Adenoid size assessment: a comparison of palpation, nasendoscopy and mirror examination
| Autor: | Hajioff D, S Lew-Gor, Caulfield H, Chisholm Ej |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
Adolescent Adenoid Mirror examination Palpation Severity of Illness Index Adenoidectomy otorhinolaryngologic diseases medicine Humans In patient Prospective Studies Child medicine.diagnostic_test business.industry Infant Endoscopy Hypertrophy Surgery medicine.anatomical_structure Otorhinolaryngology Child Preschool Adenoids Radiology Nasal Obstruction business |
| Zdroj: | Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-LaryngologyCervico-Facial Surgery. 30(1) |
| ISSN: | 1749-4478 |
| Popis: | To compare the digital, mirror and nasendoscopic assessment of adenoid size and posterior choanal obstruction in patients undergoing adenoidectomy.Prospective, blinded study.Otorhinolaryngology department at a London teaching hospital.Twenty-eight consecutive patients undergoing adenoidectomy in conjunction with tonsillectomy or myringotomy under general anaesthesia, aged 17 months to 16 years.Adenoid size and postnasal space obstruction as assessed by digital examination, nasendoscopy and trans-oral mirror visualization. These examination methods were each compared with each other.Nasendoscopy and mirror examination correlated well (Spearman's R(S) = 0.71, P0.0001) but Passing and Bablock regression analysis demonstrated that mirror examination consistently underestimated the degree of choanal obstruction in comparison with nasendoscopy. There was no significant correlation between nasendoscopy and palpation (R(S) = 0.26, P = 0.17) and only a moderate correlation between mirror examination and palpation (R(S) = 0.46, P = 0.014).If nasendoscopy is considered the gold standard, then palpation is a poor measure of adenoid hypertrophy and mirror examination consistently underestimates choanal occlusion. |
| Databáze: | OpenAIRE |
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