The role of acoustic rhinometry in the diagnosis of adenoidal hypertrophy in pre-school children |
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Authors: | H Riechelmann J M O'Connell M C Rheinheimer M Wolfensberger W J Mann |
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Institution: | Department of Otorhinolaryngology, University of Ulm, Prittwitz-Stra?e 43, D-89075 Ulm, Germany, e-mail: Herbert.Riechelmann@medizin-uni-ulm.de, Tel.: +49-731-5027504, Fax: +49-731-5026703, DE The Royal National Throat, Nose and Ear Hospital, London WC1, UK, GB Department of Otorhinolaryngology, Johannes Gutenberg University, Medical School, Mainz, Germany, DE Department of Otorhinolaryngology, University of Basel, Medical School, Basel, Switzerland, CH
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Abstract: | Adenoidal hypertrophy is a common problem in pre-school children and diagnosis depends mostly on evaluation of clinical symptoms
and signs. Investigative techniques to assess adenoidal size often do not add to this information. Recent reports have suggested
a role for acoustic rhinometry in this situation. A total of 49 children consecutively referred to the Department of Otorhinolaryngology,
University of Mainz, with evidence of adenoidal enlargement underwent acoustic rhinometry pre- and postoperatively and were
compared to an age-matched control group from a local kindergarten school. Adenoidal size was visually estimated at surgery
and questionnaires were completed by parents of symptomatic children. Acoustic rhinometry was not able to differentiate controls
(mean nasopharyngeal cross-sectional area 1.34 +/− 0.47 cm2, n = 35) from symptomatic children admitted for adenoidectomy (mean nasopharyngeal cross-sectional area 1.66 +/− 0.83 cm2, n = 42, P = 0.53). Acoustic rhinometry was advantageous for patients with adenoidal hypertrophy in two situations. Firstly a subgroup
of patients with complete nasopharyngeal obstruction could be identified (P = 0.03) and secondly all patients with a postnasal space less than 1.2 cm2 clinically benefited from adenoidectomy.
Conclusions Acoustic rhinometry, in general, is not suitable for assessing adenoidal size in pre-school children. Physical limitations
of currently available acoustic rhinometers are likely to explain the limited clinical value of this investigative technique.
Received: 26 February 1998 / Accepted in revised form: 22 June 1998 |
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Keywords: | Adenoidectomy Adenoidal hypertrophy Acoustic rhinometry |
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