Methods of selection for adenoidectomy in childhood otitis media with effusion

Oluwole, M.; Mills, R. P.

doi:10.1016/0165-5876(94)01124-g

Cited by 11 publications

(9 citation statements)

References 23 publications

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“…Diagnosis of adenoidal hypertrophy is based on patient history and clinical symptoms, e.g. blocked nose, mouth breathing, reduced mobility of the soft palate and sometimes direct visualisation of the enlarged adenoid pad [8]. In this study, acoustic rhinometry did not contribute valuable or reliable information to clinical assessment of adenoidal size, however, it may be helpful in predicting the clinical outcome of adenoidectomy in selected cases.…”

Section: Discussionmentioning

confidence: 93%

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The role of acoustic rhinometry in the diagnosis of adenoidal hypertrophy in pre-school children

Riechelmann¹,

O’Connell

Rheinheimer

et al. 1999

European Journal of Pediatrics

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Section: Discussionmentioning

confidence: 93%

“…Furthermore, in symptomatic cases, when the nasopharyngeal cross-sectional area was less than 1.2 cm 2 , surgery always had a bene®cial eect. This may mean that younger patients are more likely to bene®t from adenoidectomy [8]. The nasopharyngeal crosssectional area in children directly correlates with age [9].…”

Section: Discussionmentioning

confidence: 99%

The role of acoustic rhinometry in the diagnosis of adenoidal hypertrophy in pre-school children

Riechelmann¹,

O’Connell

Rheinheimer

et al. 1999

European Journal of Pediatrics

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“…However, there are no universal guidelines for assessing adenoidal enlargement, and there are no clearly accepted indications for adenoidectomy. 13 Three modalities continue to be widely used by physicians in the assessment of adenoid hypertrophy: clinical symptoms, lateral neck radiography, and endoscopy. Clinical symptoms of nasal obstruction, mouth breathing, snoring, sleep apnea, and otitis media are considered by many physicians as primary indicators for the severity of adenoidal enlargement and have been a primary focus of many studies.…”

Section: Discussionmentioning

confidence: 99%

Lateral Neck Radiography versus Direct Video Rhinoscopy in Assessing Adenoid Size

Mlynarek¹,

Tewfik²,

Hagr³

et al. 2004

J. Otolaryngol.

108

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Objective: To evaluate the usefulness of adynamic lateral neck radiographs and dynamic video rhinoscopy in assessing adenoid size and the relationship of these methods to associated symptoms and thus the severity of the disease. Methods: Children with suspected adenoid hypertrophy underwent standard lateral neck soft tissue radiographs: the percentage of airway occlusion, adenoid to nasopharynx (AN) ratio, airway to soft palate ratio, and adenoid thickness were assessed by a radiologist. The percentage of airway closure was assessed by direct fibre-optic rhinoscopy in an ear, nose, and throat clinic. Associated clinical symptoms were assessed by parents using a standardized questionnaire, evaluating the severity of symptoms (snoring, sleep apnea, mouth breathing, and otitis media) to give a total symptom score out of 16. Results: Nonparametric statistical analysis using Spearman's correlation coefficients was performed on 32 patients. There was a weak correlation, which approaches significance, between the percentage of airway occlusion assessed by fibre-optic rhinoscopy and the total symptom score (r = .344, p = .054). However, this correlation becomes significant when the frequency of otitis media is omitted (r = .367, p = .039). There was also a significant correlation between airway occlusion assessed by rhinoscopy and the percentage of airway occlusion as determined by lateral neck radiography (r = .431, p = .014). There was no correlation between any of the measurements taken by lateral soft tissue neck radiography and total symptom score. Conclusion: Dynamic video rhinoscopy is more accurate at assessing adenoid hypertrophy, and the percentage of airway occlusion, as estimated by video rhinoscopy, is better correlated to the severity of symptoms than are values obtained by lateral neck radiography. Sommaire Objectif: Evaluer l'utilité de la radiographie latérale du cou adynamique et de la vidéo-rhinoscopie dynamique pour mesurer le volume adénoidien et la relation entre ces méthodes et les symptômes et la sévérité de la maladie. Méthode: Nous avons fait passer à 32 enfants, un rayon-X standard des tissus mous du cou et un radiologiste a procédé aux mesures suivantes : le pourcentage d'occlusion des voies respiratoires, le rapport entre les adénoides et la nasopharynx (AN), le rapport entre les voies respiratoires et le palais mou et l'épaisseur des adénoides. Le pourcentage d'obstruction a aussi été évalué par rhinoscopie directe par fibre optique à la clinique externe. Finalement les parents ont évalué sur 16 la sévérité des symptômes en remplissant un questionnaire standardisé évaluant les aspects suivants : ronflement, apnée du sommeil, respiration buccale et une histoire d'otites moyennes. Résultats: Nous avons trouvé une faible corrélation (Spearman) presque significative entre la rhinosocopie par fibre optique et le score de symptômes (r = .344, p = .054). Cette corrélation devient significative quand on omet l'aspect otites moyennes (r = .367, p = .039). On note aussi une corrélation entre l'obstruc...

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“…Discharge records do not include information on characteristics that may contribute to various outcomes -for example, the size of adenoids, the duration and severity of otitis media, the presence or absence of allergies, and whether or not the children attended a day-care facility. 8,11,[27][28][29] Also, the reinsertion of tympanostomy tubes and rehospitalization are not the only outcomes of interest. Although they may be useful proxies for outcomes such as the duration of effusion, they do not address other issues, such as hearing loss, which cannot be addressed exclusively through the use of administrative data.…”

Section: Discussionmentioning

confidence: 99%

The Role of Adjuvant Adenoidectomy and Tonsillectomy in the Outcome of the Insertion of Tympanostomy Tubes

et al. 2001

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Methods of selection for adenoidectomy in childhood otitis media with effusion

Cited by 11 publications

References 23 publications

The role of acoustic rhinometry in the diagnosis of adenoidal hypertrophy in pre-school children

The role of acoustic rhinometry in the diagnosis of adenoidal hypertrophy in pre-school children

Lateral Neck Radiography versus Direct Video Rhinoscopy in Assessing Adenoid Size

The Role of Adjuvant Adenoidectomy and Tonsillectomy in the Outcome of the Insertion of Tympanostomy Tubes

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