A comparative study of adenoid hypertrophy by lateral radiograph for nasopharynx [soft tissues] and by rigid nasal endoscopy
Journal Title: Medpulse International Journal of ENT - Year 2018, Vol 8, Issue 2
Abstract
Background: Adenoid, also called as nasopharyngeal tonsil, Lushka’s tonsil, is located at the junction of roof and posterior wall of the naso-pharynx. It is a vertical ridge of lymphoid tissue, separated by deep clefts and lined by ciliated columnar epithelium. It is seen at birth physiologically enlarged till 6 years of age, atrophied by puberty and disappear at 20 years. Infections like recurrent rhinitis, sinusitis, tonsillitis can cause chronic Adenoid infection and hypertrophy ,which can be diagnosed by a post nasal mirror examination ,rigid nasal endoscopic examination, Lateral Radiograph for soft tissues with neck in extension ,all of them which reveal adenoid enlargement and air way compromise. There are many false negative reports with the radiological investigation. Hence this prospective study is undertaken to compare the two diagnostic modalities, i.e, x ray nasopharynx lateral view for soft tissues and diagnostic rigid nasal endoscopy[DNE] Aims and Objective: To compare adenoid hypertrophy by performing x ray nasopharynx lateral view for soft tissues and diagnostic rigid nasal Endoscopy[DNE] and to evaluate the correlation between diagnostic ability of x-ray nasopharynx lateral view for soft tissues and diagnostic nasal endoscopy. Methodology: Patients visiting Mamata General Hospital ,khammam, Telangana , India ,both pediatric and adult group [upper age limit taken below 20 years], both in -patient and out -patient departments of ENT ,Head and Neck surgery were selected as case material ,with clinical features of Nasal obstruction, Nasal discharge ,Sinusitis ,Epistaxis, Voice change ,Aural symptoms like Tubal obstruction ,Recurrent Acute Otitis Media ,Serous otitis media with fluctuating hearing loss ,general features of adenoid facies are selected. A detailed clinical examination is done, relevant investigations are carried out and comparative study is made between x ray nasopharynx lateral view for soft tissues and diagnostic rigid nasal endoscopy is done. Results: 60 patients was the sample size, all of whom were subjected to both the modalities of investigation, after entering the results in a master chart , a statistical analysis was done. In this retrograde study, non parametric kandall -Tau’s correlation value was computed using SPSS -VERSION 21 SOFTWARE, value calculated showed a result of +0.795, which is approximating to +0.8,that is very much nearer to +1 ,showing very strong and positive relation between X-ray and Rigid endoscopic grade ,which means that x-ray nasopharynx lateral view for soft tissues is nearly as reliable as Rigid endoscopy and thus can be used as reliable tool in diagnosing Adenoid hypertrophy. Conclusion: Even in this endoscopic era , x –ray nasopharynx lateral view for soft tissue can be useful and as reliable as a diagnostic tool for the diagnosis of adenoid hypertrophy, which may the only available investigation in the absence of rigid nasal endoscopic equipment.
Authors and Affiliations
S B V Chandrasekhar, Sanjay Kishve P, Sai Gayathri S
Keywords
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- EP ID EP467836
- DOI 10.26611/1016823
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