9no\u00efdes \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/8861ee9e-a330-4451-856d-1de6ead27805\/d64b51a9-dfbd-42c6-9f2b-431aed43c4b1\/3b20eb97-b6f8-4360-a265-45977f19b01e\/c70ae1c0-6a10-43ca-bdea-7fa2cdb5d2e1\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<p class=\"wp-block-paragraph\">La tonsille pharyng\u00e9e est une substance \u00e9lastique et tub\u00e9reuse, de couleur rose, d\u2019une \u00e9paisseur d\u2019environ 5 \u00e0 7 mm et d\u2019un diam\u00e8tre de 20 \u00e0 25 mm, avec des sillons longitudinaux de diff\u00e9rentes tailles.<\/p>\n<p class=\"wp-block-paragraph\">Les tonsilles tubaires sont de petites zones de tissu lympho\u00efde (jusqu\u2019\u00e0 7 mm), situ\u00e9es dans la r\u00e9gion des orifices pharyngiens des trompes auditives, orient\u00e9es vers le cr\u00e2ne. En cas d\u2019hypertrophie, les orifices sont bloqu\u00e9s et la sortie de la trompe d\u2019Eustache est obstru\u00e9e.<\/p>\n<p class=\"wp-block-paragraph\">L\u2019inflammation de la tonsille pharyng\u00e9e perturbe sa fonction barri\u00e8re, d\u00e9truit les cils de l\u2019\u00e9pith\u00e9lium, rend les v\u00e9g\u00e9tations ad\u00e9no\u00efdes hyper\u00e9miques et infiltr\u00e9es, et les couvre d\u2019un d\u00e9p\u00f4t de fibrine. Une grande quantit\u00e9 de contenu s\u00e9reux ou muco-purulent est d\u00e9tect\u00e9e dans les sillons. On observe aussi un \u00e9coulement de mucus le long de la paroi post\u00e9rieure du pharynx. Les follicules lympho\u00efdes s\u2019agrandissent, une hyper\u00e9mie des piliers du palais post\u00e9rieurs et de la paroi lat\u00e9rale du pharynx est constat\u00e9e. L\u2019ad\u00e9no\u00efdite, selon le type de s\u00e9cr\u00e9tion, est class\u00e9e en catarrhale, exsudative-s\u00e9reuse et muco-purulente.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Diseases%20of%20the%20nasopharynx%3A%20classification%2C%20causes%2C%20diagnosis%2C%20treatment\/acute-adenoiditis.webp\" alt=\"Ad\u00e9no\u00efdite aigu\u00eb\"><figcaption class=\"wp-element-caption\">Ad\u00e9no\u00efdite aigu\u00eb \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/8861ee9e-a330-4451-856d-1de6ead27805\/d64b51a9-dfbd-42c6-9f2b-431aed43c4b1\/48ec81cc-a15d-4513-ad2e-fe1a320e3f34\/cfc36827-3e00-4687-a52c-009639a87f25\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<h2 id=\"manifestations-cliniques\" class=\"wp-block-heading\"><strong>Manifestations cliniques<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Les v\u00e9g\u00e9tations ad\u00e9no\u00efdes hypertrophi\u00e9es se caract\u00e9risent par un tableau clinique vari\u00e9. Les plaintes les plus courantes des parents sont la difficult\u00e9 constante de la respiration nasale, le ronflement et une respiration bruyante. Chez les jeunes enfants, la respiration nasale perturb\u00e9e rend l\u2019alimentation difficile. Une hypertrophie marqu\u00e9e entra\u00eene une voix nasale. En raison des perturbations respiratoires, les enfants dorment mal, se r\u00e9veillent fr\u00e9quemment et certains pr\u00e9sentent un syndrome d\u2019<span class=\"glossary-term\" data-title=\"Apn\u00e9e\" data-tooltip=\"L\u2019apn\u00e9e (du grec apnoia \u2014 absence de vent, absence de respiration) est un arr\u00eat complet des mouvements respiratoires et une cessation de la ventilation pulmonaire pendant 10 secondes ou plus. Cet \u00e9tat est la manifestation cl\u00e9 des syndromes de troubles respiratoires du sommeil.\" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/apnee\/\">apn\u00e9e<\/span> obstructive du sommeil (SAOS), avec des arr\u00eats respiratoires pouvant aller jusqu\u2019\u00e0 1 minute. Tout cela conduit \u00e0 une fatigue accrue et une diminution de la productivit\u00e9.<\/p>\n<p class=\"wp-block-paragraph\">Il existe \u00e9galement un concept de habitus ad\u00e9no\u00efde \u2014 type de visage ad\u00e9no\u00efde. Ces enfants pr\u00e9sentent un nez plat, une bouche semi-ouverte, une malocclusion (prognathie mandibulaire), des incisives sup\u00e9rieures saillantes, une vo\u00fbte palatine haute, un l\u00e9ger exophtalmie et un visage allong\u00e9.<\/p>\n<p class=\"wp-block-paragraph\">Les tonsilles tubaires hypertrophi\u00e9es ne causent pas directement de manifestations cliniques. Leur influence sur les voies respiratoires est indirectement li\u00e9e au blocage de la trompe auditive.<\/p>\n<p class=\"wp-block-paragraph\">Les ad\u00e9no\u00efdes hypertrophi\u00e9es, comme les tonsilles tubaires, obstruent les orifices tubaires et conduisent \u00e0 des tubo-otites, des otites aigu\u00ebs r\u00e9currentes ou des otites exsudatives latentes. Dans certains cas, une perte d\u2019audition de type conductif se d\u00e9veloppe, parfois \u00e9tant la seule plainte.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Diseases%20of%20the%20nasopharynx%3A%20classification%2C%20causes%2C%20diagnosis%2C%20treatment\/adenoids_2.webp\" alt=\"Emplacement des v\u00e9g\u00e9tations ad\u00e9no\u00efdes par rapport \u00e0 l'orifice tubaire\"><figcaption class=\"wp-element-caption\">Emplacement des v\u00e9g\u00e9tations ad\u00e9no\u00efdes par rapport \u00e0 l\u2019orifice tubaire \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/8861ee9e-a330-4451-856d-1de6ead27805\/d64b51a9-dfbd-42c6-9f2b-431aed43c4b1\/3b20eb97-b6f8-4360-a265-45977f19b01e\/c70ae1c0-6a10-43ca-bdea-7fa2cdb5d2e1\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<p class=\"wp-block-paragraph\">Cliniquement, l\u2019ad\u00e9no\u00efdite est class\u00e9e en aigu\u00eb (jusqu\u2019\u00e0 7 \u00e0 10 jours), subaigu\u00eb (10 jours \u00e0 1 mois) et chronique (plus de 1 mois). Cependant, en pratique, cette classification est conditionnelle. Puisque l\u2019\u0153d\u00e8me tissulaire lympho\u00efde accompagne l\u2019ad\u00e9no\u00efdite, le tableau clinique est similaire \u00e0 celui de l\u2019hypertrophie des v\u00e9g\u00e9tations ad\u00e9no\u00efdes. En plus des plaintes ci-dessus, il y a une s\u00e9cr\u00e9tion nasale muqueuse ou purulente, un \u00e9coulement de mucus le long de la paroi post\u00e9rieure du pharynx provoquant une toux. La d\u00e9t\u00e9rioration de l\u2019\u00e9tat est souvent observ\u00e9e la nuit.<\/p>\n<p class=\"wp-block-paragraph\">L\u2019ad\u00e9no\u00efdite aigu\u00eb est caract\u00e9ris\u00e9e par une temp\u00e9rature f\u00e9brile, une intoxication g\u00e9n\u00e9rale, des douleurs au fond du nez et des maux de t\u00eate avec irradiation vers les yeux et les oreilles. Les n\u0153uds lymphatiques r\u00e9gionaux augmentent de taille et le patient ressent une douleur.<\/p>\n<p class=\"wp-block-paragraph\">Dans l\u2019ad\u00e9no\u00efdite chronique, il y a une temp\u00e9rature subf\u00e9brile, une toux nocturne \u00e9touffante, et une pathologie auriculaire moyenne associ\u00e9e \u00e0 une perte auditive confront\u00e9e.