Open‑mouth versus closed‑mouth X‑ray in the evaluation of adenoid hypertrophy
Article Sidebar
Views | PDF/EPUB Downloads:
33
/ 20
/ 9
Main Article Content
Abstract
Aims: This study aimed to compare the outcomes of open‑mouth and closed‑mouth X‑rays concerning the detection of hypertrophic adenoids and decision‑making about adenoidectomy as this has been insufficiently explored.
Materials and Methods: In the otolaryngology ward, 140 patients with chronic difficulty in breathing were divided into two groups (open‑mouth and closed‑mouth X‑rays). Analyze the t‑test for adenoid thickness, nasopharyngeal diameter, and soft palate (SP) thickness in both groups.
Statistical Analysis Used: Comparison between open‑mouth and closed‑mouth groups was statistically significant for the detection of nasopharyngeal diameter(P = 0.015) but not for adenoid thickness(P = 0.062) and SP thickness (P = 0.176).
Results: The total clinical score in diagnosing hypertrophied adenoid was not significant between the two groups (P = 0.257).
Conclusions: Diagnosis and decision‑making about adenoidectomy cannot be determined solely through radiographic imaging techniques.
Downloads
Article Details
Section
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
References
1. Pachêco‑Pereira C, Alsufyani NA, Major MP, Flores‑Mir C. Accuracy and reliability of oral maxillofacial radiologists when evaluating cone‑beam computed tomography imaging for adenoid hypertrophy screening: A comparison with
Med Oral Pathol Oral Radiol 2016;121:e168‑74.
2. Pereira L, MonyrorJ, Almeida FT, Almeida FR, Guerra E, Flores‑Mir C, et al. Prevalence of adenoid hypertrophy: A systematic
meta‑analysis. Sleep Med Rev 2018;38:101‑12.
3. Feres MF, Hermann JS, Cappellette M Jr., Pignatari SS. Lateral X‑ray view of the skull for the diagnosis of adenoid hypertrophy: A systematic review. Int J Pediatr Otorhinolaryngol 2011;75:1‑11.
4. Lessa FC, Enoki C, Feres MF, Valera FC, Lima WT, Matsumoto MA. Breathing mode influence in craniofacial development. Braz J Otorhinolaryngol 2005;71:156‑60.
5. Dixit Y, Tripathi PS. Community level evaluation of adenoid hypertrophy on the basis of symptom scoring and its X‑ray correlation. J Family Med Prim Care 2016;5:789‑91.
6. Apaydin FD, Ozgür A, Yildiz A, Kuyucu S, Duce MN, Ozer C, et al.Open‑mouth versus closed‑mouth radiographs of the nasopharynx in the evaluation of nasopharyngeal airway obstruction. Clin Imaging 2003;27:382‑5.
7. Cohen D, Konak S. The evaluation of radiographs of the nasopharynx. Clin Otolaryngol Allied Sci 1985;10:73‑8.
8. Yueniwati Y, Halim N. Diagnostic test value of assessment adenoid enlargement with and without airway obstruction using lateral soft tissues X‑ray compared to nasoendoscopy. Indian J Otolaryngol Head Neck Surg 2019;71:1739‑44.
9. Aljahdali AA, Reda AS, Ahmad RG, Barnawi RA, Abduljabbar AH, WazzanMA. Correlation between Clinical and radiographic findings in the assessment of adenoid hypertrophy. JEvol Med Dent Sci 2020;9:378‑83.
10. Xi J, Yuan JE, Zhang Y, Nevorski D, Wang Z, Zhou Y. Visualization and quantification of nasal and olfactory deposition in a sectional adult nasal airway cast. Pharm Res 2016;33:1527‑41.
11. Kurien M, Lepcha A, Mathew J, Ali A, Jeyaseelan L. X‑Rays in the evaluation of adenoid hypertrophy: It’s role in the endoscopic era. Indian J Otolaryngol Head Neck Surg 2005;57:45‑7.
12. Lourenço EA, Lopes Kde C, Pontes A Jr., Oliveira MH, Umemura A, Vargas AL. Comparison between radiological and nasopharyngolaryngoscopic assessment of adenoid tissue volume in mouth breathing children. Braz J Otorhinolaryngol 2005;71:23‑7.
13. Kubba H, Bingham BJ. Endoscopy in the assessment of children with nasal obstruction. J Laryngol Otol 2001;115:380‑4.