Correlation Between Preoperative Adenoid Grading and Intraoperative Findings

Introduction: Adenoid hypertrophy is one of the most common causes of nasal obstruction especially in children. Adenoid size could be different comparing preoperative radiological size with the intraoperative findings. Aim and objectives: The purpose of this prospective study was to evaluate and compare between preoperative radiologic grading techniques and intraoperative endoscopic findings. Patients and Methods: 60 patients with symptomatic adenoid hypertrophy such as; nasal obstruction, snoring, mouth breathing and bilateral recurrent otitis media with effusion were randomly included in this study. All patients had adenoidectomy and was diagnosed by x-ray nasopharynx and flexible nasopharyngoscopy. Patients were scheduled for follow-up visit after one week and one month for clinical assessment of any remnant. Results: The mean age of these patients is 8.1 with female predominance (60%). There is correlation detected between the preoperative Xray grading of adenoid tissue and the endoscopic view done by the flexible nasopharyngoscopy. This could be occurred due to cases with mild or moderate sized adenoid tissues appeared larger sized adenoid hypertrophy. This could be explained that the endoscopy has magnification power that show larger size of detected adenoid mass. Conclusion: Adenoid enlargement especially in children is one of most common causes of nasal blockade. Preoperative lateral airway radiograph and intraoperative flexible endoscopic nasopharyngoscopy showed significant correlation in detecting adenoid size.