Objective Criteria for Radiologic Diagnosis of Epiglottitis in Korean Adults.
- Author:
Young Gi MIN
;
Yoon Seok JUNG
;
Sang Kyu YOON
;
In Cheol PARK
;
Joon Pil CHO
- Publication Type:Original Article
- MeSH:
Adult*;
Diagnosis*;
Epiglottis;
Epiglottitis*;
Foreign Bodies;
Humans;
Neck;
Pharynx;
Retrospective Studies
- From:Journal of the Korean Society of Emergency Medicine
2000;11(3):321-324
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUNDs: A retrospective study was performed to define objective radiologic parameters in diagnosing epiglottitis on soft-tissue lateral neck radiographic study. METHODS: Parameters of soft-tissue structures(epiglottis width, third vertebral body width, ratio of epiglottic width to third vertebral body width) in 30 adult patients compared with those of age and sex-matched controls with foreign body in throat whose radiographic reading was normal. RESULTS: Epiglottis width of more than 11mm, ratio of epiglottis width(EW) to the third vertebral body width(C3W) of more than 0.5 were, respectively, found to be 100% sensitive and specific in differentiating between patients with and without epiglottitis. CONCLUSION: These preliminary results suggest that EW/C3W ratio of more than 0.5, EW of more than 11mm, respectively, may be useful in the diagnosis of epiglottitis in adult patients.
