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Endoscopy in the assessment of children with nasal obstruction

Published online by Cambridge University Press:  08 March 2006

Haytham Kubba  and
Brian J. G. Bingham
Haytham Kubba
Affiliation:
Department of Otolaryngology, Crosshouse Hospital, Kilmarnock, Glasgow, UK.
Brian J. G. Bingham
Affiliation:
Department off Otolaryngology, Victoria Infirmary, Glasgow, UK.
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Abstract

Nasal obstruction is common in children, and is often attributed to adenoid enlargement. This prospective study was performed to determine whether routine nasal endoscopy is of value for children undergoing surgery for nasal obstruction. Forty-eight children aged two to nine years undergoing adenoidectomy, and six normal controls, were examined under general anaesthesia with a 4 mm rigid endoscope. A video of the endoscopy was subsequently assessed independently by an observer blinded to the original findings and the presence of nasal symptoms.

The endoscopist and independent assessor were in agreement regarding 86 per cent of the findings. Three quarters of the children had abnormalities on endoscopy in addition to enlarged adenoids, and in 23 per cent these were potentially of major clinical significance (unsuspected foreign body, gross septal deviation, gross hypertrophy of the turbinates). Endoscopy produced no post-operative complications and was possible in children as young as two years of age, without decongestants.

Nasal endoscopy is a safe, objective and useful means of identifying potentially significant abnormalities in children with nasal obstruction.

Keywords

Nasal ObstructionAdenoidsNasal SeptumNasal MucosaChildren
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 115 , Issue 5 , May 2001 , pp. 380 - 384
Copyright
© Royal Society of Medicine Press Limited 2001

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