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Upper respiratory tract infections including sinonasal and middle ear infections are the most common infectious diseases in children. They are generally caused by the potentially pathogenic bacteria of the nasal and nasopharyngeal flora. The exact mechanisms that cause these bacteria to become invasive and to overcome normal flora are still unclear. Adenoid hypertrophy may influence the balance between the normal nasopharyngeal flora and the pathogenic bacteria. Previously adenoid tissue has been shown to cause colonization of pathogenic bacteria in the nasopharynx, and this situation has been suggested to be the reason of recurrent sinonasal and middle ear infections during childhood (1-3). The adenoids are lymphoid tissue, situated in the posterior wall of the nasopharynx. Adenoidectomy (surgical removal of the adenoid tissue) is one of the most common surgeries for children presenting to ABSTRACT

The long-term effects of adenoidectomy on nasal bacterial flora in children