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Diagnostic Accuracy of Ultrasonography in Evaluation of Adenoid Hypertrophy
Simrat Kaur1, Kunwarpal Singh1, Arvinder Singh1
1Department of Radiodiagnosis and Imaging, Sri Guru Ram Das Institute of Medical Sciences and Research, Vallah, Amritsar, Punjab India.
Insights
Ultrasonography (USG) is a reliable tool for diagnosing adenoid hypertrophy in children, offering a safe alternative to X-rays. This imaging method accurately assesses adenoid size and correlates well with traditional X-ray findings.
Area of Science:
- Pediatric Otolaryngology
- Medical Imaging
- Diagnostic Techniques
Background:
- Adenoid hypertrophy is a common pediatric condition causing nasal obstruction and sleep apnea.
- Current diagnosis relies on X-ray nasopharynx, posing radiation risks and potential inaccuracies due to patient cooperation.
- Ultrasonography offers a radiation-free alternative, assessing adenoid size, shape, and blood flow.
Purpose of the Study:
- To evaluate and compare the diagnostic efficacy of X-ray nasopharynx and ultrasonography (USG) for adenoid hypertrophy.
- To assess the reliability of USG as a primary diagnostic tool for adenoid hypertrophy in children.
Main Methods:
- An observational, cross-sectional study involving 65 pediatric patients with adenoid hypertrophy symptoms.
- Measurement of antero-posterior thickness and adenoid/nasopharynx (A/N) ratio using both X-ray and USG neck imaging.
- Statistical analysis to compare findings from both imaging modalities.
Main Results:
- A significant correlation was found between X-ray and USG measurements of antero-posterior thickness and A/N ratio.
- Ultrasonography demonstrated reliability in diagnosing adenoid hypertrophy.
- USG can serve as a valuable preoperative investigation aid.
Conclusions:
- Ultrasonography is a reliable and promising tool for assessing adenoid hypertrophy.
- USG provides accurate measurements comparable to X-ray, without radiation exposure.
- The findings support the use of USG as an effective diagnostic aid in pediatric adenoid hypertrophy.
Background:
Adenoid hypertrophy is common in children and can cause several symptoms including nasal obstruction, mouth breathing and obstructive sleep apnoea. The popular method used in present era is X-ray nasopharynx which is the primary investigation used in evaluation of adenoid hypertrophy. It has the risk of exposure to radiation and the head posture may not be correct due to insufficient coordination of children. On the other hand, ultrasonography can be used to assess not only the size but also the shape and blood flow of adenoids. In this study, we have assessed the role of ultrasonography in diagnosing adenoid hypertrophy.
Objective:
To evaluate adenoid hypertrophy on X-ray Nasopharynx and ultrasonography neck.
Method:
This observational, cross-sectional study included 65 patients who presented with symptoms of adenoid hypertrophy. The antero-posterior thickness and adenoid/nasopharynx (A/N) ratio were measured on X-ray nasopharynx and ultrasonography of neck. Comparison of the findings obtained on both imaging modalities was done.
Result:
The statistical analysis was done and the correlation between X-ray and ultrasonography findings was found to be significant. On analysis of results, USG Nasopharynx was found reliable as a diagnostic tool in patients having adenoid hypertrophy and it can be used as an aid for preoperative investigation.
Conclusion:
A significant correlation was observed between the anteroposterior (AP) and adenoid nasopharyngeal ratio (ANR) values measured via both X-Ray and ultrasonography (USG). These findings suggest that USG holds promise as a reliable tool for assessing adenoid hypertrophy.
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