Study on Adenoids hypertrophy by using Plain X-ray.

Abstract

Adenoid hypertrophy is a common disorder seen in children manifesting clinically by bilateral nasal block, snoring during sleep, mouth breathing, and difficulty in breathing during sleep and sleepapnea. Due to non-cooperation by children for physical examination, often diagnosis is based mainly on radiological investigation. We conducted study to evaluate the relation between clinical symptoms severity score In relation to the size of the adenoid with nasopharyngeal size. The symptoms included for clinical severity scoring is bilateral nasal obstruction, mouth breathing, snoring during sleep, sleep apnea (Frequent awakening during sleep) and difficulty in breathing during sleep. Each symptom was graded based on the number of days affected in a week. Lateral x-ray Nasopharynx investigation was done for the estimation of adenoid and nasopharyngeal size. 50 patients were included in the study with 35 boys and 15 girls aged 4 to 12 years, the clinical symptoms severity score correlated well with adenoid nasopharyngeal ratio (person correlation). The presence of statistically significant correlation between the Clinical symptoms severity score and Adenoid-nasopharynx ratio, according to the moral standards of moral significance statistical sig, all of which were less than (0.05). So significant correlation was observed between clinical severity score and adenoid nasopharynx ratio. Clinical symptom severity score is a valuable tool for the prediction of significant adenoid hypertrophy.