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Grading adenoid utilizing flexible nasopharyngoscopy

Ahmed Yousif Al-Ammar1, Deena Shebib, Manal Bokhari

  • 1Otolaryngology, H&N Surgery,, King Saud University, Riyadh, Saudi Arabia. ahmedalamma2hotmail.com

Annals of Saudi Medicine
|June 25, 2013
PubMed

Insights

Adenoid size asymmetry was assessed in 100 children using flexible nasopharyngoscopy. While grading showed high agreement (92%), 8% of cases had adenoid size asymmetry, suggesting one-sided examination may not always reflect true adenoid size.

Area of Science:

  • Otolaryngology
  • Pediatric Medicine
  • Diagnostic Imaging

Background:

  • Adenoid hypertrophy is a common cause of nasal obstruction in children.
  • Accurate assessment of adenoid size is crucial for diagnosis and treatment planning.
  • Nasopharyngoscopy is a primary tool for evaluating adenoid size.

Purpose of the Study:

  • To evaluate the potential for adenoid size asymmetry between the left and right nasal sides.
  • To determine if unilateral nasopharyngoscopy accurately reflects bilateral adenoid size.

Main Methods:

  • A prospective study included 100 children aged 1-12 years in Saudi Arabia.
  • Flexible nasopharyngoscopy was used to examine and grade adenoid size (I-IV) bilaterally.
  • Adenoid grades from each nasal side were compared within each child.

Main Results:

  • A high degree of agreement (92%, kappa=0.868) was observed in adenoid grading between the two sides.
  • Significant adenoid size asymmetry was found in 8% of the studied children.
  • This indicates potential discrepancies in unilateral assessment.

Conclusions:

  • Adenoid grading via unilateral flexible nasopharyngoscopy may not consistently represent the adenoid size on the contralateral side.
  • Bilateral assessment is recommended for accurate evaluation of adenoid size.
  • Further research may explore clinical implications of unilateral vs. bilateral assessment.
Abstract

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