<\/p>\n<h2 id=\"diagnostic\" class=\"wp-block-heading\"><strong>Diagnostic <\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Tout d\u2019abord, il y a une collecte de plaintes, une clarification de l\u2019anamn\u00e8se et une oto-rhino-laryngoscopie est r\u00e9alis\u00e9e. Pour d\u00e9terminer le degr\u00e9 d\u2019obstruction du nasopharynx et examiner les orifices tubaires, une rhinoscopie post\u00e9rieure et une <span class=\"glossary-term\" data-title=\"Endoscopie\" data-tooltip=\"L\u2019endoscopie est une m\u00e9thode d\u2019exploration et de traitement permettant au m\u00e9decin d\u2019examiner les cavit\u00e9s internes et les organes creux \u00e0 l\u2019aide d\u2019un instrument sp\u00e9cifique, l\u2019endoscope. Cet appareil, flexible ou rigide, est \u00e9quip\u00e9 d\u2019un syst\u00e8me optique (cam\u00e9ra) et d\u2019une source lumineuse \u00e0 son extr\u00e9mit\u00e9.\" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/endoscopie\/\">endoscopie<\/span> du nasopharynx sont effectu\u00e9es. Une exploration digitale est rarement pratiqu\u00e9e. Pour d\u00e9terminer le degr\u00e9 d\u2019hypertrophie des v\u00e9g\u00e9tations ad\u00e9no\u00efdes, une radiographie du nasopharynx en projection lat\u00e9rale est r\u00e9alis\u00e9e. En cas d\u2019inflammation de la tonsille pharyngienne, une \u00e9tude microbiologique sur la microflore et la sensibilit\u00e9 aux antibiotiques est r\u00e9alis\u00e9e.<\/p>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Retrouvez d\u2019autres contenus scientifiquement exacts sur nos m\u00e9dias sociaux<\/p>\n<p><span class=\"social-banner-text text-grey\">Abonnez-vous et ne manquez pas les derni\u00e8res ressources<\/span><\/p>\n<div class=\"social-links-wrapper\"><a class=\"social-icon-link\" href=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h2 id=\"traitement\" class=\"wp-block-heading\"><strong>Traitement <\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Initialement, une th\u00e9rapie conservatrice est administr\u00e9e aux enfants pr\u00e9sentant des tonsilles pharyngiennes ou tubaires hypertrophi\u00e9es. Des glucocorticost\u00e9ro\u00efdes intranasaux (furoate de mom\u00e9tasone) sont prescrits pendant au moins un mois, suivis d\u2019une \u00e9valuation dynamique. En cas de bons r\u00e9sultats, l\u2019utilisation continue du m\u00e9dicament est recommand\u00e9e selon le sch\u00e9ma.<\/p>\n<p class=\"wp-block-paragraph\">En l\u2019absence d\u2019effet, ainsi qu\u2019en pr\u00e9sence de complications (SAOS, hypoacousie, otite chronique), un traitement chirurgical est recommand\u00e9. Sous anesth\u00e9sie locale ou g\u00e9n\u00e9rale, une ad\u00e9no\u00efdectomie est effectu\u00e9e, au cours de laquelle l\u2019ad\u00e9notome de Beckmann est utilis\u00e9 pour exciser le tissu lympho\u00efde hypertrophi\u00e9.<\/p>\n<p class=\"wp-block-paragraph\">Le tissu lympho\u00efde hypertrophi\u00e9 de la tonsille pharyngienne chez l\u2019adulte n\u00e9cessite une excision chirurgicale obligatoire suivie d\u2019une \u00e9tude pathohistologique.<\/p>\n<p class=\"wp-block-paragraph\">Les tonsilles tubaires ne sont soumises qu\u2019\u00e0 une intervention conservatrice \u00e9galement avec l\u2019utilisation de glucocorticost\u00e9ro\u00efdes topiques. Leur excision chirurgicale n\u2019est pas effectu\u00e9e, car dans la plupart des cas, elle entra\u00eene une cicatrisation des orifices des trompes auditives. En cas d\u2019obstruction marqu\u00e9e des trompes d\u2019Eustache avec la pr\u00e9sence d\u2019exsudat dans la cavit\u00e9 de l\u2019oreille moyenne, accompagn\u00e9e d\u2019une diminution de l\u2019audition, une dilatation par ballonnet est pratiqu\u00e9e.