signs of adenoid

• snoring and sleep apnea 
• nasal tone of voice 
• difficult suckling in infants 
• nasal dishcarge 
• Adenoid facies :                             

1.  open dry mouth 
2.   elevated upper lip
3.   prominent incisor
4.   high arched palate
5.   receding lower jaw
6.   narrow anterior nares 
7.   apathetic look 

•   General effects : 

1. school retardation 
2. nocturnal enuresis
3. sleep apnea