Adenoidectomy: Selection Criteria for Surgical Cases of Otitis Media

Nguyen, Lily H. P.; Manoukian, John J.; Yoskovitch, Adi; Al-Sebeih, Khalid

doi:10.1097/00005537-200405000-00014

Cited by 59 publications

(53 citation statements)

References 12 publications

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“…Based on the clinical and endoscopic ear, nose, and throat (ENT) examination performed by two otorhinolaryngologists in the first consultation, mouth breathing was confirmed, and nasopharyngeal obstruction by adenoidal tissue was classified into one of three categories: mild (,50%), moderate (50%-75%), and severe (.75%). 24 Ninety children were then randomly selected, 30 from each of the three nasopharyngeal obstruction categories. To test the correlation coefficient and agreement between LCR and FFE, children were grouped into three age categories (3-5 years, 6-8 years, and 9-12 years).…”

Section: Subjectsmentioning

confidence: 99%

Reliability of subjective, linear, ratio and area cephalometric measurements in assessing adenoid hypertrophy among different age groups

Souki

Franco

et al. 2012

The Angle Orthodontist

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Objective: To test the validity of four different types of lateral cephalometric radiograph (LCR) measurements as a diagnostic test of adenoid hypertrophy in different age groups of mouthbreathing children. Materials and Methods: Eighty-six mouth-breathing children (male 54.65%, mean age 7.0 6 2.2 years) were randomly selected from a hospital population. Adenoid obstruction of the nasopharynx was evaluated by subjective, linear, ratio, and area LCR measurements. Each measurement was compared with flexible fiberoptic endoscopy diagnosis. Results: Kendall correlation coefficients for agreement between tests were $ 0.67 and kappa scores were substantial ($ 0.64). Higher correlation coefficients and agreement values were found in older age groups. When the sample was stratified by age, the 3-to 5-year-old age group showed lower correlation coefficients and agreement strength for subjective, linear, and ratio measurements. The sensitivity of LCR varied from 71% (ratio) to 84% (linear). The specificity varied from 83% (linear) to 97% (ratio). The positive predictive value varied from 88% (linear) to 97% (ratio). The negative predictive value varied from 70% (ratio) to 78% (linear). The validity of each measure was different among the age groups. Conclusions: LCR is a valid method for measuring adenoid hypertrophy in children from 6 to 12 years old. The diagnosis of adenoid hypertrophy, based on LCR measurements, in children with primary dentition (3-5 years old) should be made with caution. The combination of linear and ratio LCR measurements is a reliable screening tool to determine the need for an ear, nose, and throat evaluation. (Angle Orthod. 2012;82:1001-1007

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Section: Subjectsmentioning

confidence: 99%

Reliability of subjective, linear, ratio and area cephalometric measurements in assessing adenoid hypertrophy among different age groups

Souki

Franco

et al. 2012

The Angle Orthodontist

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“…In addition, an enlarged adenoid may obstruct the orifices of eustachian tubes and contribute to the pathogenesis of chronic otitis media with effusion [2]. Thus, the adenoid has a critical location in the nasopharynx in close proximity to the eustachian tubes, which serve as the entry of pathogenic microbes into the middle ear.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, the adenoid has a critical location in the nasopharynx in close proximity to the eustachian tubes, which serve as the entry of pathogenic microbes into the middle ear. Removal of an enlarged or chronically infected adenoid by adenoidectomy has been reported to be effective in the resolution of chronic otitis media with effusion in children older than 4 years of age [2][3][4]. Adenoidectomy also has been reported to be effective in the treatment of children with recurrent otitis media who previously received tympanostomy tubes [5].…”

Section: Introductionmentioning

confidence: 99%

Role of Adenoidectomy in Otitis Media and Respiratory Function

Mattila

2010

Curr Allergy Asthma Rep

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Adenoidectomy is among the most frequent surgical procedures performed on children. The rationale for adenoidectomy is to remove a chronically infected or enlarged and obstructing adenoid. Adenoidectomies are performed on children who have recurrent or chronic otitis media with effusion, on children with chronic rhinosinusitis, and on children with nasopharyngeal obstruction causing sleep disturbances and continuous mouth breathing. Various underlying factors that lead to adenoidectomy are also associated with asthma. Asthma is associated with recurrent respiratory tract infections predisposing individuals to recurrent or chronic otitis media and chronic rhinosinusitis. Children with asthma also have an increased risk of sleep-disordered breathing that is treated with adenoidectomy in the presence of nasopharyngeal obstruction. In nonasthmatic children, adenoidectomy does not influence the development of IgE-mediated allergy, bronchial hyperreactivity, or exhaled nitric oxide concentrations, all of which are surrogate asthma markers. Adenoidectomy in selected asthmatic children may relieve comorbidities associated with asthma.

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“…7,8 Recurrent infections can cause functional, morphological and histological changes in adenoid which sometime even needs surgical intervention to overcome the clinical manifestations induced by adenoid disorders. [9][10][11] Recurrent adenoid tissue infections without nasopharyngeal obstruction may also lead to acute OME which supports the theory of adenoids can act as a reservoir for pathogens. 12,13 Adenoid enlargement remains the most important cause of nasal obstruction which can lead to OME and Eustachian tube dysfunction.…”

Section: Introductionmentioning

confidence: 66%

Untitled

2016

Zanco J Med Sci

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Adenoidectomy: Selection Criteria for Surgical Cases of Otitis Media

Abstract: This study demonstrates that the position of hypertrophied adenoids may alter the final otologic outcome of patients requiring PET insertion for OM. Patients with adenoids abutting the torus tubaris may benefit most from an adjuvant adenoidectomy.

Cited by 59 publications

References 12 publications

Reliability of subjective, linear, ratio and area cephalometric measurements in assessing adenoid hypertrophy among different age groups

Reliability of subjective, linear, ratio and area cephalometric measurements in assessing adenoid hypertrophy among different age groups

Role of Adenoidectomy in Otitis Media and Respiratory Function

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