<\/p>\n<p class=\"wp-block-paragraph\">Pour le traitement de la tonsille pharyngienne enflamm\u00e9e, des antibiotiques sont appliqu\u00e9s sous forme de sprays locaux ou syst\u00e9matiquement en tenant compte de la sensibilit\u00e9 du pathog\u00e8ne. En plus de la th\u00e9rapie \u00e9tiotrope, il est recommand\u00e9 d\u2019effectuer r\u00e9guli\u00e8rement un nettoyage de la cavit\u00e9 nasale et du nasopharynx des contenus pathologiques avec une solution saline ou des solutions d\u2019eau de mer. Pour r\u00e9duire l\u2019\u0153d\u00e8me, des sprays vasoconstricteurs sont utilis\u00e9s. Des mesures g\u00e9n\u00e9rales de renforcement doivent \u00eatre prises. En cas d\u2019ad\u00e9no\u00efdites r\u00e9currentes ou de complications de l\u2019oreille moyenne, une intervention chirurgicale doit \u00eatre envisag\u00e9e.<\/p>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. Que sont les v\u00e9g\u00e9tations ad\u00e9no\u00efdes et o\u00f9 sont-elles situ\u00e9es ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les v\u00e9g\u00e9tations ad\u00e9no\u00efdes (tonsille pharyngienne) sont un agglom\u00e9rat de tissu lympho\u00efde dans le nasopharynx. Ils font partie du syst\u00e8me immunitaire et aident \u00e0 prot\u00e9ger le corps contre les infections, mais lorsque leur croissance est pathologique, ils peuvent entra\u00eener des probl\u00e8mes respiratoires et auditifs.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. \u00c0 quel \u00e2ge l\u2019hypertrophie des v\u00e9g\u00e9tations ad\u00e9no\u00efdes est-elle plus fr\u00e9quente ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Habituellement, les v\u00e9g\u00e9tations ad\u00e9no\u00efdes augmentent chez les enfants de 3 \u00e0 7 ans, et apr\u00e8s 10 \u00e0 12 ans, elles commencent \u00e0 diminuer (involution). Cependant, chez certaines personnes, elles persistent \u00e0 l\u2019\u00e2ge adulte.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Quels sympt\u00f4mes indiquent des v\u00e9g\u00e9tations ad\u00e9no\u00efdes \u00e9largies ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les principaux signes incluent\u00a0: <br \/>\u2022 congestion nasale constante, respiration buccale ;<br \/>\u2022 ronflement et sommeil agit\u00e9 ;<br \/>\u2022 voix nasillarde ;<br \/>\u2022 otites fr\u00e9quentes et perte d\u2019audition ;<br \/>\u2022 visage ad\u00e9no\u00efde (en cas de progression prolong\u00e9e).<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Quelle est la diff\u00e9rence entre l\u2019hypertrophie des v\u00e9g\u00e9tations ad\u00e9no\u00efdes et l\u2019ad\u00e9no\u00efdite ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">L\u2019hypertrophie est une croissance tissulaire sans inflammation. L\u2019ad\u00e9no\u00efdite est une inflammation des v\u00e9g\u00e9tations ad\u00e9no\u00efdes, souvent accompagn\u00e9e d\u2019un \u00e9coulement purulent, de fi\u00e8vre et d\u2019intoxication.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. Faut-il toujours enlever les v\u00e9g\u00e9tations ad\u00e9no\u00efdes ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Non, pas toujours. Un traitement conservateur (gouttes, lavements, physioth\u00e9rapie) est d\u2019abord utilis\u00e9. La chirurgie (ad\u00e9no\u00efdectomie) est n\u00e9cessaire en cas d\u2019hypertrophie de grade 3 ou 4 avec alt\u00e9ration de la respiration, otites fr\u00e9quentes et perte auditive, apn\u00e9e du sommeil (arr\u00eat respiratoire pendant le sommeil).<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. Les v\u00e9g\u00e9tations ad\u00e9no\u00efdes peuvent-elles repousser apr\u00e8s le retrait ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Oui, dans 5 \u00e0 10 % des cas, une r\u00e9cidive est possible, surtout chez les enfants de moins de 3 \u00e0 4 ans.