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Abstract This study was performed with the aim of evaluating the effects of adeno tonsillar hypertrophy on the nasal airflow before and after adeno tonsillectomy. as measured by Anterior rhinomanometry. Adenotonsillar hypertrophy is a common disorder in children resulting in nasopharyngeal obstruction with resultant mouth breathing and! or snoring. At present. upper airway obstruction due to hypertrophy of the tonsils and adenoids with consequent hypoventillation and cor pulmonale has come to be called the cardio pulmonary syndrome (Spa ur RC, 198’2). This work was conducted on 100 patients (64 males and 36 Females) age range from 4 to 12 years. These patients were suffering from adeno tonsillar hypertrophy with all its attending manifestations. All these patients were subjected to detailed analysis of their full oto-Rhino-Laryngological e xami na t ion. baematological investigations and plain X-ray Neck film - lateral |