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Size assessment of adenoid and nasopharyngeal airway by acoustic rhinometry in children

Published online by Cambridge University Press:  29 June 2007

Jin-Hee Cho ,
Dong-Hee Lee ,
Nam-Soo Lee ,
Yu-Sung Won ,
He-Ro Yoon  and
Byung-Do Suh
Jin-Hee Cho*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
Dong-Hee Lee
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
Nam-Soo Lee
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
Yu-Sung Won
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
He-Ro Yoon
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
Byung-Do Suh
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
*
Address for correspondence: Jin Hee Cho, M.D., Department of Otolaryngology – Head and Neck Surgery, College of Medicine, The Catholic University of Korea, 505, Panpo-dong, Seocho-gu, Seoul, 137-040, Korea. Fax: 82 2 595 1354 e-mail: [email protected]
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Abstract

Adenoid hypertrophy is known as the most common cause of nasal obstruction in children; thus, adenoidectomy with, or without, tonsillectomy is one of the most commonly performed surgical procedures in the paediatric population. Although many methods have been suggested, few studies have reported on how to assess adenoid size, pre-operatively. Acoustic rhinometry is an objective technique as well as a non-invasive method, which can be easily used in young children. This study confirmed that acoustic rhinometry is a non-invasive and objective technique for assessing the geometry of the nasal cavity and nasopharynx. Forty children were evaluated using symptomology, two different radiological measurements and acoustic rhinometry; the results were compared with endoscopic findings. Clinical symptoms and A/N ratio measured with Fujioka's method significantly correlated with the endoscopic assessment findings (r = 0.769 and 0.604 respectively). Significant increases in the cross-sectional area and volume of the nasopharynx were observed at the adenoid notch after adenoidectomy (p<0.005 and p<0.005, respectively). Acoustic rhinometry showed a high degree of correlation of which adenoid occupied the nasopharyngeal airway under endoscopic examination (r = 0.771). Thus, the study concluded that acoustic rhinometry can be as good an objective method for measuring adenoid sizes as endoscopy and can be used as one of the pre-operative examination tools for adenoidectomy.

Keywords

AdenoidsNasal obstructionNasal cavityEvaluation studies
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 10 , October 1999 , pp. 899 - 905
Copyright
Copyright © JLO (1984) Limited 1999

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