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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Radiographic adenoid evaluation: proposal of an objective parameter

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Author(s):
Murilo Fernando Neuppmann Feres [1] ; Juliana Sato Hermann [2] ; Ana Carolina Sallum ; Shirley Shizue Nagata Pignatari [4]
Total Authors: 4
Affiliation:
[1] Universidade São Francisco. Division of Preventive and Interceptive Orthodontics - Brasil
[2] Escola Paulista de Medicina – Universidade Federal de São Paulo (EPM-Unifesp). Department of Otorhinolaryngology and Head & Nerck Surgery - Brasil
[4] Escola Paulista de Medicina – Universidade Federal de São Paulo (EPM-Unifesp). Division of Pediatric Otorhinolaryngology - Brasil
Total Affiliations: 4
Document type: Journal article
Source: Radiologia Brasileira; v. 47, n. 2, p. 79-83, 2014-04-00.
Abstract

Objective The objective of the present study was to evaluate current radiographic parameters designed to investigate adenoid hypertrophy and nasopharyngeal obstruction, and to present an alternative radiographic assessment method. Materials and Methods In order to do so, children (4 to14 years old) who presented with nasal obstruction or oral breathing complaints were submitted to cavum radiographic examination. One hundred and twenty records were evaluated according to quantitative radiographic parameters, and data were correlated with a gold-standard videonasopharyngoscopic study, in relation to the percentage of choanal obstruction. Subsequently, a regression analysis was performed in order to create an original model so the percentage of the choanal obstruction could be predicted. Results The quantitative parameters demonstrated moderate, if not weak correlation with the real percentage of choanal obstruction. The regression model (110.119*A/N) demonstrated a satisfactory ability to “predict” the actual percentage of choanal obstruction. Conclusion Since current adenoid quantitative radiographic parameters present limitations, the model presented by the present study might be considered as an alternative assessment method in cases where videonasopharyngoscopic evaluation is unavailable. (AU)