Al-Ammar Ahmed Yousif, Shebib Deena, Bokhari Manal, Jomah Mohammed
Otolaryngology, H&N Surgery,, King Saud University, Riyadh, Saudi Arabia. ahmedalamma2hotmail.com
Ann Saudi Med. 2013 May-Jun;33(3):265-7. doi: 10.5144/0256-4947.2013.265.
To assess the possibility of adenoid size asymmetry in both nasal sides by nasopharyngoscopy.
This is a prospective study involving 100 children, with age ranging between 1 and 12 years, performed in Saudi Arabia between January 2010 and December 2011.
Adenoid was examined and graded I-IV in relation to posterior choana bilaterally by flexible nasopharyngoscopy. The adenoid grade was compared with the other side in each child.
The findings from endoscopy were analyzed: there was a high degree of agreement in grading both sides, that was 92% with kappa=0.868. Moreover, there was grade asymmetry in 8% of the cases.
Adenoid grading using flexible nasopharyngoscopy through one side of the nose may not represent the adenoid grade of the other side in all cases.
通过鼻咽镜检查评估双侧鼻腔腺样体大小不对称的可能性。
这是一项前瞻性研究，涉及100名年龄在1至12岁之间的儿童，于2010年1月至2011年12月在沙特阿拉伯进行。
通过软性鼻咽镜检查双侧后鼻孔相关的腺样体，并将腺样体分级为I-IV级。比较每个儿童两侧的腺样体分级。
分析内镜检查结果：两侧分级有高度一致性，kappa值为0.868，一致性为92%。此外，8%的病例存在分级不对称。
通过一侧鼻腔使用软性鼻咽镜进行腺样体分级，在所有情况下可能无法代表另一侧的腺样体分级。
