{"id":901,"date":"2025-04-04T13:36:15","date_gmt":"2025-04-04T10:36:15","guid":{"rendered":"https:\/\/wiki.voka.io\/diseases\/uncategorized\/zabolevaniya-nosoglotki\/"},"modified":"2026-05-29T12:05:51","modified_gmt":"2026-05-29T09:05:51","slug":"doencas-nasofaringeas","status":"publish","type":"diseases_post","link":"https:\/\/wiki.voka.io\/pt\/doencas\/otorrinolaringologicas\/doencas-da-nasofaringe\/","title":{"rendered":"Doen\u00e7as da nasofaringe: Classifica\u00e7\u00e3o, causas, diagn\u00f3stico, tratamento"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p class=\"wp-block-paragraph\">As doen\u00e7as da nasofaringe s\u00e3o um grupo comum de patologias, especialmente em crian\u00e7as. Est\u00e3o associadas \u00e0 disfun\u00e7\u00e3o do tecido linfoide localizado nesta zona e podem levar a uma deteriora\u00e7\u00e3o significativa da qualidade de vida, a dificuldades de respira\u00e7\u00e3o nasal, a perturba\u00e7\u00f5es do sono, \u00e0 perda de audi\u00e7\u00e3o e a outras complica\u00e7\u00f5es. As mais comuns s\u00e3o a hipertrofia das aden\u00f3ides e a <span class=\"glossary-term\" data-title=\"Adenoidite\" data-tooltip=\"A adenoidite \u00e9 uma inflama\u00e7\u00e3o aguda ou cr\u00f4nica da tonsila (am\u00edgdala) far\u00edngea (adenoide). Ao contr\u00e1rio da hipertrofia, a adenoidite \u00e9 um processo infeccioso-inflamat\u00f3rio ativo que \u00e9 foco de infec\u00e7\u00e3o cr\u00f4nica na nasofaringe.\" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/adenoidite\/\">adenoidite<\/span>, menos frequentemente a hipertrofia das am\u00edgdalas tub\u00e1rias. Estas doen\u00e7as requerem um diagn\u00f3stico atempado e um tratamento abrangente, incluindo m\u00e9todos conservadores e cir\u00fargicos.<\/p>\n<h2 id=\"definicao-de-doencas-da-nasofaringe\" class=\"wp-block-heading\"><strong>Defini\u00e7\u00e3o de doen\u00e7as da nasofaringe<\/strong><\/h2>\n<p class=\"wp-block-paragraph\"><strong>Hipertrofia das aden\u00f3ides<\/strong> \u2014 crescimento patol\u00f3gico da am\u00edgdala nasofar\u00edngea, observado com mais frequ\u00eancia na inf\u00e2ncia.<\/p>\n<p class=\"wp-block-paragraph\"><strong>Hipertrofia das cristas tub\u00e1rias<\/strong> \u2014 crescimento patol\u00f3gico do tecido linfoide das am\u00edgdalas tub\u00e1rias localizadas na \u00e1rea da boca das trompas auditivas (cristas tub\u00e1rias).<\/p>\n<p class=\"wp-block-paragraph\"><strong>Adenoidite<\/strong> \u2014 inflama\u00e7\u00e3o da am\u00edgdala nasofar\u00edngea.<\/p>\n<h2 id=\"classificacao-das-doencas-da-nasofaringe\" class=\"wp-block-heading\"><strong>Classifica\u00e7\u00e3o das doen\u00e7as da nasofaringe<\/strong><\/h2>\n<ol class=\"wp-block-list\">\n<li>Hipertrofia das aden\u00f3ides: <\/li>\n<\/ol>\n<ul class=\"wp-block-list\">\n<li>hipertrofia de 1\u00ba grau;<\/li>\n<li>hipertrofia de 2\u00ba grau;<\/li>\n<li>hipertrofia de terceiro grau;<\/li>\n<li>hipertrofia de 4\u00ba grau.<\/li>\n<\/ul>\n<ol start=\"2\" class=\"wp-block-list\">\n<li>Hipertrofia das cristas tub\u00e1rias.<\/li>\n<li>Inflama\u00e7\u00e3o das aden\u00f3ides:<\/li>\n<\/ol>\n<ul class=\"wp-block-list\">\n<li>adenoidite aguda;<\/li>\n<li>adenoidite cr\u00f4nica.