Comparison of adenoid size in lateral radiographic, pathologic, and endoscopic measurements.
Comparison of adenoid size in lateral radiographic, pathologic, and endoscopic measurements.
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DOI：
10.19082/6935
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发表时间：
2018-06
影响因子：
--
通讯作者：
Golboie SH
中科院分区：
文献类型：
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作者：
Talebian S;Sharifzadeh G;Vakili I;Golboie SH
中耳炎 (OM) 是一种主要的健康问题，通常由腺样体肥大引起。诊断基于口呼吸等症状和颈侧位X光检查（LNR）等影像学研究。腺样体-鼻咽比（A/N比）是LNR研究中最重要和最广泛使用的标准之一，可以估计腺样体测量的真实大小。然而，对于 OM 患者管理中的 LNR 规则存在巨大争议。本研究旨在确定渗出性中耳炎（OME）患儿的腺样体鼻咽比值（A/N比值）及其与不同因素的关系。这是一项针对 OME 疑似需要腺样体切除术的儿童的横断面研究。该研究于 2016 年秋季至冬季针对转诊至马什哈德医科大学耳鼻喉科诊所的患者进行。手术前，所有儿童均接受标准 LNR 和间接喉镜检查，以评估腺样体大小、鼻咽长度和 A/N 比。腺样体切除术后，进行病理分析以评估病理大小。使用SPSS 21进行数据分析，使用Pearson相关性、独立t检验和Mann-Whitney U检验（p<0.05被认为显着）。共有27名儿童入学。大多数患者为男性（70.4%，平均年龄=7.81±2.52岁）。研究中的所有患者都有症状，最常见的症状是张口呼吸（100%）。平均A/N比、病理腺样体大小和喉镜腺样体大小分别为0.825±0.099、18.22±5.97和5.33±19.15 mm。喉镜腺样体大小 A/N 比值 (r=+0.46, p=0.01) 与病理腺样体大小 (r=+0.44, p=0.02) 之间存在显着相关性。本研究结果表明，A/N比值可以用来估计腺样体的实际大小以及腺样体切除的必要性。考虑到这种诊断方法的合理成本和可用性，研究人员建议使用这种程序来评估 OME 患者。
Otitis media (OM) is a major health problem that usually results from adenoid hypertrophy. Diagnosis is based on symptoms like mouth breathing and imaging studies like lateral neck radiography (LNR). Adenoid-nasopharyngeal ratio (A/N ratio) is one of the most important and most widely used criteria in LNR study that could estimate the real size of adenoid gland measurements. However, there are huge controversies regarding LNR rules in the management of patients with OM. This study aimed to determine Adenoid Nasopharyngeal Ratio (A/N ratio) in children with otitis media with effusion (OME) and its relation with different factors. This was a cross-sectional study on OME suspected children who needed adenoidectomy. The study was conducted from the fall to winter of 2016 on patients referred to ENT clinics of Mashhad University of Medical Sciences. Before surgery, all children underwent standard LNRs and indirect laryngoscopy to assess adenoidal size, and nasopharyngeal length, and A/N ratio. After adenoidectomy, pathologic analysis was performed for assessment of pathologic size. SPSS 21 was used for data analyzing using Pearson’s correlation, independent t test and Mann-Whitney U test (p<0.05 was considered significant). A total of 27 children were enrolled. Most of the patients were male (70.4%, mean age=7.81±2.52 year). All patients in the study were symptomatic and the most frequent symptom was mouth breathing (100%). The mean A/N ratio, pathologic adenoid size, and laryngoscopic adenoid size were 0.825±0.099, 18.22±5.97, and 5.33±19.15 mm. There was a significant correlation between the A/N ratio laryngoscopic adenoid size (r=+0.46, p=0.01) and pathologic adenoid size (r=+0.44, p=0.02). The results of this study showed that A/N ratio can be used to estimate the actual size of the adenoid gland and the necessity of adenoidectomy. Considering the reasonable costs and availability of this diagnostic method, researchers recommend using this procedure in assessment of patients with OME.