Hostname: page-component-6766d58669-mzsfj Total loading time: 0 Render date: 2026-05-17T22:22:29.869Z Has data issue: false hasContentIssue false
  • English
  • Français

Adenoids: comparison of radiological assessment methods with clinical and endoscopic findings

Published online by Cambridge University Press:  29 June 2007

P. J. Wormald  and
C. A. J. Prescott
P. J. Wormald*
Affiliation:
Cape Town, South Africa
C. A. J. Prescott
Affiliation:
Cape Town, South Africa
*
Dr P. J. Wormald, Department of Otolaryngology, Groote Schuur Hospital, Observatory 7925, South Africa.
Get access Rights & Permissions [Opens in a new window]

Abstract

Methods of evaluating adenoidal size pre-operatively are controversial. Symptoms and clinical evaluation have been both advocated and condemned. Depending on the methodology, measurement of the radiological adenoidal shadow has been difficult to correlate with the clinical patency of the nasopharyngeal airway and to the actual size of the removed adenoid.

Four different methods were used to measure the adenoidal size on 74 radiographs. The methods were evaluated against the degree to which the adenoids obstructed the nasopharynx on flexible endoscopy of the postnasal space. Obstructive symptomatology was also evaluated against the degree of obstruction.

The radiological method that best correlated to the endoscopic findings was that of Cohen and Konak (1985). However, obstructive symptomatology had the overall highest correlation to endoscopic findings.

Keywords

AdenoidsRadiographyNasal endoscopy

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 4 , April 1992 , pp. 342 - 344
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Brodsky, L. (1989) Modern assessment of tonsils and adenoids. Paediatric Clinics of North America, 36: 1551–1569.CrossRefGoogle ScholarPubMed
Cohen, D., Konak, S. (1985) The evaluation of radiographs of the nasopharynx. Clinical Otolaryngology, 10: 73–78.CrossRefGoogle ScholarPubMed
Crepeau, J., Patriquin, H., Poliquin, J., Tetreault, L. (1982) Radiographic evaluation of the symptom—producing adenoid. Otolaryngology—Head and Neck Surgery, 90: 548–554.CrossRefGoogle ScholarPubMed
Elwany, S. (1987) The adenoidal-nasopharyngeal ratio (A–N ratio). Journal of Laryngology and Otology, 101: 569–573.CrossRefGoogle Scholar
Epstein, L., Botha, J., Yach, D. (1988) An introduction to clinical epidemiology. South Africa Medical Journal, 74: 178–180.Google ScholarPubMed
Fujioka, M., Young, L., Girdany, B. (1979) Radiographic evaluation of adenoidal size in children: adenoidal-nasopharyngeal ratio. American Journal of Radiology, 133: 401–404.Google ScholarPubMed
Hibbert, J. (1977) The current status of adenoidectomy: a survey among otolaryngologists. Clinical Otolaryngology, 2: 239–247.CrossRefGoogle ScholarPubMed
Hibbert, J. (1981) The occurrence of adenoidal signs and symptoms in normal children. Clinical Otolaryngology, 6: 97–100.CrossRefGoogle ScholarPubMed
Hibbert, J., Tweedie, M. (1977) The value of signs and symptoms in the diagnosis of enlarged adenoids. Clinical Otolaryngology, 2: 297–304.CrossRefGoogle ScholarPubMed
Hibbert, J., Stell, P. (1979) A radiological study of the adenoid in normal children. Clinical Otolaryngology, 4: 321–327.CrossRefGoogle ScholarPubMed
Johannesson, S. (1968) Roentgenologic investigation of the nasopharyngeal tonsil in childrenof different ages. Ada Radiologica, 7: 299–304.Google Scholar
Maw, A., Jeans, W., Fernando, D. (1981) Inter-observer variability in the clinical and radiological assessment of adenoid size, and the correlation with adenoid volume. Clinical Otolaryngology, 6: 317–322.CrossRefGoogle ScholarPubMed
Rutkow, I. (1986) Ear, nose and throat operations in the United States. Archives of Otolaryngology, 112: 873–876.CrossRefGoogle ScholarPubMed
Tankel, J., Cheesman, A. (1986) Symptom relief by adenoidectomy and relationship to adenoid and post-nasal airway size. Journal of Laryngology and Otology, 100: 637–640.CrossRefGoogle ScholarPubMed