Naushaba Malik, Safdar Malik, Javed Anwar.
Radiological estimation of adenoid weight; a reliable tool for assessment of candidacy for adenoidectomy.
Rawal Med J Jan ;38(3):286-9.

Objective: To determine the sensitivity and specificity of clinical and radiological assessment of adenoid weight in children. Methodology: This cross-sectional descriptive study was conducted at Social Security Hospital Islamabad, Pakistan from January 2008 to December 2010. Initial assessment was made by ENT surgeon. Clinical assessment score (CAS) was given as mild, moderate, moderately severe, severe hypertrophy. Then the size of adenoid was measured by lateral neck radiography. The AN ratio was calculated by radiologist. The weight were recorded by surgeon after adenoidectomy. Results: We studied 55 children who were to undergo adenoidectomy. 30 (54.5%) were male and 25 (45.4) were female with age range of 3 to 12 years (mean 6.1 years). The mean AN ratios was 0.69 (range 0.54-0.75, SD ± 0.104). RAS had shown specificity and sensitivity of 89.4% and 91.6% for moderately severe and 90% and 94.8% for severe adenoid hypertrophy. CAS had approximately 85% of specificity and sensitivity for both moderately severe and severly hypertrophied cases. Conclusion: Both clinical assessment and radiography could determine relationship between adenoid hypertrophy and associated symptoms and therefore are complementary. Between them, radiography can serve as a better planning tool. (Rawal Med J 2013;38:286-289).

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