Abstract:
The adenoids, also known as the nasopharyngeal tonsils, come from lymphoid tissue in the pharyngeal
mucosa. They are part of Waldeyer’s ring, which is a circular arrangement of lymphoid tissue. This ring
includes the pharyngeal (adenoid), palatine, lingual, and tubal tonsils. These tonsils are located at the
entrance of the aerodigestive tract.
They play an important role in mucosal immunity during early life by trapping inhaled pathogens and helping
with antigen presentation. This contributes to both humoral and cell-mediated immune responses.
Adenoid hypertrophy is predominantly a pediatric condition and rarely persists into adulthood due to
physiological involution after puberty. When present in adults, it may clinically and radiologically mimic
various nasopharyngeal pathologies, including malignancy.
We report a case of a 51-year-old woman presenting with long-standing left-sided nasal obstruction. She also
presented with snoring, mouth breathing and headache. Clinical examination revealed a deviated nasal
