Radiographic adenoid evaluation – suggestion of referral parameters
Objective: this study aimed to evaluate the usefulness of current radiographic measurements, which were originally conceived to evaluate adenoid hypertrophy, as potential referral parameters. Methods: children aged from 4 to 14 years, of both genders, who presented nasal obstruction complaints, were...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Portuguese |
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Brazilian Society of Pediatrics
2014-05-01
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| Series: | Jornal de Pediatria (Versão em Português) |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2255553614000627 |
| _version_ | 1811323811529752576 |
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| author | Murilo F.N. Feres Juliana S. Hermann Ana C. Sallum Shirley S.N. Pignatari |
| author_facet | Murilo F.N. Feres Juliana S. Hermann Ana C. Sallum Shirley S.N. Pignatari |
| author_sort | Murilo F.N. Feres |
| collection | DOAJ |
| description | Objective: this study aimed to evaluate the usefulness of current radiographic measurements, which were originally conceived to evaluate adenoid hypertrophy, as potential referral parameters.
Methods: children aged from 4 to 14 years, of both genders, who presented nasal obstruction complaints, were subjected to cavum radiography. Radiographic examinations (n = 120) were evaluated according to categorical and quantitative parameters, and data were compared to gold-standard video nasopharyngoscopic examination, regarding accuracy (sensitivity, negative predictive value, specificity, and positive predictive value).
Results: radiographic grading systems presented low sensitivity for the identification of patients with two-thirds choanal space obstruction. However, some of these parameters presented relatively high specificity rates when three-quarters adenoid obstruction was the threshold of interest. Amongst the quantitative variables, a mathematical model was found to be more suitable for identifying patients with more than two-thirds obstruction.
Conclusion: this model was shown to be potentially useful as a screening tool to include patients with, at least, two-thirds adenoid obstruction. Moreover, one of the categorical parameters was demonstrated to be relatively more useful, as well as a potentially safer assessment tool to exclude patients with less than three-quarters obstruction, to be indicated for adenoidectomy. |
| first_indexed | 2024-04-13T14:02:03Z |
| format | Article |
| id | doaj.art-4703725ff0994ddbb410990da535739d |
| institution | Directory Open Access Journal |
| issn | 2255-5536 |
| language | Portuguese |
| last_indexed | 2024-04-13T14:02:03Z |
| publishDate | 2014-05-01 |
| publisher | Brazilian Society of Pediatrics |
| record_format | Article |
| series | Jornal de Pediatria (Versão em Português) |
| spelling | doaj.art-4703725ff0994ddbb410990da535739d2022-12-22T02:44:01ZporBrazilian Society of PediatricsJornal de Pediatria (Versão em Português)2255-55362014-05-0190327928510.1016/j.jpedp.2013.09.005Radiographic adenoid evaluation – suggestion of referral parametersMurilo F.N. Feres0Juliana S. Hermann1Ana C. Sallum2Shirley S.N. Pignatari3Faculdade de Odontologia, Universidade São Francisco (USF), Bragança Paulista, SP, BrasilDepartamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, BrasilDepartamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, BrasilDepartamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, BrasilObjective: this study aimed to evaluate the usefulness of current radiographic measurements, which were originally conceived to evaluate adenoid hypertrophy, as potential referral parameters. Methods: children aged from 4 to 14 years, of both genders, who presented nasal obstruction complaints, were subjected to cavum radiography. Radiographic examinations (n = 120) were evaluated according to categorical and quantitative parameters, and data were compared to gold-standard video nasopharyngoscopic examination, regarding accuracy (sensitivity, negative predictive value, specificity, and positive predictive value). Results: radiographic grading systems presented low sensitivity for the identification of patients with two-thirds choanal space obstruction. However, some of these parameters presented relatively high specificity rates when three-quarters adenoid obstruction was the threshold of interest. Amongst the quantitative variables, a mathematical model was found to be more suitable for identifying patients with more than two-thirds obstruction. Conclusion: this model was shown to be potentially useful as a screening tool to include patients with, at least, two-thirds adenoid obstruction. Moreover, one of the categorical parameters was demonstrated to be relatively more useful, as well as a potentially safer assessment tool to exclude patients with less than three-quarters obstruction, to be indicated for adenoidectomy.http://www.sciencedirect.com/science/article/pii/S2255553614000627Mouth breathingDiagnosisAdenoidectomy |
| spellingShingle | Murilo F.N. Feres Juliana S. Hermann Ana C. Sallum Shirley S.N. Pignatari Radiographic adenoid evaluation – suggestion of referral parameters Jornal de Pediatria (Versão em Português) Mouth breathing Diagnosis Adenoidectomy |
| title | Radiographic adenoid evaluation – suggestion of referral parameters |
| title_full | Radiographic adenoid evaluation – suggestion of referral parameters |
| title_fullStr | Radiographic adenoid evaluation – suggestion of referral parameters |
| title_full_unstemmed | Radiographic adenoid evaluation – suggestion of referral parameters |
| title_short | Radiographic adenoid evaluation – suggestion of referral parameters |
| title_sort | radiographic adenoid evaluation suggestion of referral parameters |
| topic | Mouth breathing Diagnosis Adenoidectomy |
| url | http://www.sciencedirect.com/science/article/pii/S2255553614000627 |
| work_keys_str_mv | AT murilofnferes radiographicadenoidevaluationsuggestionofreferralparameters AT julianashermann radiographicadenoidevaluationsuggestionofreferralparameters AT anacsallum radiographicadenoidevaluationsuggestionofreferralparameters AT shirleysnpignatari radiographicadenoidevaluationsuggestionofreferralparameters |