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Community level evaluation of adenoid hypertrophy on the basis of symptom scoring and its X-ray correlation
Yogita Dixit1, Prem Siddharth Tripathi2
1Department of Otolaryngorhinology, Modern Institute of Medical Sciences, Indore, Madhya Pradesh, India.
Insights
Pediatric adenoid hypertrophy, a common cause of recurrent ear, nose, and throat infections, can be effectively assessed using X-rays. Symptoms like snoring correlate well with adenoid size, aiding diagnosis.
Area of Science:
- Otolaryngology
- Pediatric Medicine
- Radiology
Background:
- Ear, nose, and throat (ENT) infections are a significant cause of pediatric morbidity.
- Recurrent ENT complaints in children often stem from adenoid hypertrophy.
- Diagnosing adenoid hypertrophy typically requires advanced tools often unavailable at the community level.
Purpose of the Study:
- To evaluate symptoms associated with adenoid hypertrophy.
- To correlate these symptoms with adenoid size using lateral view nasopharyngeal X-rays.
- To assess the radiological size of adenoids in relation to observed symptoms.
Main Methods:
- Fifty pediatric patients with suspected adenoid hypertrophy were enrolled.
- Comprehensive ENT examinations were conducted.
- Lateral view nasopharyngeal X-rays were obtained for radiological assessment.
Main Results:
- Adenoid hypertrophy was graded based on symptom scores and radiographic findings.
- Snoring emerged as the most prevalent symptom.
- A linear relationship was observed between snoring severity and adenoid size.
Conclusions:
- A strong agreement exists between clinical symptoms and X-ray findings in diagnosing adenoid hypertrophy.
- Lateral view nasopharyngeal X-rays provide a reliable method for assessing adenoid size.
- This correlation aids in the community-level evaluation of pediatric adenoid hypertrophy.
Introduction:
One of the major causes of pediatric morbidity today at the community level is infection involving the ear, nose, and throat. Maximum of these patients respond well initially on general regular medications, but then recurrent complaints are not very uncommon. One of the major causes for such recurrence is hypertrophy of adenoids, the evaluation of which requires a battery of sophisticated investigative tools and expertise which are lacking at the community level. The aim of the study is to evaluate various symptoms related to adenoid hypertrophy and its correlation to the size of the adenoid seen in the lateral view nasopharyngeal X-ray. The aim of the study was to assess various symptoms related to adenoid hypertrophy and its correlation with the size of adenoid radiologically.
Methods:
A total of fifty cases of pediatric age with strong clinical suspicion of adenoid hypertrophy were included in the study. Through ENT examination was done. X-ray lateral view nasopharynx was obtained.
Results:
Adenoid hypertrophy was graded according to symptoms score and lateral cephalometric/radiographs. Snoring was the most frequent symptom which had a linear relation with the size of the adenoid.
Conclusion:
There was good agreement between symptom and the X-ray findings.
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