Inferior turbinate hypertrophy predicts adenoid hypertrophy in children with obstructive sleep disorders.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-07-30 DOI:10.1017/S0022215125102867

Tyler Wanstreet, Helene Dabbous, Ruifeng Cui, Hussein Jaffal

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引用次数: 0

Abstract

Background: Adenoid hypertrophy contributes to nasal obstruction and obstructive sleep disorders in children, but can be difficult to assess. This study examines whether inferior turbinate hypertrophy can predict adenoid hypertrophy severity in children with obstructive sleep disorders.

Methods: This retrospective cohort study included children (0-18 years) with a diagnosis of obstructive sleep-disordered breathing or obstructive sleep apnoea who underwent drug-induced sleep endoscopy. Analyses explored demographic, clinical and endoscopic associations with adenoid hypertrophy.

Results: A total of 269 children were included. Separate univariate analyses showed that older age and greater inferior turbinate hypertrophy predicted greater adenoid hypertrophy (p < 0.05). However, in multivariate ordered logistic regression, only inferior turbinate hypertrophy remained significant (p < 0.01), while age did not (p = 0.11).

Conclusion: These findings suggest inferior turbinate hypertrophy may serve as a proxy for adenoid hypertrophy, aiding clinicians in assessment and guiding further evaluation or intervention.

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下鼻甲肥大预示阻塞性睡眠障碍儿童的腺样体肥大。

背景：腺样体肥大有助于儿童鼻塞和阻塞性睡眠障碍，但很难评估。本研究探讨下鼻甲肥大是否可以预测阻塞性睡眠障碍儿童腺样体肥大的严重程度。方法：本回顾性队列研究纳入0-18岁诊断为阻塞性睡眠呼吸障碍或阻塞性睡眠呼吸暂停的儿童，并接受药物诱导睡眠内镜检查。分析探讨了与腺样体肥大的人口学、临床和内窥镜关联。结果：共纳入269例患儿。单独的单因素分析显示，年龄越大和下鼻甲肥大越大预示着腺样体肥大越大（p < 0.05）。然而，在多变量有序logistic回归中，只有下鼻甲肥大仍然显著（p < 0.01），而年龄则无显著差异（p = 0.11）。结论：这些发现提示下鼻甲肥大可作为腺样体肥大的替代指标，有助于临床医生评估和指导进一步的评估或干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.