ACE grading—A proposed endoscopic grading system for adenoids and its clinical correlation
| Autor: | Mary Kurien, Ajoy Mathew Varghese, P. Naina, Syed Kamran Asif, Alan T. Cheng |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Microsurgery medicine.medical_specialty Adolescent Eustachian tube medicine.medical_treatment Adenoid Adenoidectomy 03 medical and health sciences Sleep Apnea Syndromes 0302 clinical medicine Nasopharynx 030225 pediatrics Humans Medicine CLIPS Child 030223 otorhinolaryngology Grading (education) Retrospective Studies computer.programming_language medicine.diagnostic_test business.industry Eustachian Tube Endoscopy Hypertrophy General Medicine medicine.disease Surgery medicine.anatomical_structure Otorhinolaryngology Child Preschool Adenoids Pediatrics Perinatology and Child Health Female business computer Adenoid hypertrophy |
| Zdroj: | International Journal of Pediatric Otorhinolaryngology. 83:155-159 |
| ISSN: | 0165-5876 |
| DOI: | 10.1016/j.ijporl.2016.02.002 |
| Popis: | Objectives To propose a novel endoscopic adenoid grading system using a rigid nasal endoscope and to study its correlation with the clinical diagnosis. Methodology Prerecorded video clips of rigid nasal endoscopy taken during endoscopic adenoidectomy were retrieved. Otolaryngology consultants blinded to the clinical diagnosis of the child were presented these videos and asked to grade the adenoid hypertrophy as per the proposed endoscopic ACE ( A irway/ C hoana/ E ustachian tube) grading system. The clinical diagnosis was correlated with the different aspects of the descriptive endoscopic grading system. Results 152 video clips were presented to the otolaryngology consultants for grading. The average age was 8.6 years (SD—3.48), while the male female ratio was 3:2. The A subcomponent of the ACE grading showed significant correlation with the diagnosis of sleep disordered breathing and chronic adenotonsillitis, C subcomponent with sleep disordered breathing and the E subcomponent with the diagnosis of otitis media. Conclusion The proposed endoscopic grading is easily applicable and at the same time clearly describes the relation of the adenoids to the nasopharynx, choana and Eustachian tube. Different aspects of the grading system correlated differently with the clinical diagnosis emphasizing that a descriptive scoring rather than a comprehensive scoring is a more relevant clinical tool. |
| Databáze: | OpenAIRE |
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