Assesment of Adenoid Size by Flexible Nasoendoscopy and Lateral Neck Radiography and Its Relation to Clinical Symptoms
试验速览
- 阶段
- 不适用
- 入组人数
- 100
- 主要终点
- flexible nasoendoscopy in assessment degree of obstruction
研究概览
简要总结
Chronic nasal obstruction due to adenoid hypertrophy is among the most common health problems affecting children, and adenoidectomy is one of the most common surgical procedures performed in this age group Because of difficulties associated with the use of the objective methods (such as nasopharyngeal endoscopy) in young children, the development of a reliable scale based on the child's symptoms to properly evaluate the need for surgical intervention would be of great value for clinicians. When adenoidectomy is being considered, the diagnosis and documentation of adenoidal hypertrophy become an important issue. Numerous modalities have been used for this task, including trans oral digital palpation and trans oral mirror examination; however, these methods are quite impractical with uncooperative younger children
详细描述
Assessment of the nasopharynx and adenoids by fibreoptic examination bears the advantage of direct visualization of the postnasal space. In addition, previous studies have demonstrated that adenoid size, as determined by rhinoscopy, was well correlated with clinical symptoms such as nasal obstruction and snoring.
The aim of this study was to compare the effectiveness of lateral neck radiography and video rhinoscopy in assessing adenoid size .
Assessment of the reproducability of these modalities to associated symptoms and, thus, the severity of the disease.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 3 Years 至 14 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •children aged 3 _ 14 years old
- •clinical diagnosis of adenoid hypertrophy in the form of chronic oral respiration , nasal disorders and snoring
- •recurrent otitis media
排除标准
- •patients diagnosed with nasal obstruction due to anatomic malformation ( congenital, choanal atresia, stenosis or septal deviation )
- •age less than 3 years or more than 14 years
- •patient with craniofacial malformation and down syndrome
研究组 & 干预措施
patients will undergo flexible nasoendoscopy
Endoscopy will be performed by passing the endoscope along either the floor of the nose or just under the middle turbinate. the condition of the nasal mucosa\ septum\ turbinates and the presence of discharge The postnasal space will be assessed . All abnormalities will be recorded .the images will be recorded and assessed separately by two independent otolaryngologists
干预措施: flexible nasoendoscopy (Procedure)
结局指标
主要结局
flexible nasoendoscopy in assessment degree of obstruction
时间窗: baseline
Endoscopy will be performed by passing the endoscope along either the floor of the nose or just under the middle turbinate. All abnormalities will be recorded. the degree of obstruction will be assesd according to anatomical structures ..such as torus tubarius, vomer, and the soft palate grade 1=none grade 2 reaching torus tubarius, grade 3 reaching torus tubarius and vomer, grade 4 reaching vomer and soft palate.
次要结局
未报告次要终点
研究者
ghada mohamed
resident doctor
Assiut University