Wang D Y, Bernheim N, Kaufman L, Clement P
Department of Otorhinolaryngology, University Hospital, Free University Brussels, Belgium.
Clin Otolaryngol Allied Sci. 1997 Apr;22(2):172-7. doi: 10.1046/j.1365-2273.1997.00002.x.
In order to investigate the relationship between the size of the adenoid and upper respiratory symptoms in children, fibreoptic examination of the nasal cavity and nasopharynx was performed in 817 children. The size of the adenoid was classified into three categories according to the distance between the vomer and the adenoid tissue. There was a significant relation between the size of the adenoid and the complaints of nasal obstruction (P < 0.001) and of snoring (P < 0.001), but not with the presence of purulent sinusitis. In the whole population, the size of the adenoid correlated well with the results of tympanometry (P < 0.001), but this does not hold in all age groups. This study has confirmed adenoid hypertrophy as a common aetiological factor in children with the complaints of nasal obstruction and snoring. The enlargement of the adenoid only partially explains the occurrence of otitis media with effusion. The introduction of the flexible fibrescope in the examination of the nasal cavity and nasopharynx in children is of great clinical value, especially in the selection of children for adenoidectomy. It is a minor invasive examination well tolerated by most children, giving more information than a lateral skull radiograph and avoiding unnecessary radiation.
为了研究儿童腺样体大小与上呼吸道症状之间的关系，对817名儿童进行了鼻腔和鼻咽部的纤维内镜检查。根据犁骨与腺样体组织之间的距离，将腺样体大小分为三类。腺样体大小与鼻塞主诉（P < 0.001）和打鼾主诉（P < 0.001）之间存在显著关系，但与化脓性鼻窦炎的存在无关。在总体人群中，腺样体大小与鼓室导抗图结果密切相关（P < 0.001），但并非在所有年龄组中均如此。本研究证实腺样体肥大是鼻塞和打鼾儿童的常见病因。腺样体增大仅部分解释了分泌性中耳炎的发生。在儿童鼻腔和鼻咽部检查中引入软性纤维内镜具有重要的临床价值，尤其是在选择腺样体切除术患儿时。这是一项大多数儿童耐受性良好的微创检查，比头颅侧位片提供更多信息，且避免了不必要的辐射。
