Assessment of adenoid size: A comparison of lateral radiographic measurements, radiologist assessment, and nasal endoscopy

Lertsburapa, Keith; Schroeder, James W.; Sullivan, Christine

doi:10.1016/j.ijporl.2010.08.005

Cited by 55 publications

(65 citation statements)

References 17 publications

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“…Lertsburapa et al analyzed in 99 children the correlation between the flexible fiberoptic nasal endoscopy and the intraoperative mirror nasopharyngoscopy. In this study, the endoscopic assessment highly correlated with the standard; however, endoscopy seemed to overestimate adenoid size [30].…”

Section: Discussionmentioning

confidence: 50%

Adenoid Assessment in Paediatric Patients: The Role of Flexible Nasal Endoscopy

Pagella

Pusateri

Chu

et al. 2011

Int J Immunopathol Pharmacol

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Adenoid hypertrophy is the most common cause of nasal obstruction in paediatric patients. Over the years, various methods to assess the adenoid size were proposed such as the posterior rhinoscopy and the radiological examination of the nasopharynx. Nasal endoscopy was introduced for children in the 80's, and nowadays this is a known and diffuse method in routine practice. The purpose of this article is to describe the personal experience in the assessment of the adenoid size in children, with a particular regard to the flexible nasal endoscopy, and to analyse the literature reports. The personal technique is described in performing nasal endoscopy in paediatric patients, reporting advantages and possible disadvantages of the procedure. A retrospective analysis was conducted on 6036 children since 1999 to 2010. In most cases children fully collaborated to complete the exam. No major or minor complications (such as nose bleedings or other traumatic injuries) were observed. No topical intranasal decongestant, local or general anaesthesia were used in our series. In our opinion, nasal endoscopy in children is a reliable, safe, accurate, easily tolerated and dynamic diagnostic method to assess the adenoid size.

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Section: Discussionmentioning

confidence: 50%

Adenoid Assessment in Paediatric Patients: The Role of Flexible Nasal Endoscopy

Pagella

Pusateri

Chu

et al. 2011

Int J Immunopathol Pharmacol

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“…Several modalities to quantify adenoids and the relationships with the upper airways have been proposed: acoustic rhinomanometry, rhinomanometry, endoscopy, intraoperative mirror rhinopharyngoscopy, and radiographic assessments. 4 However, the most commonly used preoperative modalities in the clinical practice are lateral neck films and nasal endoscopy. 5 Several studies compared these two methods to evaluate adenoid size.…”

mentioning

confidence: 99%

Adenoidal Hypertrophy and Allergic Rhinitis: Is There an Inverse Relationship?

Ameli¹,

Brocchetti²,

Tosca

et al. 2013

Am J Rhinol�Allergy

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“…Therefore, sometimes it may not be possible to perform this in younger children without sedation. A lateral cephalometric radiograph has been shown as effective to diagnose adenoid hypertrophy [26][27][28]. It is noninvasive, simple, easy to perform, and reproducible.…”

Section: Discussionmentioning

confidence: 99%

“…A/N ratio was shown to be correlated well with clinical Table 3 Correlation between DA/N ratio and DIGF levels. symptomatology [26,28]. Lertsburapa et al compared the A/N ratio with intraoperative mirror nasopharyngoscopy and concluded that performing an A/N ratio was an adequate method to assess the degree of adenoid hypertrophy [26].…”

Section: Discussionmentioning

confidence: 99%

“…symptomatology [26,28]. Lertsburapa et al compared the A/N ratio with intraoperative mirror nasopharyngoscopy and concluded that performing an A/N ratio was an adequate method to assess the degree of adenoid hypertrophy [26]. Caylakli et al and Cho et al showed a significant correlation between the A/N ratio and nasal endoscopic examination findings [28,30].…”

Section: Discussionmentioning

confidence: 99%

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