<\/li>\n<\/ul>\n<h2 id=\"etiologia\" class=\"wp-block-heading\"><strong>Etiologia <\/strong><\/h2>\n<p class=\"wp-block-paragraph\">A am\u00edgdala nasofar\u00edngea (adenoides) aumenta em m\u00e9dia aos 3 anos de idade. A hipertrofia ocorre em crian\u00e7as at\u00e9 a puberdade, depois ocorre a involu\u00e7\u00e3o e, aos 20 anos, a am\u00edgdala \u00e9 identificada como uma pequena forma\u00e7\u00e3o.<br \/>Essa condi\u00e7\u00e3o \u00e9 bastante comum \u2014 cerca de 35 casos por 1000, representando mais de 50% de todas as consultas m\u00e9dicas pedi\u00e1tricas otorrinolaringol\u00f3gicas. \u00c0s vezes, adenoides s\u00e3o encontrados em crian\u00e7as mais jovens e podem persistir na idade adulta. As am\u00edgdalas tub\u00e1rias tamb\u00e9m podem aumentar em crian\u00e7as em idade pr\u00e9-escolar, embora isso ocorra raramente.<\/p>\n<p class=\"wp-block-paragraph\">As causas da hipertrofia das aden\u00f3ides e das am\u00edgdalas tub\u00e1rias s\u00e3o id\u00eanticas, j\u00e1 que ambas s\u00e3o constitu\u00eddas por tecido linfoide e situam-se na nasofaringe. O fator mais comum \u00e9 infeccioso: bact\u00e9rias, v\u00edrus e fungos causam estimula\u00e7\u00e3o antig\u00eanica, mas o tecido linfoide imaturo n\u00e3o produz anticorpos suficientes, resultando em hipertrofia compensat\u00f3ria. Posteriormente, ap\u00f3s o desenvolvimento do sistema imunol\u00f3gico, o tecido diminui de tamanho.<\/p>\n<p class=\"wp-block-paragraph\">Al\u00e9m disso, al\u00e9rgenos dom\u00e9sticos e alimentares, assim como a doen\u00e7a do refluxo gastroesof\u00e1gico (DRGE), contribuindo para o aumento das aden\u00f3ides e das am\u00edgdalas tub\u00e1rias, durante a qual os tecidos nasofar\u00edngeos s\u00e3o irritados por vapores de \u00e1cido clor\u00eddrico. Segundo estudos realizados, o tamanho da am\u00edgdala nasofar\u00edngea tamb\u00e9m \u00e9 influenciado pelo tabagismo dos pais e pela predisposi\u00e7\u00e3o heredit\u00e1ria.<\/p>\n<p class=\"wp-block-paragraph\">Os v\u00edrus e as bact\u00e9rias desempenham um papel importante no desenvolvimento da adenoidite. Os pat\u00f3genos mais comuns:<\/p>\n<ul class=\"wp-block-list\">\n<li>V\u00edrus respirat\u00f3rios sinciciais;<\/li>\n<li>adenov\u00edrus;<\/li>\n<li>v\u00edrus influenza e parainfluenza;<\/li>\n<li>v\u00edrus herpes (incluindo o v\u00edrus Epstein-Barr);<\/li>\n<li>estreptococos (<em>St. pneumoniae<\/em>, <em>St. pyogenes<\/em>);<\/li>\n<li>estafilococos (<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>ativa\u00e7\u00e3o da microbiota patog\u00eanica condicional da nasofaringe.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\">Patologias concomitantes, como doen\u00e7as recorrentes ou cr\u00f4nicas das vias a\u00e9reas superiores (rinites, sinusites, bronquites), DREG, alergias, podem contribuir para o desenvolvimento da doen\u00e7a e agravar o seu curso. A presen\u00e7a de dist\u00farbios hormonais ou imunit\u00e1rios (diabetes mellitus, patologia da tiroide, infe\u00e7\u00e3o por VIH) tamb\u00e9m afecta negativamente o desenvolvimento da doen\u00e7a. A aus\u00eancia de amamenta\u00e7\u00e3o na anamnese e a defici\u00eancia de vitamina D tamb\u00e9m agravam e prolongam o curso da adenoidite.<\/p>\n<p class=\"wp-block-paragraph\">N\u00e3o se deve esquecer o estado do ambiente: ar seco, regime de temperatura inadequado, acumula\u00e7\u00e3o de lixo, trabalho em empresas prejudiciais afetam negativamente as vias a\u00e9reas superiores e agravam a manifesta\u00e7\u00e3o da doen\u00e7a.