Related Experiment Video
Updated: Aug 23, 2026

Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber
Published on: March 3, 2023
[Additional diagnostic methods for recording of adenoid hypertrophy in children with allergic rhinitis]
Marek Modrzyński1, Józef Mierzwiński, Edward Zawisza
1Poradnia Alergologiczna NZOZ Euromedica w Grudziadzu.
Insights
Acoustic rhinometry and radiology are effective, objective methods for measuring adenoid size in children with allergies. These techniques aid in assessing upper airway obstruction, complementing clinical evaluations.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Diagnostic Imaging
Background:
- Enlarged adenoids and tonsils are established causes of pediatric upper airway obstruction.
- Adenoidectomy and tonsillectomy are common surgical procedures for children.
- Accurate measurement of adenoid size is challenging, lacking a definitive clinical assessment method.
Purpose of the Study:
- To compare the effectiveness of acoustic rhinometry, fiberoscopy, and a radiological method (Cohen and Konac) for assessing adenoid size.
- To determine objective and reliable methods for measuring adenoid hypertrophy in allergic children.
Main Methods:
- Comparison of acoustic rhinometry, transnasal fiberoscopy, and the Cohen and Konac radiological method.
- Spearman's correlation test was employed to assess the correlation between the three diagnostic techniques.
- Study focused on pediatric patients with allergic conditions.
Main Results:
- Acoustic rhinometry and the Cohen and Konac radiological method demonstrated good correlation.
- Both acoustic rhinometry and radiology were found to be objective measures for adenoid size.
- These methods provide valuable data to complement clinical assessments.
Conclusions:
- Acoustic rhinometry and radiology are recommended as reliable and objective tools for evaluating adenoid size in allergic children.
- These methods can assist in the diagnosis and management of upper airway obstruction due to adenoid hypertrophy.
- Further research may explore their integration into routine pediatric otolaryngology practice.
Abstract:
The role of enlarged adenoids and tonsils in upper airway obstruction has become well-established earlier, thus, adenoidectomy with or without tonsillectomy is one of the most commonly performed surgical procedures in the paediatric population. Direct assessment of adenoidal size is difficult and no definitive method is so far available to complement clinical assessment. The most important diagnostic techniques are recording of obstructive symptoms, transoral posterior rhinoscopic examination, radiological evaluation, such as lateral radiography of the adenoid and nasopharyngeal magnetic resonance imaging, transnasal fiberoscopic examination, acoustic rhinometry and others. In this study we compare acoustic rhinometry, fiberoscopy and Cohen and Konac radiological method. Spearman's correlation test was used to evaluate the degree of correlation between these three methods. We concluded that acoustic rhinometry and radiology are good and objective methods for measuring adenoid sizes in allergic children.
Related Concept Videos
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
Medical History
Respiratory System Abnormal Finding I: Inspection and Percussion
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Pneumonia III: Complications and Assessment
Assessment of Airway, Skin Color, and Use of Accessory Muscles
Introduction
The initial evaluation of a patient's respiratory system...
