A New Clinical Scoring System for Adenoid Hypertrophy in Children

Iranian Journal of Otorhinolaryngology

Rima Hosseinzadehnik¹  Shervin Sharifkashani²  Payman Dabirmoghaddam³  Maryam Kheirkhah⁴ 

[1] Azad University of Dentistry. Tehran, Iran.;Department of Radiology, Amiralam Hospital, Tehran University of Medical Sciences, Tehran, Iran.;Otolaryngology Research Center, Amiralam Hospital, Tehran University of Medical Sciences, Tehran, Iran.;Postgraduate, Tehran University of Medical Sciences.;

关键词: Adenoids;    Endoscopy;    Radiography;    Signs and symptoms;    Sleep apnea syndromes;    Snoring;   

DOI  :  

来源: DOAJ

【 摘 要 】

Introduction: Chronic nasal obstruction due to adenoid hypertrophy is a very common disorder. Although the clinical assessment of adenoid hypertrophy is essential, its real value in young children is difficult to evaluate. The purpose of this prospective study was to validate a simple clinical score to predict the severity of adenoid obstruction and to evaluate the relationship between this method of clinical scoring with radiography and nasopharyngeal endoscopy.   Materials and Methods:Ninety symptomatic children were enrolled into this study. The clinical score included difficulty of breathing during sleep, apnea, and snoring. We investigated the relationship between clinical scoring, nasal endoscopy, and radiographic findings.   Results: The clinical score correlated very well with endoscopic findings (P0.05) and endoscopic findings and imaging (P>0.05) was weak.    Conclusion: Clinical findings could be used to select children for adenoidectomy, especially when endoscopic examination is not available or cannot be performed.

【 授权许可】

Unknown