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Role of Adenoid-Nasopharyngeal Ratio in Assessing Adenoid Hypertrophy

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Most of the time, pediatrician is the first to see children with adenotonsillar hypertrophy (AH) and they mostly rely on clinical assessment with or without some investigation to refer these children to otorhinolaryngologist. Numerous methods have been described for evaluation of AH, but many of these methods are not possible to follow in busy pediatric outpatient unit either because of lack of cooperation from child or due to limited availability of test or due to cost constraints. This study has been conducted to determine the diagnostic accuracy of lateral neck X-ray (LNX) for assessing AH and to assess the correlation between adenoid size in LNX and clinical symptoms in a pediatric unit. Prospective study conducted in Department of ENT, Pathmavathy Medical Foundation, Kollam, Kerala, India from January 2015 to March 2016. 60 consecutive children of both genders, between the age group of 5 to 14 years, attending Department of Pediatrics with a provisional diagnosis of AH were included in the study. The symptom scores, radiographic ratio of adenoid to nasopharynx and endoscopic scorings were calculated. Lateral neck X-ray with calculation of adenoid-to-nasopharynx ratio is found to have significant correlation with patient reported symptoms and findings in nasal endoscopic examination (NE). LNX can be considered as a useful objective tool in evaluation of children with adenoid hypertrophy. Primary care physicians or pediatricians can confidently use lateral neck X-ray for making clinical decisions and can consider nasopharyngoscopy when clinical picture remains unclear or more evaluation is needed.

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Authors and Affiliations

  1. Department of Pediatric ENT, Christian Medical College & Hospital, Vellore, Tamilnadu, 632004, India

    Sanu P. Moideen

  2. Department of Pediatrics, Academy of Medical Sciences, Pariyaram, Kannur, Kerala, India

    Regina Mytheenkunju

  3. Department of Otorhinolaryngology, Padmavathy Medical Foundation, Kollam, Kerala, India

    Arun Govindan Nair

  4. Department of Otorhinolaryngology, Sri Siddhartha Medical College, Tumakuru, Karnataka, India

    Mohan Mogarnad

  5. Department of Anatomy, Sri Siddhartha Medical College, Tumakuru, Karnataka, India

    M. Khizer Hussain Afroze

Authors
  1. Sanu P. Moideen
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  2. Regina Mytheenkunju
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  3. Arun Govindan Nair
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  4. Mohan Mogarnad
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  5. M. Khizer Hussain Afroze
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Correspondence to Sanu P. Moideen.

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The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from parents of all individual participants included in the study.

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Moideen, S.P., Mytheenkunju, R., Govindan Nair, A. et al. Role of Adenoid-Nasopharyngeal Ratio in Assessing Adenoid Hypertrophy. Indian J Otolaryngol Head Neck Surg 71 (Suppl 1), 469–473 (2019). https://doi.org/10.1007/s12070-018-1359-7

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  • DOI: https://doi.org/10.1007/s12070-018-1359-7

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