Anil S Harugop1, Samanvaya Soni2* and Tejaswini JS2
1Professor and Head, Department of ENT and Head and Neck Surgery, J.N. Medical
College, KLE Academy of Higher Education and Research, Belagavi, Karnataka, India
2Post-graduate, Department of ENT and Head and Neck Surgery, J.N. Medical College, KLE Academy of Higher Education and Research, Belagavi, Karnataka, India
*Corresponding Author: Samanvaya Soni, Post-graduate, Department of ENT and Head and Neck Surgery, J.N. Medical College, KLE Academy of Higher Education and Research, Belagavi, Karnataka, India.
Received: April 17, 2020; Published: June 22, 2020
Introduction: The adenoids are lymphoid tissue associated with hypertrophy and nasal obstruction following recurrent upper respiratory infections. The evaluation of adenoids on physical examination is challenging and hence radiographs and diagnostic nasal endoscopy have come up as useful tools to confirm the diagnosis and plan for surgery.
Materials and Methodology: In the present study we have compared the diagnostic efficacy of x-ray nasopharynx lateral view and nasal endoscopy towards the assessment of adenoid size.
Results: 62 patients have been included and by kappa analysis there is 82.3% agreement between x-ray assessment and endoscopic grading. Sensitivity and specificity of endoscopic assessment is 78.75% and 86.96% respectively.
Conclusion: In a child with sleep disordered breathing both x-ray nasopharynx and diagnostic nasal endoscopy provide similar diagnostic efficacy, however the use of endoscope aids to the accuracy of identifying the involvement of eustachian tube orifice and obstruction of nasal choana without the exposure of ionizing radiations.
Keywords: Adenoids; X-Ray Nasopharynx; Nasoendoscopy; Fujioka Method; Cohen Konak Method
Citation: Samanvaya Soni., et al. “Efficacy of Nasoendoscopy Over X-Ray Nasopharynx in Diagnosing Adenoid Hypertrophy". Acta Scientific Otolaryngology 2.7 (2020): 19-24.
Copyright: © 2020 Samanvaya Soni., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.