Correlation between Preoperative Simple Skull Lateral X-ray Findings and SymptomImprovement after Adenoidectomy.
- Author:
Yong Jae KIM
1
;
Hyeong Seok KIM
Author Information
1. Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. yjkim@www.amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Adenoidectomy;
Nasopharyngeal air-space
- MeSH:
Adenoidectomy*;
Adenoids;
Child;
Female;
Humans;
Hypertrophy;
Male;
Nasal Obstruction;
Nasopharynx;
Skull*;
Snoring;
Tonsillectomy
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
1998;41(8):1021-1024
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Obliteration of the nasopharynx by adenoid hypertrophy is the primary indication for adenoidectomy. For the documentation of nasopharyngeal adenoid tissue, various methods including radiological, aerodynamic diagnostic modalities have been utilized but are not practically effecient. The authors aimed to investigate the correlation between the shortest A-P diameter of nasopharynx in the preoperative skull lateral view and the postoperative symptom improvement and to establish the criteria for selecting adenoidectomy candidates. MATERIALS AND METHOD: We have evaluated the data from 79 children (50 males, 29 females; age range 4-14 years, mean 6.7 years), who received adenoidectomy with or without tonsillectomy by a single surgeon (senior author) from Jan. 1996 through Dec. 1996. RESULTS: The subjective symptom improvement of the nasal obstruction and snoring was more significantly remarkable in the children whose shortest A-P diameter of nasopharyngeal air-space in skull lateral view was less than 6 mm than that of the children with diameter greater than 6 mm. The subjective symptom improvement did not significantly differ with the accompaniment of palatine tonsillectomy. CONCLUSION: The simple skull lateral X-ray is useful in predicting the subjective symptom improvement and the "cut-off" value of the shortest A-P diameter of nasopharyngeal air-space would be close to 6 mm.
