Authors : Shahin Abdollahi-Fakhim , Masood Naderpoor , Nikzad Shahid , Reza Javadrashid , Omid Mashrabi and Majid Ravaghi
Abstract: Adenoid hypertrophy is one of the most common diseases in the pediatric population, and can cause nasal obstruction, snoring, mouth breathing, and alteration in facial development in children. Flexible fiberoptic nasolaryngoscopey was the gold standard method for evaluation of adenoid and nasopharyngeal obstruction. The aim of this study was evaluation results and agreement of flexible flexible fiberoptic nasolaryngoscopey, Adenoid lateral x-ray and intraoperative observation diagnosis of adenoid hypertrophy and its intensity. In a cross-sectional and descriptive-analytical study, 50 pediatric patients who had suffered from nasal obstruction and mouth breathing were selected in this study to undergo adenoidectomy. The size of adenoid measured by flexible fiberoptic nasolaryngoscopey, lateral neck radiography and intraoperative observation of adenoid size. Results of three studied methods in diagnosis of adenoid hypertrophy and its severity were compared. Twenty two of patients were boy and 28 of them were girl. Mean age of patients was 6.26 � 1.81 year in the range of 3-12 year. The agreement rate of Lateral Neck Radiography in determination of adenoid hypertrophy with intraoperative observation of adenoid size and flexible fiberoptic nasolaryngoscopey was 70 and 50%, respectively and between flexible fiberoptic nasolaryngoscopey and intraoperative observation of adenoid size was 72% and between three methods was 48%. The agreement rate of each three methods in diagnosis of adenoid hypertrophy was 100%. Significantly strong correlation was found between intraoperative observation of adenoid size with lateral neck radiography and flexible fiberoptic nasolaryngoscopey and poor correlation was found between Lateral Neck Radiography and flexible fiberoptic nasolaryngoscopey.
Shahin Abdollahi-Fakhim , Masood Naderpoor , Nikzad Shahid , Reza Javadrashid , Omid Mashrabi and Majid Ravaghi , 2008. Assessment of Adenoid Size in Children. Research Journal of Biological Sciences, 3: 747-749.