70 degree endoscope view of nasopharynx showing nasopharyngeal lymphoid tissue (L) in adult (known as adenoid in children). [SP - salpingopharyngeal fold. PP - palatopharyngeal fold. arrow - right Eustachian tube opening]
2 different adult patients with similar infected nasopharyngeal lympohoids appearance (above and below figure).
Patchy areas of inflammation with adjacent fibrinous exudates and mucous in a patient presented with blood-stain coughs and high fever a day earlier. Lymphoid tissue of torus is affected as well. [L - nasopharyngeal lymphoids, TT - torus tubarius, IT - tail of inferior turbinate, V - vomer, SP - dorsal surface of soft palate].
Confluent fibrinous exudate overlying nasopharyngeal lymphoid tissue (+).
[V - vomer, T - torus tubarius]
Close-up view of infected nasopharyngeal lymphoids (X). (V - vomer)
This figure shows a significantly enlarged tubal/peritubal tonsils (TT). It can occurs alone or in-combination with midline postnasal lymphoid hyperplasia
and potentially contribute to eustachian tube dysfunction
or becomes a reservoir of latent infection.
[V- vomer, R- foof of nasopharynx, TT-tubal/peritubal tonsils, arrow- nasopharyngeal end of eustachian tube opening]
Nasopharyngeal lymphoid hyperplasia with peritubal tonsils.
Copious mucopus postnasal drip in a patient presenting with prolonged coughs, asthenia and blocked ear sensation complicating delayed diagnosis of sinusitis.
The endoscopic view of the same patient after the mucopus suctioned. Lymphoid hyperplasia is evident particularly at torus tubarius (TT) and superior segment of Fossa of Rosenmuller towards the nasopharyngeal roof.