THE COMPARATIVE ROLES OF X-RAY NASOPHARYNX AND NASAL ENDOSCOPY IN DIAGNOSIS OF ADENOID HYPERTROPHY

Abstract

Objective:

The objective of this study was to compare the diagnostic efficacy of traditional X-ray Nasopharynx with upcoming Nasal endoscopy in grading of adenoid hypertrophy.

Materials & Methods:

It is a prospective study of 40 school going children with symptoms and signs suggestive of adenoid hypertrophy. The preoperative grading of adenoid hypertrophy was done on Xray nasopharynx lateral view which was compared with a preoperative adenoid grading done with the rigid nasal endoscopy.

Results:

A proper grading technique of adenoid hypertrophy as cited by Fujioka et al on X ray nasopharynx makes it an excellent diagnostic tool which is in comparison to direct visualisation and grading with nasal endoscopy. The comparison is statistically significant with p<0.005.

Conclusion:

The roles of X-ray nasopharynx and preoperative nasal endoscopy are both complementary and supplementary in the diagnosis and grading of adenoid hypertrophy.

Keywords: Adenoid hypertrophy, Nasal endoscopy, X-ray Nasopharynx