García-De la Cruz MA, Castillo-Ventura BB, Prado-Calleros HM, Cárdenas-Lailson E

Language: Spanish
References: 10
Page: 44-50
PDF size: 366.63 Kb.

ABSTRACT

Background: The adenoids are part of the secondary immune system. The diagnostic evaluation consists of the performance of ancillary studies such as the lateral neck radiograph, nasopharyngoscopy and nasopharyngeal touch.
Objective: To correlate data from lateral neck radiograph and nasopharyngoscopy with surgical palpation of the nasopharynx to substantiate the degree of obstruction of adenoidal hypertrophy.
Material and method: A retrospective study was made in which were reviewed the clinical records of 175 patients operated between January 2008 and March 2011 in the Department of Otolaryngology Head and Neck Surgery of the General Hospital Dr. Manuel Gea Gonzalez, Mexico City, of adenoidectomy or adenotonsillectomy. The study protocol included surgical record sheet, lateral neck radiography nasopharyngoscopy and clinical data of adenoid hypertrophy (oral breathing, nasal voice, snoring, adenoid facies). Correlation tests were performed between the findings on lateral neck radiographs evaluated by the principal investigator, nasopharyngoscopy based on data obtained in the clinical records and surgical findings reported in surgical record sheet. Statistical analysis was performed using the Spearman correlation coefficient with the program SPSS.
Results: We included 107 patients treated surgically in the evaluated period; 60 patients were male. The correlation between surgical palpation and lateral neck radiography was low 0.192 p‹0.05. The correlation between surgical palpation and nasopharyngoscopy was intermediate, 0.570 p‹0.01. The correlation between the lateral neck radiographs and nasopharyngoscopy was low 0.186 p‹0.05.
Conclusions: The best method of evaluation is intraoperative palpation. However, to document the degree of adenoid hypertrophy preoperatively, the best method is nasopharyngoscopy.

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