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">7. Quelles maladies chroniques du nasopharynx peuvent se d\u00e9velopper \u00e0 cause des v\u00e9g\u00e9tations ad\u00e9no\u00efdes ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">En pr\u00e9sence prolong\u00e9e de v\u00e9g\u00e9tations ad\u00e9no\u00efdes hypertrophi\u00e9es ou d\u2019ad\u00e9no\u00efdites fr\u00e9quentes, les conditions suivantes peuvent se d\u00e9velopper :<br \/>\u2022 ad\u00e9no\u00efdite chronique (inflammation continue de la tonsille pharyngienne) ;<br \/>\u2022 rhinosinusite chronique (inflammation des sinus nasaux) ;<br \/>\u2022 otitis tubaire chronique (inflammation de la trompe auditive) ;<br \/>\u2022 pharyngite chronique (inflammation du pharynx).<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"references\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">R\u00e9f\u00e9rences<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>VOKA 3D Anatomy & Pathology \u2013 Complete Anatomy and Pathology 3D Atlas [Internet] [VOKA 3D Anatomie et Pathologie \u2013 Atlas 3D complet d\u2019anatomie et de pathologie [Internet]. VOKA 3D Anatomy & Pathology (VOKA 3D Anatomie et Pathologie). <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse suivante\u00a0: https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Sclafani AP, Dyleski RA, Pitman MJ, Schantz SP. Total otolaryngology\u2014head and neck surgery (Oto-rhino-laryngologie \u2013 chirurgie cervico-faciale). New York: Thieme Medical Publishers; 2015. ISBN: 978-1-60406-646-3.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Behrbohm H, Kaschke O, Nawka T, Swift A. Maladies des oreilles, du nez et de la gorge. 2\u00e8me \u00e9d. Moscou\u00a0: MEDpress-inform; 2016. 776 p. [En russe.] ISBN 978-5-00030-322-1.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Swidsinski A, G\u00f6ktas O, Bessler C, Loening-Baucke V, Hale LP, Andree H, et al. Organisation spatiale du microbiote dans les ad\u00e9no\u00efdites et amygdalites quiescentes. J Clin Pathol. 2007 Mar;60(3):253-260. doi: 10.1136\/jcp.2006.037309. Epub 2006 May 12. PMID: 16698947 ; PMCID: PMC1860565.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Evcimik MF, Dogru M, Cirik AA, Nepesov MI. Hypertrophie ad\u00e9no\u00efde chez les enfants atteints de maladies allergiques et facteurs influents. Int J Pediatr Otorhinolaryngol. mai 2015 ; 79(5) : 694\u20137. doi: 10.1016\/j.ijporl.2015.02.017. Epub 2015 Fev 25. PMID\u00a0: 25758194.<\/cite><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Les maladies du nasopharynx repr\u00e9sentent un ensemble de pathologies fr\u00e9quentes, notamment chez les enfants. Ces pathologies sont associ\u00e9es \u00e0 une alt\u00e9ration de la fonction du tissu lympho\u00efde situ\u00e9 dans cette zone et peuvent entra\u00eener une d\u00e9t\u00e9rioration significative de la qualit\u00e9 de vie, des difficult\u00e9s respiratoires nasales, des troubles du sommeil, une perte auditive et d&rsquo;autres [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"template":"","diseases_category":[233],"class_list":["post-678","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-oto-rhino-laryngologie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Maladies du nasopharynx : classification, causes, diagnostic et traitement<\/title>\n<meta name=\"description\" content=\"Maladies du nasopharynx : classification, causes, sympt\u00f4mes. 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