<\/p>\n<h2 id=\"anatomia\" class=\"wp-block-heading\"><strong>Anatomia <\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Os adenoides est\u00e3o localizados no arco superior da nasofaringe. Eles s\u00e3o classificados de acordo com o tamanho e a protrus\u00e3o na luz da nasofaringe:<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>adenoides de 1\u00ba grau<\/strong> \u2014 localizados na parte superior da nasofaringe e cobrem \u2153 do v\u00f3mer;<\/li>\n<li><strong>adenoides de 2\u00ba grau<\/strong> \u2014 ocupam \u00bd da nasofaringe e cobrem \u00bd do v\u00f3mer;<\/li>\n<li><strong>adenoides de 3\u00ba grau<\/strong> \u2014 cobrem \u2154 da nasofaringe, deixando pouco espa\u00e7o para a respira\u00e7\u00e3o;<\/li>\n<li><strong>adenoides de 4\u00ba grau<\/strong> \u2014 bloqueiam completamente a luz da nasofaringe, descem at\u00e9 a orofaringe e cobrem o v\u00f3mer.<\/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=\"Hipertrofia das aden\u00f3ides \"><figcaption class=\"wp-element-caption\">Hipertrofia das aden\u00f3ides \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\">Modelo 3D<\/a><\/figcaption><\/figure>\n<p class=\"wp-block-paragraph\">A am\u00edgdala nasofar\u00edngea apresenta uma subst\u00e2ncia el\u00e1stica e heterog\u00eanea de cor rosa, com cerca de 5\u20137 mm de espessura e 20\u201325 mm de di\u00e2metro, com sulcos longitudinais de v\u00e1rios tamanhos.<\/p>\n<p class=\"wp-block-paragraph\">As am\u00edgdalas tub\u00e1rias s\u00e3o pequenas \u00e1reas de tecido linfoide (at\u00e9 7 mm), localizadas cranialmente na \u00e1rea dos orif\u00edcios das trompas auditivas. Em caso de hipertrofia, os orif\u00edcios s\u00e3o obstru\u00eddos e a sa\u00edda da trompa de Eust\u00e1quio \u00e9 bloqueada.<\/p>\n<p class=\"wp-block-paragraph\">Na inflama\u00e7\u00e3o da am\u00edgdala nasofar\u00edngea, sua fun\u00e7\u00e3o de barreira \u00e9 comprometida, os c\u00edlios epiteliais s\u00e3o destru\u00eddos, as vegeta\u00e7\u00f5es adenoidais ficam hiperemiadas e infiltradas, cobertas por exsudato fibrinoso. Nos sulcos pode-se encontrar uma quantidade significativa de conte\u00fado seroso ou mucopurulento. O fluxo de muco \u00e9 tamb\u00e9m observado ao longo da parede posterior da faringe. Os fol\u00edculos linfoides aumentam, sendo detectada hiperemia das arcadas palatinas posteriores e da parede lateral faringeana. De acordo com o tipo de secre\u00e7\u00e3o, a adenoidite \u00e9 classificada em catarral, exsudativo-seroso e mucopurulento.<\/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=\"Adenoidite aguda\"><figcaption class=\"wp-element-caption\">Adenoidite aguda \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\">Modelo 3D<\/a><\/figcaption><\/figure>\n<h2 id=\"manifestacoes-clinicas\" class=\"wp-block-heading\"><strong>Manifesta\u00e7\u00f5es cl\u00ednicas<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Os aden\u00f3ides hipertrofiados apresentam uma variada apresenta\u00e7\u00e3o cl\u00ednica. As queixas mais frequentes dos pais s\u00e3o: dificuldade constante na respira\u00e7\u00e3o nasal, ronco, respira\u00e7\u00e3o ruidosa. Em crian\u00e7as pequenas, a ingest\u00e3o de alimentos \u00e9 dificultada devido \u00e0 obstru\u00e7\u00e3o da respira\u00e7\u00e3o nasal. Com um grau acentuado de hipertrofia, desenvolve a nasalidade. Devido \u00e0 