Abstract

Introduction: The adenoids are lymphoid tissue associated with hypertrophy and nasal obstruction following recurrent upper respiratory infections. The evaluation of adenoids on physical examination is challenging and hence radiographs and diagnostic nasal endoscopy have come up as useful tools to confirm the diagnosis and plan for surgery.

Materials and Methodology: In the present study we have compared the diagnostic efficacy of x-ray nasopharynx lateral view and nasal endoscopy towards the assessment of adenoid size.

Results: 62 patients have been included and by kappa analysis there is 82.3% agreement between x-ray assessment and endoscopic grading. Sensitivity and specificity of endoscopic assessment is 78.75% and 86.96% respectively.

Conclusion: In a child with sleep disordered breathing both x-ray nasopharynx and diagnostic nasal endoscopy provide similar diagnostic efficacy, however the use of endoscope aids to the accuracy of identifying the involvement of eustachian tube orifice and obstruction of nasal choana without the exposure of ionizing radiations.

Keywords: Adenoids; X-Ray Nasopharynx; Nasoendoscopy; Fujioka Method; Cohen Konak Method

References

1. Robb PJ. “The adenoid and adenoidectomy”. In: Watkinson JC, Clarke RW, editors. Scott-Brown’s Otorhinolaryngology head and neck surgery-Volume 2. 8^th Florida: CRC Press (2018): 285-290.
2. Brook I., et al. “Microbiology of healthy and diseased adenoids”. Laryngoscope 6 (2000): 994-999.
3. Yasan H., et al. “Otitis media with effusion and histopathologic properties of adenoid tissue”. International Journal of Pediatric Otorhinolaryngology 11 (2003): 1179-1183.
4. Das AT., et al. “Combined conventional and endoscopic microdebrider-assisted adenoidectomy: A tertiary centre experience”. Journal of Clinical and Diagnostic Research 2 (2017): MC05-MC07.
5. Flint P., et al. “No Title”. In: Cummings otolaryngology-head and neck surgery”. 5^th Philadelphia: Mosby/Elsevier (2010): 2782-802.
6. Cohen D and Konak S. “The evaluation of radiographs of the nasopharynx”. Clinical Otolaryngology and Allied Sciences 2 (2019): 73-78.
7. Fujioka M., et al. “Radiographic evaluation of adenoidal size in children: Adenoidal-nasopharyngeal ratio”. American Journal of Roentgenology 3 (1979): 401-404.
8. Clemens J., et al. “Electrocautery versus curette adenoidectomy: comparison of postoperative results”. International Journal of Pediatric Otorhinolaryngology 2 (1998): 115-122.
9. Hamza SB VTR. “Assessment of size of adenoid-comparison of adenoidal nasopharyngeal ratio and nasal endoscopy in children with chronic adenoiditis”. International Journal of Research in Medical Sciences 3 (2019): 776.
10. Gill J., et al. “The comparative roles of X-ray nasopharynx and nasal endoscopy in diagnosis of adenoid hypertrophy”. Nepalese Journal of ENT Head and Neck Surgery 1 (2013): 26-28.
11. Caylakli F., et al. “Correlation between adenoid-nasopharynx ratio and endoscopic examination of adenoid hypertrophy: A blind, prospective clinical study”. International Journal of Pediatric Otorhinolaryngology 11 (2009): 1532-1535.
12. Talebian S., et al. “Comparison of adenoid size in lateral radiographic, pathologic, and endoscopic measurements”. Electronic Physician 6 (2018): 6935-6941.
13. Kindermann CA., et al. “Sensitivity and specificity of nasal flexible fiberoptic endoscopy in the diagnosis of adenoid hypertrophy in children”. International Journal of Pediatric Otorhinolaryngology 1 (2008): 63-67.
14. Pathak K., et al. “Comparison Between Radiological Versus Endoscopic Assessment of Adenoid Tissue in Patients of Chronic Adenoiditis”. Indian Journal of Otolaryngology and Head and Neck Surgery S1 (2019):981-985.
15. Yaseen ET., et al. “Adenoid enlargement assessment by plain X-ray and Nasoendoscopy Ehab”. Iraqi Journal of Community Medicine 1 (2012): 88-91.

Citation

Citation: Samanvaya Soni., et al. “Efficacy of Nasoendoscopy Over X-Ray Nasopharynx in Diagnosing Adenoid Hypertrophy". Acta Scientific Otolaryngology 2.7 (2020): 19-24.

Copyright

Copyright: © 2020 Samanvaya Soni., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.