A Comparative Study of Radiograph and Nasal Endoscopy in Diagnosis of Hypertrophied Adenoids

Sarma, Nayanjyoti; Khaund, Gautam

doi:10.1007/s12070-017-1155-9

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…The most reliable diagnostic tool for mouth breathing caused by adenoids is still a matter of debate, ENT examination methods (nasal endoscopy) seem to be a quite reliable method. To refer pediatric patients for further ENT examinations, cephalometric analysis may provide valuable information regarding upper airway obstructions [4].…”

Section: Introductionmentioning

confidence: 99%

Cephalometric evaluation of adenoids and upper airway.

Soós

Kallos

Albu

et al. 2022

Acta Stomatologica Marisiensis Journal

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Cephalometric analysis performed on lateral X-ray allow orthodontists to evaluate soft tissues as well. Enlargement of adenoids, changes of the position of the tongue can be diagnosed parallel with skeletal assessment. Our purpose was to investigate the skeletal growth direction and the posterior airway depth in mouth breather patients and to underline the importance of a complex cephalometric analysis prior orthodontic treatment. 30 mouth breather patients were selected from our database (17 boys and 13 girls, age 10.8±1.2), in every case ENT examination confirmed the hypertrophy of adenoids. From the same database 30 patients with normal breathing pattern (17 boys and 13 girls, age 11.1±0.9) for the control group. For every patient, the size of the adenoids, the depth of the palate and the position of the tongue. After filtering out the outliers in GraphPad-InStat system, standard deviation (±SD) was calculated, descriptive analytical statistics were performed. Statistically significant differences were recorded regarding: 1.) the distance between adenoid vegetation and the palate (p=0.014, mouth breathers mean 9.76 ± SD 3.04; control group mean 14.38 ± SD 4.41), 2.) the distance between Sella and the adenoids (p=0.186, study group mean 33.39 ± SD 4.39; control group mean 28.38 ± SD 8.91), 3.) adenoidal-nasopharyngeal ratio (p = 0.05). Cephalometric evaluation of adenoids revealed considerable enlargement of this in mouth-breather children, meanwhile upper airway constriction will appear in the same group. Depth of the palatum will increase when breathing pattern is modified.

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Section: Introductionmentioning

confidence: 99%

Cephalometric evaluation of adenoids and upper airway.

Soós

Kallos

Albu

et al. 2022

Acta Stomatologica Marisiensis Journal

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“…Today, in pediatric otolaryngology the effect of hypertrophy and inflammation of the pharyngeal tonsil (PT) on the condition of the nasal cavity, auditory tube and pharynx [1,2,3] is well studied, rational regimens of conservative and surgical treatment have been proposed, and the state of local and general immunity [4] has been taken into account. Though, in the literature, there is practically no data on the frequency of hypertrophy of PT and its influence on the status of ENT organs in adults.…”

Section: Introductionmentioning

confidence: 99%

Results of the Ultramicroscopic Research of Adenoid Vegetations Accompanied by the Pathologies of Nasal Cavity and Paranasal Sinuses in Adults

Plakhtiienko

Smiianov

et al. 2020

Wiad Lek

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The aim: Grounding on the electronic microscopy of PT make conclusions about the tonsil activity in adults depending on the accompanied pathology of nose and PS. Materials and methods: Ultramicroscopic examination of 111 patients with PT hypertrophy aged 18–55 was done. Depending on the nose and PS pathology (inflammatory, non-inflammatory) patients’ PS biopsic materials were distributed into 2 groups: 58 cases on inflammatory and 53 on non-inflammatory background. The control group consisted of 24 patients aged 18 without nose and PS pathology. The images of ultrathin PT sections were received with the help of transmission electronic microscope PEM – 125 with digital camera (SELMI, Sumy). Results: Great variations in PT cell condition, depending on the pathology were distinguished. Features of the adenoiditis in inflammatory and non-inflammatory diseases of nose and PS were proved. Conclusions: 1. PT ultra-microscopy in control group shows great activity of lymphocytes and high energy exchange of cells, with prevailing B-lymphocyte population. 2. The complex of PT ultra structural changes while nose and PS inflammatory diseases shows the activation of immune reaction in competent cells with T-lymphocyte increase in patients older than 25, which witnesses chronic inflammation. 3. In group with nose and PT non-inflammatory diseases, activity of PT B-lymphocytes is unchanged accompanied by the T-lymphocytes growth, which is also characteristic for chronic inflammation

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“…Enlarged adenoids can obstruct the airway resulting in nasal obstruction of varying degree, mouth breathing, snoring, nasal discharge, and nasal intonation of voice. Hypertrophied adenoids can also result in varied otologic symptoms due to blockage of Eustachian tube [4,5].…”

Section: Introductionmentioning

confidence: 99%

Adenoid Hypertrophy in Adults- A Prospective Study

Shastry¹,

Malali²,

Joy³

et al. 2020

SJO

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Adenoid enlargement is uncommon in adults and because examination of nasopharynx by indirect posterior rhinoscopy is inadequate, many cases of enlarged adenoid in adults are misdiagnosed and accordingly maltreated. Though adenoid hypertrophy is rare in adults, all patients presenting with nasal obstruction should undergo diagnostic nasal endoscopic examination. In the presence of hypertrophied adenoids, though the other causes of nasal obstruction are treated, symptoms may not be relieved unless patient undergoes adenoidectomy. In the present study, 36 cases of adenoid hypertrophy in adult patient is presented along with the review of literature.

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A Comparative Study of Radiograph and Nasal Endoscopy in Diagnosis of Hypertrophied Adenoids

Cited by 3 publications

References 8 publications

Cephalometric evaluation of adenoids and upper airway.

Cephalometric evaluation of adenoids and upper airway.

Results of the Ultramicroscopic Research of Adenoid Vegetations Accompanied by the Pathologies of Nasal Cavity and Paranasal Sinuses in Adults

Adenoid Hypertrophy in Adults- A Prospective Study

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