obstru\u00e7\u00e3o respirat\u00f3ria, as crian\u00e7as dormem mal \u00e0 noite, acordam frequentemente, algumas desenvolvem s\u00edndrome de <span class=\"glossary-term\" data-title=\"Apneia\" data-tooltip=\"Apneia (do grego &quot;apnoia&quot; \u2014 &quot;falta de ar&quot;) \u00e9 a parada completa dos movimentos respirat\u00f3rios e suspens\u00e3o da ventila\u00e7\u00e3o pulmanar por 10 segundos ou mais. Essa condi\u00e7\u00e3o \u00e9 uma manifesta\u00e7\u00e3o important\u00edssima de dist\u00farbios respirat\u00f3rios de sono.\" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/apneia\/\">apneia<\/span> obstrutiva do sono (SAOS), em que as pausas respirat\u00f3rias chegam a 1 minuto. Tudo isso leva a um aumento da fadiga e redu\u00e7\u00e3o da capacidade de trabalho.<\/p>\n<p class=\"wp-block-paragraph\">H\u00e1 tamb\u00e9m o conceito de habitus adenoideus \u2014 tipo adenoide do rosto. Em tais crian\u00e7as, observa-se uma ponte nasal achatada, boca entreaberta, mordida desalinhada (prognatismo mandibular), incisivos superiores proeminentes, palato g\u00f3tico, exoftalmia leve e forma facial alongada.<\/p>\n<p class=\"wp-block-paragraph\">Am\u00edgdalas tub\u00e1rias hipertrofiadas por si s\u00f3 n\u00e3o causam manifesta\u00e7\u00f5es cl\u00ednicas. Sua influ\u00eancia nas vias a\u00e9reas \u00e9 mediada pelo bloqueio da tuba auditiva.<\/p>\n<p class=\"wp-block-paragraph\">Adenoides hipertrofiados, bem como am\u00edgdalas tub\u00e1rias, bloqueiam os orif\u00edcios das trompas auditivas e levam a tubaotite, otite m\u00e9dia aguda recorrente ou otite m\u00e9dia exsudativa de longa dura\u00e7\u00e3o. Em alguns casos, desenvolve-se perda auditiva de forma condutiva, que \u00e0s vezes \u00e9 a \u00fanica queixa.<\/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=\"Posi\u00e7\u00e3o dos aden\u00f3ides em rela\u00e7\u00e3o \u00e0 abertura da tuba auditiva\"><figcaption class=\"wp-element-caption\">Posi\u00e7\u00e3o dos aden\u00f3ides em rela\u00e7\u00e3o \u00e0 abertura da tuba auditiva \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\">Modelo 3D<\/a><\/figcaption><\/figure>\n<p class=\"wp-block-paragraph\">Clinicamente, a adenoidite divide-se em aguda (at\u00e9 7\u201310 dias), subaguda (de 10 dias a 1 m\u00eas) e cr\u00f4nica (mais de 1 m\u00eas). No entanto, na pr\u00e1tica, esta divis\u00e3o \u00e9 condicional. Dado que na adenoidite ocorre edema do tecido linfoide, o quadro cl\u00ednico \u00e9 semelhante ao da hipertrofia das aden\u00f3ides. Al\u00e9m das queixas mencionadas acima, observa-se secre\u00e7\u00e3o mucosa ou purulenta do nariz, escorrimento de muco pela parede posterior da faringe, acompanhado de tosse. A deteriora\u00e7\u00e3o do estado \u00e9 observada \u00e0 noite.<\/p>\n<p class=\"wp-block-paragraph\">Para a adenoidite aguda, a temperatura corporal \u00e9 febril, h\u00e1 intoxica\u00e7\u00e3o geral, dor nas profundezas do nariz e na cabe\u00e7a com irradia\u00e7\u00e3o para olhos e ouvidos. Os g\u00e2nglios linf\u00e1ticos regionais est\u00e3o aumentados, nota-se a sua dor.<\/p>\n<p class=\"wp-block-paragraph\">Na adenoidite cr\u00f4nica, observa-se temperatura corporal subfebril, tosse nocturna sufocante, e patologia associada do ouvido m\u00e9dio, acompanhada de <span class=\"glossary-term\" data-title=\"Perda auditiva condutiva\" data-tooltip=\"A perda auditiva condutiva \u00e9 um tipo de perda auditiva causada por uma perturba\u00e7\u00e3o na condu\u00e7\u00e3o das ondas sonoras no ouvido externo ou m\u00e9dio. Entretanto, o sistema auditivo: o ouvido interno (c\u00f3clea) e o nervo auditivo, permanece intacto.\" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/perda-auditiva-condutiva\/\">perda auditiva condutiva<\/span>.<\/p>\n<h2 id=\"diagnostico\" class=\"wp-block-heading\"><strong>Diagn\u00f3stico <\/strong><\/h2>\n<p class=\"wp-block-paragraph\">A princ\u00edpio, colhe-se as queixas, esclarece-se a anamnese e realiza-se a otorrinolaringoscopia. Para determinar o grau de obstru\u00e7\u00e3o da nasofaringe e examinar o orif\u00edcio das trompas auditivas, realizam-se rinoscopia posterior e <span class=\"glossary-term\" data-title=\"Endoscopia\" data-tooltip=\"A endoscopia \u00e9 um m\u00e9todo de exame e tratamento que permite ao m\u00e9dico examinar cavidades corporais e \u00f3rg\u00e3os ocos usando um dispositivo especial chamado endosc\u00f3pio. Um endosc\u00f3pio \u00e9 um dispositivo flex\u00edvel ou r\u00edgido com um sistema \u00f3ptico (c\u00e2mera de v\u00eddeo) e uma pequena luz na extremidade.\" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/endoscopia\/\">endoscopia<\/span> da nasofaringe. O exame digital \u00e9 realizado extremamente raro. Para determinar o grau de hipertrofia das vegeta\u00e7\u00f5es adenoidais, realiza-se radiografia da nasofaringe em proje\u00e7\u00e3o lateral. Na inflama\u00e7\u00e3o da am\u00edgdala nasofar\u00edngea, realiza-se teste microbiol\u00f3gico para microbiota e sensibilidade aos antibi\u00f3ticos.<\/p>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Encontra mais conte\u00fados cientificamente exactos nas nossas redes sociais<\/p>\n<p><span class=\"social-banner-text text-grey\">Subscreve e n\u00e3o percas os recursos mais recentes<\/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=\"tratamento\" class=\"wp-block-heading\"><strong>Tratamento <\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Inicialmente, as crian\u00e7as com am\u00edgdalas nasofar\u00edngeas ou tub\u00e1rias hipertrofiadas s\u00e3o tratadas com terapia conservadora. Prescrevem-se glicocortic\u00f3ides intranasais (furoato de mometasona) durante pelo menos 1 m\u00eas com avalia\u00e7\u00e3o subsequente da evolu\u00e7\u00e3o. Com bons resultados, recomenda-se o uso continuado do medicamento de acordo com o esquema.<\/p>\n<p class=\"wp-block-paragraph\">Na aus\u00eancia de efeito, bem como na presen\u00e7a de complica\u00e7\u00f5es (SAOS, perda auditiva, otite cr\u00f4nica) recomenda-se tratamento cir\u00fargico. Sob anestesia local ou geral, realiza-se <span class=\"glossary-term\" data-title=\"Adenotomia\" data-tooltip=\"A adenotomia \u00e9 um procedimento cir\u00fargico para remover as tonsilas (am\u00edgdalas) far\u00edngeas hipertrofiadas (vegeta\u00e7\u00e3o adenoideana). A interven\u00e7\u00e3o busca restaurar a respira\u00e7\u00e3o nasal, a fun\u00e7\u00e3o de drenagem das tubas auditivas e eliminar a fonte de infec\u00e7\u00e3o cr\u00f4nica na nasofaringe.\" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/adenotomia\/\">adenotomia<\/span>, onde a am\u00edgdala hipertr\u00f3fica \u00e9 excisada com aden\u00f3tomo de Beckmann.