Adenoid Hipertrofili Çocukların Değerlendirilmesi: Sefalografi ve Endoskopi’nin Karșılaștırılması

Year 2013, Volume: 66 Issue: 3, 125 - 129, 13.11.2014

Selmin Karataylı Özgürsoy , Selçuk Mülazımoğlu Metin Nuri Akıner

Abstract

Aim: Adenoidectomy is one of the most frequent operations performed by otolaryngologists. In order to diagnose 'adenoid hypertrophy', some methods have been used including palpation, mirror usage for nasopharyngeal view, acoustic rhinometry, rhinomanometry, nasal endsocopy, and radiological images. In this study, we aimed to assess the correlation between adenoid/nasopharynx (A/N) ratio in lateral cephalography and nasopharyngeal obstruction in endoscopical view in pediatric patients.

Materials and Methods: Pediatric patients with the age range of 1 to 16 who applied to otolaryngology outpatient clinics in two institutions between July 2009 and January 2013 were included. All of the patients were referred by pediatricians and had already undergone lateral cephalography with the complaints of open-mouth sleeping, snoring, apnea, dry mouth. Percentage of nasopharyngeal obstruction in endoscopic view and A/N ratio in lateral cephalography were compared by using Sperman's correlation coefficient.

Results: When the age groups are categorized to 0-6 and 6-16, or 0-4, 5-9 and 10-16, in all age groups the association between nasopharyngeal obstruction in endoscopic view and A/N ratio in lateral cephalography was statistically significant.

Conclusion: In conclusion, nasal endoscopy is the golden standard for the diagnosis of adenoid hypertrophy. In patients who can not tolerate this procedure or if the endoscopic view is not clear enough, A/N ratio in lateral caphalography is a reliable method.

Keywords

Adenoid , adenoid hypertrophy , lateral cephalography , nasal endoscopy , A/N ratio

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Evaluation of Children With Adenoid Hypertrophy: Cephalogram versus Endoscopy

Abstract

Amaç: Adenoidektomi, kulak burun boğaz hekimleri tarafından en sık uygulanan operasyonlardan biridir. 'Adenoid hipertrofi' tanısı koyabilmek için palpasyon, ayna ile görüntüleme, akustik rinometri, rinomanometri, nazal endoskopi ve radyolojik görüntüleme yöntemlerini de içeren bazı metodlar kullanılabilmektedir. Biz bu çalıșmada, çocuk hastalarda lateral sefalografide adenoid/nazofarenks (A/N) oranının etkinliğini, endoskopik muayene sonuçlarımız ile karșılaștırmayı hedefledik.

Gereç ve Yöntem: 2009 Temmuz-2013 Ocak arasında iki hastanenin KBB ( Kulak Burun Boğaz ) polikliniğine bașvuran 1-16 yaș arası çocuk hastalar dahil edildi. Bütün hastalar horlama, ağzı açık uyuma, apne, ağız kuruluğu gibi adenoid hipertrofisi semptomları sebebi ile pediatri bölümünce KBB’ye konsülte edilen, ve pediatri bölümünce değerlendirilme așamasında zaten lateral grafi çekilmiș olan hastalardı. Hastaların endoskopik ve lateral sefalometrik bulguları arasındaki ilișkilerin
incelenmesinde Spearman’ın korelasyon katsayısı kullanıldı.

Bulgular: Yaș grupları 0-6 yaș ve 6 yaș üstü; veya 0-4 yaș, 5-9 yaș ve 10 yaș ve üstü (≥ 10) olarak kategorize edildiğinde, A/N oranı ve endoskopik muayenede adenoid vejetasyon obstrüksiyon yüzdeleri arasındaki ilișkinin her yaș grubunda istatistiksel olarak anlamlı olduğu gözlendi.

Sonuç: Sonuç olarak, nazal endoskopi, 'adenoid hipertrofi' tanısı koymak için günlük uygulamamızda altın standart olarak yer alan bir metoddur. Nazal endoskopi uygulanamayan veya endoskopi bulgularının yetersiz olduğu seçilmiș olgularda, lateral sefalografide A/N oranı güvenilir bir șekilde uygulanabilir.

Keywords

Adenoid , adenoid hipertrofi , lateral sefalografi , nazal endoskopi , A/N oranı

Ethical Statement

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Supporting Institution

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Thanks

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