Adenoids: comparison of radiological assessment methods with clinical and endoscopic findings

Wormald, Peter John; Prescott, C.A.J.

doi:10.1017/s0022215100119449

Cited by 135 publications

(144 citation statements)

References 12 publications

Supporting

Mentioning

130

Contrasting

Unclassified

Order By: Relevance

“…There are reports of different radiographic methods for evaluation of nasopharynx, while the interpretation of presence or absence of adenoid hypertrophy is not a consensus among authors. According to Wormald et al who conducted a comparative study among methods, Cohen & Konak developed the best approach providing the highest positive predictive value 11 . According to these authors, their method takes into account the relation between nasopharynx and adenoid sizes, besides being a simple approach, once it does not require measures and calculations.…”

Section: Resultsmentioning

confidence: 99%

“…The assessment method developed in this study outstands for being an objective, easy and reproducible approach. Wormald et al report that, in doubtful cases, nasal endoscopy under local anesthesia provides a definitive evaluation of the nasal cavity and nasopharynx state 11 . Another study consistent with our findings showed that nasofibroscopy is more reliable than lateral x-ray of the paranasal sinuses to assess size and shape of pharyngeal tonsil 4 .…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Estudo comparativo radiológico e nasofibroscópico do volume adenoideano em crianças respiradoras orais

Lourenço

Lopes

Pontes

et al. 2005

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

A tonsila faríngea ou adenóides é a extensão superior do anel linfático de Waldeyer e está localizada na porção alta da cavidade nasofaríngea, próxima à tuba auditiva e à coana. Ela desempenha um papel relevante nas otites médias recorrentes e freqüentemente sua hipertrofia é responsável pela obstrução das vias aéreas superiores. A tonsilectomia é um tratamento comumente realizado para doenças crônicas das tonsilas e ainda é o procedimento cirúrgico mais freqüente e mais antigo realizado em crianças e adultos jovens. Os critérios para a realização da tonsilectomia, o efeito da mesma na integridade imunológica do paciente e seus riscos inerentes à cirurgia são muito discutíveis e controversos em todo o mundo. Estudos de imagem utilizando-se o raio-X do cavo é um método simples, fácil e confortável para avaliar o tamanho das adenóides e o grau de obstrução das vias aéreas superiores. Um estudo nasofibroscópico da nasofaringe pode fornecer uma informação melhor sobre essa região, tendo em vista que ele mostra todas as estruturas presentes na nasofaringe e o grau de obstrução das vias aéreas superiores de forma dinâmica. FORMA DE ESTUDO: Clínico não randomizado. MATERIAL E MÉTODO: Este estudo comparou o grau de hipertrofia e de obstrução das vias aéreas superiores, usando os dois métodos acima, em crianças de 3 a 10 anos de idade, constatando que a nasofibroscopia flexível é um método diagnóstico excepcionalmente mais fidedigno do que o raio-x do cavo, na avaliação volumétrica da adenóide.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Estudo comparativo radiológico e nasofibroscópico do volume adenoideano em crianças respiradoras orais

Lourenço

Lopes

Pontes

et al. 2005

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

show abstract

“…Some authors feel that it is obstruction at the level of the choanae and nasopharynx rather than local infection that is the cause for persistent rhinorrhoea [8,9]. Tuncer et al [9] separately cultured maxillary sinus aspirates and adenoid tissue in children undergoing adenoidectomy.…”

Section: Discussionmentioning

confidence: 99%

Relative Etiological Importance of Adenoid Hypertrophy Versus Sinusitis in Children with Persistent Rhinorrhoea