<\/p>\n<p class=\"wp-block-paragraph\">O tecido linfoide hipertr\u00f3fico da am\u00edgdala nasofar\u00edngea em adultos \u00e9 sujeito \u00e0 remo\u00e7\u00e3o cir\u00fargica obrigat\u00f3ria com exame pato-histol\u00f3gico subsequente.<\/p>\n<p class=\"wp-block-paragraph\">As am\u00edgdalas tub\u00e1rias s\u00e3o submetidas apenas a tratamentos conservadores, tamb\u00e9m com o uso de glicocortic\u00f3ides t\u00f3picos. N\u00e3o se procede \u00e0 sua excis\u00e3o cir\u00fargica, uma vez que, na maioria dos casos, provoca cicatrizes na abertura das trompas de Fal\u00f3pio. No caso de obstru\u00e7\u00e3o pronunciada das trompas de Eust\u00e1quio e presen\u00e7a de exsudato na cavidade do ouvido m\u00e9dio, acompanhado de perda auditiva, realiza-se dilata\u00e7\u00e3o por bal\u00e3o.<\/p>\n<p class=\"wp-block-paragraph\">Para tratar a am\u00edgdala nasofar\u00edngea inflamada, s\u00e3o usados \u200b\u200bantibacterianos na forma de sprays t\u00f3picos ou sistemicamente, levando em considera\u00e7\u00e3o a sensibilidade do pat\u00f3geno. Al\u00e9m da terapia etiol\u00f3gica, \u00e9 recomendada a sanitiza\u00e7\u00e3o regular da cavidade nasal e da nasofaringe a partir de conte\u00fado patol\u00f3gico com soro fisiol\u00f3gico ou solu\u00e7\u00f5es de \u00e1gua do mar. Para reduzir o edema, se utilizam sprays vasoconstritores. \u00c9 necess\u00e1rio realizar medidas de fortalecimento geral. Em caso de adenoidites recorrentes ou complica\u00e7\u00f5es no ouvido m\u00e9dio, deve-se considerar a cirurgia.<\/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. O que s\u00e3o adenoides e onde est\u00e3o localizadas?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Adenoides (tonsila nasofar\u00edngea) s\u00e3o aglomerados de tecido linf\u00f3ide na nasofaringe. Eles fazem parte do sistema imunol\u00f3gico e ajudam a proteger o corpo de infec\u00e7\u00f5es, mas quando h\u00e1 crescimento patol\u00f3gico podem causar problemas respirat\u00f3rios e auditivos.<\/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. Em que idade a hipertrofia das adenoides \u00e9 mais comum?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Geralmente, as adenoides aumentam em crian\u00e7as de 3 a 7 anos e come\u00e7am a diminuir ap\u00f3s os 10 a 12 anos (involu\u00e7\u00e3o). No entanto, algumas pessoas as mant\u00eam at\u00e9 a idade adulta.<\/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. Quais s\u00e3o os sintomas que indicam adenoides aumentadas?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Os sintomas principais incluem: <br \/>\u2022congest\u00e3o nasal constante, respira\u00e7\u00e3o pela boca;<br \/>\u2022ronco e sono agitado;<br \/>\u2022voz anasalada;<br \/>\u2022otites frequentes e perda auditiva;<br \/>\u2022face adenoide (em curso prolongado).<\/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. Qual \u00e9 a diferen\u00e7a entre hipertrofia das adenoides e adenoidite?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Hipertrofia \u00e9 o crescimento do tecido sem inflama\u00e7\u00e3o. Adenoidite \u00e9 a inflama\u00e7\u00e3o das adenoides, frequentemente acompanhada de secre\u00e7\u00e3o purulenta, febre e intoxica\u00e7\u00e3o.<\/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. Sempre \u00e9 necess\u00e1rio remover as adenoides?