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ORIGINAL RESEARCH
Year : 2020  |  Volume : 9  |  Issue : 4  |  Page : 146-150

Proposed clinical and radiological grading system in pediatric adenoid hypertrophy


1 Department of Pediatrics, Topiwala National Medical College and B.Y.L Nair Charitable Hospital, Mumbai, Maharashtra, India
2 Department of Anesthesia, Topiwala National Medical College and B.Y.L Nair Charitable Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Santosh V Kondekar
Department of Pediatrics, Topiwala National Medical College and B.Y.L Nair Charitable Hospital, Mumbai - 400 008, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpai.jpai_19_21

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Background: Adenoid hypertrophy is an extremely common cause of upper airway obstruction in the pediatric population. Its high prevalence in children and the complications associated with its delayed diagnosis mandate a timely detection for its early and complete management. Aims & Objectives: The purpose of this study was to 1) detect the prevalence of adenoid hypertrophy in the pediatric population, 2) devise a clinical and radiological severity grading and determine the correlation between the two to develop an undemanding diagnostic approach. Materials and Methods: A total of 62 patients visiting the pediatric respiratory clinic were examined for signs and symptoms of adenoid hypertrophy like adenoid faces, mouth breathing, and runny nose. Their radiological reports were assessed for findings like flattening or convexity on the posterior pharyngeal wall and reduction in the width of the nasopharyngeal cavity. Results: A prevalence of 83.87% and 79.03% was seen based on the clinical and radiological findings respectively. A moderate positive correlation was also noted between the clinical and radiological grades, which was statistically significant. Conclusion: The ease of diagnosis associated with the clinical approach opens the possibility of detection of adenoid hypertrophy in large groups of children in resource-constrained areas, and negates the complications associated with other methods of diagnosis like endoscopy and radiography which are deemed more reliable by some clinicians.


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