Adamu Auwal, Jibril Yasir Nuhu, Hasheem Muhammad Ghazali, Abdullahi Hamisu, Salisu Abubakar Danjuma, Nwaorgu Onyekwere George B
Department of Otorhinolaryngology Head & Neck Surgery, Abubakar Tafawa Balewa University/Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria.
Department of Otorhinolaryngology, Aminu Kano Teaching Hospital, Kano, Nigeria.
J West Afr Coll Surg. 2020 Oct-Dec;10(4):6-10. doi: 10.4103/jwas.jwas_37_22. Epub 2022 Jun 8.
Obstructive adenoid hypertrophy is one of the commonest disorder seen in paediatric otorhinolaryngology clinics. It has a wide range of complications that can lead to cardiopulmonary and developmental problems; hence, early diagnosis and treatment are paramount in preventing the complications. Several modalities for the assessment of adenoid hypertrophy have been described in the literature, of which plain radiograph and flexible nasopharyngoscopy are the most popular. In this study, traditional method of evaluating adenoid hypertrophy (plain radiograph) has been compared with newer flexible nasopharyngoscopy.
This is a cross-sectional study of randomly selected children with clinical diagnosis of obstructive adenoid disease. All eligible participants underwent clinical examinations, flexible nasopharyngoscopy and postnasal space X-ray. The findings were compared using the chi-square test and Pearson's correlation test.
The age of the participants ranged between 2 and 10 years with mean of 4.5 ± 2.5 years. There were 79 (56.4%) males and 61 (43.6%) females. The adenoid hypertrophy observed using flexible nasopharyngoscopy among the participants ranged between 20 and 90% with mean of 67.4 ± 15.4%. The adenoid enlargement measured using adenoidal-nasopharyngeal ratio on plain radiograph ranged between 0.40 and 0.96 with mean of 0.7 ± 0.09. The Pearson's correlation test revealed strong correlation between flexible nasopharyngoscopy and plain radiograph ( = 0.858, = .000), and there was statistically significant association between the two methods ( = 148.8, = .000).
There was a strong correlation between flexible nasopharyngoscopy and plain radiograph of the postnasal space in the assessment of obstructive adenoid disease in children.
阻塞性腺样体肥大是小儿耳鼻咽喉科门诊最常见的疾病之一。它有多种并发症，可导致心肺和发育问题；因此，早期诊断和治疗对于预防并发症至关重要。文献中描述了几种评估腺样体肥大的方法，其中普通X线片和纤维鼻咽喉镜检查最为常用。在本研究中，将评估腺样体肥大的传统方法（普通X线片）与更新的纤维鼻咽喉镜检查进行了比较。
这是一项对临床诊断为阻塞性腺样体疾病的儿童进行随机抽样的横断面研究。所有符合条件的参与者均接受了临床检查、纤维鼻咽喉镜检查和鼻后间隙X线检查。使用卡方检验和Pearson相关检验对结果进行比较。
参与者的年龄在2至10岁之间，平均年龄为4.5±2.5岁。男性79例（56.4%），女性61例（43.6%）。参与者中通过纤维鼻咽喉镜检查观察到的腺样体肥大范围在20%至90%之间，平均为67.4±15.4%。通过普通X线片上的腺样体-鼻咽比值测量的腺样体增大范围在0.40至0.96之间，平均为0.7±0.09。Pearson相关检验显示纤维鼻咽喉镜检查与普通X线片之间存在强相关性（r = 0.858，P = .000），且两种方法之间存在统计学显著关联（χ² = 148.8，P = .000）。
在评估儿童阻塞性腺样体疾病时，纤维鼻咽喉镜检查与鼻后间隙普通X线片之间存在强相关性。