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">N\u00e3o, nem sempre. Primeiro, usa-se um tratamento conservador (gotas, lavagens, fisioterapia). A cirurgia (adenotomia) \u00e9 necess\u00e1ria na terceira ou quarta fase de hipertrofia com dist\u00farbios respirat\u00f3rios, otites frequentes e perda auditiva, apneia do sono (parada respirat\u00f3ria durante o sono).<\/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. As adenoides podem crescer novamente ap\u00f3s a remo\u00e7\u00e3o?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Sim, em 5 a 10% dos casos \u00e9 poss\u00edvel recorr\u00eancia, especialmente em crian\u00e7as menores que 3 a 4 anos.<\/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. Quais doen\u00e7as cr\u00f4nicas da nasofaringe podem se desenvolver devido \u00e0s adenoides?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Com a perman\u00eancia prolongada de adenoides hipertrofiadas ou frequente adenoidite, podem se desenvolver:<br \/>\u2022adenoidite cr\u00f4nica (inflama\u00e7\u00e3o constante das tonsilas nasofar\u00edngeas);<br \/>\u2022rinossinusite cr\u00f4nica (inflama\u00e7\u00e3o dos seios nasais);<br \/>\u2022tubo-otite cr\u00f4nica (inflama\u00e7\u00e3o da tuba auditiva);<br \/>\u2022faringite cr\u00f4nica (inflama\u00e7\u00e3o da faringe).<\/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=\"referencias\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">Refer\u00eancias<\/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 (VOKA 3D Anatomia e Patologia \u2013 Atlas 3D completo de anatomia e patologia) [Internet]. VOKA 3D Anatomy & Pathology [VOKA 3D Anatomia & Patologia]. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Dispon\u00edvel em: 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 (Otolaringologia completa\u2014cirurgia de pesco\u00e7o e cabe\u00e7a). Nova 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. Doen\u00e7as do ouvido, nariz e garganta. 2a ed. Moscou: MEDpress-inform; 2016. 776 p. [Em russo.] 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. Organiza\u00e7\u00e3o espacial da microbiota na adenoidite e amigdalite 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. Hipertrofia adenoide em crian\u00e7as com doen\u00e7as al\u00e9rgicas e fatores influentes. Int J Pediatr Otorhinolaryngol. mai 2015; 79(5): 694\u20137. doi: 10.1016\/j.ijporl.2015.02.017. Epub 2015 Feb 25. PMID: 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>As doen\u00e7as da nasofaringe s\u00e3o um grupo comum de patologias, especialmente em crian\u00e7as. Est\u00e3o associadas \u00e0 disfun\u00e7\u00e3o do tecido linfoide localizado nesta zona e podem levar a uma deteriora\u00e7\u00e3o significativa da qualidade de vida, a dificuldades de respira\u00e7\u00e3o nasal, a perturba\u00e7\u00f5es do sono, \u00e0 perda de audi\u00e7\u00e3o e a outras complica\u00e7\u00f5es. As mais comuns s\u00e3o [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"template":"","diseases_category":[301],"class_list":["post-901","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-otorrinolaringologicas"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Doen\u00e7as da nasofaringe: Classifica\u00e7\u00e3o, causas, diagn\u00f3stico, tratamento<\/title>\n<meta name=\"description\" content=\"Doen\u00e7as nasofar\u00edngeas: classifica\u00e7\u00e3o, causas, sintomas. 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