20 April 2004
New methods for assessment of nasopharyngeal airway in children
Marek Modrzyński, Edward ZawiszaCase Rep Clin Pract Rev 2004; 5(null):345-349 :: ID: 12364
Abstract
Background: Allergic sensitisation of the airways occurs in the mucosa of the shock organ, or in the lymphatic stations draining these structures. The lymphatic structure closest to the nasal mucosa
in humans is the adenoid. Paediatric adenoidal obstruction of the nasal airway is associated with significant morbidity and is a frequent indication for surgery.Clinical assessment of adenoidal size is difficult, and an objective measurement is desirable.Methods: The study included 39 children (17 girls and 22 boys aged between 5 and 9; mean age: 6,7 years), with signs of perennial allergic rhinitis and suspicion of adenoidal hypertrophy. We used the acoustic rhinometry to evaluate the size of adenoid in children with adenoid hypertrophy and coexisting allergic rhinitis. The method was evaluated against the degree to which the adenoids obstructed the nasopharyngeal space on flexible endoscopy of the postnasal space and the side-pharynx x-ray. To estimate the correspondence between the resultswe have used Spearman’s correlation test.Results: The results of our study and statistical analysis suggested that the acoustic rhinometry correlated very well to the endoscopic findings and the side-pharyns x-ray (p=0,852 and 0,858).Conclusions: Perennial allergic rhinitis and pharyngeal tonsil hypertrophy cause similar clinical symptoms. Acoustic rhinometry provides a good measurement of the geometry of the nasal cavity and may be still regarded as accurate and constitute objective method for adenoid assessment in allergic children.
Keywords: allergic rhinitis, adenoid, diagnostic
15
In Press
12 Feb 2024 : Case report
Diagnostic Challenges and Imaging Considerations for Intraparotid Facial Nerve Schwannoma: A Case Report an...Am J Case Rep In Press; DOI: 10.12659/AJCR.942870
12 Feb 2024 : Case report
Erdheim-Chester Disease Occult on Radiographs and CT but Visible on MRI and PETAm J Case Rep In Press; DOI: 10.12659/AJCR.941169
12 Feb 2024 : Case report
Surgical Treatment of Spontaneous Superficial Temporal Artery Arteriovenous Malformation: A Case ReportAm J Case Rep In Press; DOI: 10.12659/AJCR.942839
13 Feb 2024 : Case report
Warfarin Woes: A Rare Case of Hemoperitoneum with Intramural Small Bowel HematomaAm J Case Rep In Press; DOI: 10.12659/AJCR.943519
Most Viewed Current Articles
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
05 Mar 2022 : Case report
Acute Limb Ischemia After Self-Injection of Crushed Morphine Tablets into the Radial Artery: Role of Infrar...DOI :10.12659/AJCR.935336
Am J Case Rep 2022; 23:e935336
02 Apr 2022 : Case report
Infective Endocarditis Caused by Pseudomonas luteola in a Pediatric Patient. A Case Report and Review of Li...DOI :10.12659/AJCR.935743
Am J Case Rep 2022; 23:e935743