Skip to main content
SpringerLink
Log in

Detection of adenoidal hypertrophy using acoustic rhinomanometry

  • General Otolaryngology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Adenoidal hypertrophy is the commonest cause of nasal obstruction in the pediatric population. It may cause marked morbidity as regards respiratory physiology, facial growth and middle ear function. Determination of adenoidal presence and size is not easy. Nasal endoscopy and radiology are the most accepted modes of diagnosis and each has its disadvantages. We have used acoustic rhinometry to determine the size of adenoids. Changes in nasal volume and resistance were recorded and an easy formula was devised to determined adenoid size. This technique is easy, non-invasive and reproducible with a 93.5% predictive value.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bresolin D (1983) Mouth breathing in allergic children: its relationship to dentofacial development. Am J Orthod 83:4–9

    Article  Google Scholar 

  2. Cohen D, Konark S (1985) The evaluation of radiograph of the nasopharynx. Clin Otolaryngol 10: 73–78

    PubMed  CAS  Google Scholar 

  3. Cohen CL, Koltai PJ, Scott JR (1992) Lateral cervical radiographs and adenoid size: do they correlate? Eur Nose Throat J 71:638–642

    CAS  Google Scholar 

  4. El Asry A, Kandil S, Sobeih A, Ragab A (1994) Effect of enlarged adenoids on arterial blood gases in children. Egypt J Otolaryngol 11:73–88

    Google Scholar 

  5. Eliaschar I, Lavie P, Halperin E, Gordon G, Alroy G (1980) Sleep apneic episodes as indications for adeno-tonsillectomy. Arch Otolaryngol 106:492–496

    PubMed  CAS  Google Scholar 

  6. Hibbert J, Whitehouse GH (1978) An assessment of adenoidal size by radiological means. Clin Otolaryngol 3:43–47

    PubMed  CAS  Google Scholar 

  7. Lacosta JL, Ma J, Pison F (1995) A radiological study of the nasopharynx. Acta Otolaryngol Esp 46: 115–119

    CAS  Google Scholar 

  8. Lender H, Pirsing N (1990) Diagnostic value of acoustic rhinometry. Rhinology 28:5–16

    Google Scholar 

  9. Linder-Aronson S (1970) Adenoids: their effect on mode of breathing and nasal airflow and their relationship to characteristics of facial skeleton and the dentition. Acta Otolaryngol [Suppl] 265:3–15

    Google Scholar 

  10. Linder-Aronson S, Leighton BS (1983) A longitudinal study of the development of the posterior pharyngeal wall between 3 and 16 years of age. Eur J Orthod 5:47–57

    PubMed  CAS  Google Scholar 

  11. Maw AK, Jeans WD, Fernando DJJ (1980) Interobserver variability in the clinical and radiological assessment of adenoid size and correlation with adenoid volume. Clin Otolaryngol 6: 317–322

    Google Scholar 

  12. Paradise JL, Bluestone CD, Rogers KD (1990) Efficacy of adenoidectomy for recurrent otitis media in children previously treated with tympanostomy tube placement. JAMA 263: 2066–2073

    Article  PubMed  CAS  Google Scholar 

  13. Schulhof RJ (1978) Considerations of airway. J Clin Orthod 12: 440–445

    PubMed  CAS  Google Scholar 

  14. Slawinski EB, Dubanowiccz-Kossowska E (1993) The assessment of hypertrophy of nasopharyngeal tonsil by acoustical methods. Int J Pediatr Otolaryngol 27:229–244

    Article  CAS  Google Scholar 

  15. Sprinkle PM, Veltri RT (1977) The tonsils and adenoids. Clin Otolaryngol 2:153–158

    PubMed  CAS  Google Scholar 

  16. Wang D, Clement P, Kaufmann L, Derde MP (1992) Fiberoptic examination of the nasal cavity and nasopharynx in children. Int J Pediatr Otorhinolaryngol 24: 35–44

    Article  PubMed  CAS  Google Scholar 

  17. Wormald PJ, Prescott CA (1992) Adenoids: comparison of radiological assessment methods with clinical and endoscopic findings. J Laryngol Otol 106:342–344

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology- Head and Neck Surgery, Faculty of Medicine, Ain-Shams University, Cairo, Egypt

    B. E. Mostafa

  2. 8 El Magd Street, Heliopolis, 11341, Cairo, Egypt

    B. E. Mostafa

Authors
  1. B. E. Mostafa
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mostafa, B.E. Detection of adenoidal hypertrophy using acoustic rhinomanometry. Eur Arch Otorhinolaryngol 254 (Suppl 1), S27–S29 (1997). https://doi.org/10.1007/BF02439716

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02439716

Key words

Search

Navigation