Endoscopic Evaluation of Adenoids: Reproducibility Analysis of Current Methods

Autor(es)

Neuppnnann Feres, Murilo Fernando ^[1] ; Hermann, Juliana Sato ^[2] ; Sallum, Ana Carolina ^[2] ; Nagata Pignatari, Shirley Shizue ^[2]

Afiliação do(s) autor(es)

^[1] Univ Fed Sao Paulo, Postgrad Program Otolaryngol Head & Neck Surg, BR-04119060 Sao Paulo - Brazil

^[2] Univ Fed Sao Paulo, Dept Otolaryngol Head & Neck Surg, Div Pediat Otolaryngol, BR-04119060 Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: Clinical and Experimental Otorhinolaryngology; v. 6, n. 1, p. 36-40, MAR 2013.
• Citações Web of Science: 6

Resumo

Objectives. TO investigate intra- and interexaminers' reproducibility of usual adenoid hypertrophy assessment methods, according to nasofiberendoscopic eXamination. Methods. Forty children Of both sexes, ages ranging between 4 and 14 years, presenting with nasal obstruction and oral breathing suspected to be caused by adenoid hypertrophy, were enrolled in this study, Patients were evaluated by nasofiberendoscopy, and records were referred to and evaluated by two experienced otolaryngologists. Examiners analysed the records according to different evaluation methods; i.e., estimated, and measured percentage of choanal occlusion; as well as Subjective and objective classificatory systems of adenoid hypertrophy. Results. Data disclosed excellent intraexarniner reproducibility for both estimated and measured choanal occlusion. Interexaminers analysis revealed lower reproducibility rates of estimated in relation to measured choanal occlusion. Measured choanal occlusion also demonstrated less agreement among evaluations made through the right and left sides of the nasal cavity. Alternatively, intra- and interexaminers reliability analysis revealed higher agreement for subjective than objective classificatory system. Besides, subjective method demonstrated higher agreement than the objective classificatory system, when opposite sides were compared. Conclusion. Our results suggest that Measured is superior to estimated percentage of choanal occlusion, particularly if employed bilaterally, diminishing the lack of agreement between sides. When adenoid categorization is used instead, the authors recommend Subjective rather than objective classificatory system of adenoid hypertrophy. (AU)

• Processo FAPESP: 08/53538-0 - Diagnostico de hipertrofia de tonsila faringea empregando tres metodos distintos: raio x simples de cavum, telerradiografia de perfil e nasofibroscopia.
• Beneficiário: Shirley Shizue Nagata Pignatari
• Modalidade de apoio: Auxílio à Pesquisa - Regular