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RMJ. 2013; 38(3): 286-289

Radiological evaluation (estimation) of adenoid weight; a reliable tool for assessment of candidate for adenoidectomy

Naushaba Malik, Safdar Malik, Javaid Anwar.

This study was done to determine the sensitivity and specificity of clinical and radiological assessment of adenoid weight in children. In it 55 children were selected between the ages of 3-12 years, clinical assessment scoring was done by an ENT Surgeon and graded as mild, moderate, moderately severe and severe hypertrophy and then the size of adenoid was measured by lateral neck radiograph which was calculated by radiologist. The weight of adenoid was recorded by the Surgeon after adenoidectomy. The study shows that there is a strong and significant relationship between intra-operative measurement of adenoid size and lateral radiograph of adenoids. It indicates that both clinical assessment and radiography could be used to define the relationship between adenoid hypertrophy and associated symptoms.

Key words: The adenoidal-nasopharyngeal ratio (AN ratio), Clinical assessment score (CAS), Radiological assessment score (RAS), Obstructive sleep apnea (OSAS). Airway Column (AC)

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