Adenoid Hipertrofili Çocukların Değerlendirilmesi: Sefalografi ve Endoskopi’nin Karșılaștırılması
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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