Maheswaran

Rupa

Ebenezer

et al. 2014

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

Persistent rhinorrhoea is a common, yet often neglected, problem among Indian children. This study was designed to evaluate the relative etiological importance of adenoid hypertrophy versus sinusitis in children with persistent rhinorrhea. Additionally, the association between S. pneumoniae colonization and adenoid hypertrophy was studied. Children aged 1-14 years with persistent rhinorrhea underwent clinical evaluation, rigid nasal endoscopy and xrays of the nasopharynx and paranasal sinuses to ascertain the presence of adenoid hypertrophy and sinusitis using standard criteria. Nasopharyngeal swabbing to ascertain the presence of nasopharyngeal colonization with S. pneumoniae was also performed. Adenoid hypertrophy was more consistently associated with persistent rhinorrhea than sinusitis (p \ 0.0001). Coincident adenoid hypertrophy and sinusitis occurred in 57 %. S. pneumoniae was cultured in only 29 % of children. Up to 47 % of patients had features of nasal allergy. There was no association between S. pneumoniae colonization and adenoid hypertrophy (p = 0.1). Adenoid hypertrophy is an important cause of persistent rhinorrhea in children. Measures to evaluate for and treat adenoid hypertrophy should be instituted early to alleviate the problem of persistent rhinorrhoea in children. S. pneumoniae colonization of the nasopharynx is not a major etiological factor for persistent rhinorrhoea in these children. Nasal allergy may be a cause of adenoid hypertrophy in roughly half the children.

show abstract

“…The size of the adenoid was determined with flexible fiberoptic endoscope. Adenoid obstructing the nasopharyngeal cavity by <50% was classified as small, adenoid obstructing the nasopharyngeal cavity by 50-75% was classified as moderate and adenoid obstructing the nasopharyngeal cavity by >75% was classified as large (14). >50% obstruction in the nasopharyngeal airway was considered as adenoid hypertrophy.…”

Section: Methodsmentioning

confidence: 99%

Çocuklarda kronik adenotonsiller hipertrofinin büyüme üzerine etkilerinin adenotonsillektomi öncesi ve sonrası dönemde değerlendirilmesi

...

2012

Tpa

View full text Add to dashboard Cite

Aim: Several factors including genetic factors, nutrition and environment play a critical role in the growth of children. Adenotonsillar hypertrophy (ATH) can cause growth retardation by obstructing the upper airway. Surgical treatment of ATH has been considered to have a positive effect on growth. The aim of this study was to evaluate the role of chronic ATH on growth by measuring weight, height, body mass index (BMI), bone age, serum insulin-like growth factor 1 (IGF-1) and insulin-like growth factor binding protein 3 (IGFBP-3) values before and after adenotonsillectomy. Material and Method: The study was approved by the Ethics Committee (4.5.2004; 04/170) and written informed consents were obtained from parents of the participants. A total of 40 prepubertal children who were diagnosed as chronic ATH were enrolled. Obstructive symptoms were questioned in the medical history before surgery. Weight, height, BMI and bone age values were measured and compared with reference values. Preoperative serum IGF-1 and IGFBP-3 values were compared with the control group which consisted of healthy children. Rates of obstructive symptoms, weight, height, BMI, bone age, serum IGF-1 and IGFBP-3 values of the patients were determined seven months after adenotonsillectomy and were compared with preoperative values. Results: Obstructive symptoms in children with ATH decreased remarkably after surgery. Preoperative mean value of bone age of the patients was statistically lower than reference values (p<0.05) and mean value of serum IGF-1 was lower than than the control group (p<0.05). IGF-1 and IGFBP-3 values did not increase significantly after surgery (p>0.05). However, growth retardation was detected in three out of 40 patients based on the anthropometric measurements. Conclusions: In this study, antropometric findings showed that chronic ATH did not cause significant growth retardation in prepubertal children. In addition, we could not prove that surgical treatment of ATH improved the growth in the postoperative follow-up period of seven months. This result may be related with our study population with a limited number of patients who had baseline growth retardation and short postoperative follow up period. Further studies with large number of patients and longer postoperative follow-up periods are required to determine the exact role of chronic ATH in growth retardation. (Turk Arch Ped 2012; 47: 257-262)

show abstract

Adenoids: comparison of radiological assessment methods with clinical and endoscopic findings

Cited by 135 publications

References 12 publications

Estudo comparativo radiológico e nasofibroscópico do volume adenoideano em crianças respiradoras orais

Estudo comparativo radiológico e nasofibroscópico do volume adenoideano em crianças respiradoras orais

Relative Etiological Importance of Adenoid Hypertrophy Versus Sinusitis in Children with Persistent Rhinorrhoea

Çocuklarda kronik adenotonsiller hipertrofinin büyüme üzerine etkilerinin adenotonsillektomi öncesi ve sonrası dönemde değerlendirilmesi

Contact Info

Product

Resources

About