Korean J Otorhinolaryngol-Head Neck Surg.  2023 May;66(5):315-321. 10.3342/kjorl-hns.2022.00227.

Correlation of Clinical Score, Radiological Examination, and Nasopharyngeal Endoscopy in Adenoid Hypertrophy Patients as a Consideration of Adenoidectomy

• Nugroho PS
• Falerina R
• Rakhma HK
• Nurfaizi A

• KMID: 2542405
• DOI: http://doi.org/10.3342/kjorl-hns.2022.00227

Abstract

Background and Objectives
Appropriate diagnostics help in determining the best approach for managing adenoid hypertrophy. This study aimed to learn more about many diagnostic procedures for adenoid hypertrophy to improve good health and the quality of medical decisions, such as clinical symptoms measured by clinical scores, radiological examination, and nasopharyngeal endoscopy.
Subjects and Method
An examination was conducted on 73 patients who had symptoms of adenoid hypertrophy at the Otorhinolaryngology-Head and Neck Surgery (ORL-HNS) outpatient unit. The participants underwent all of the diagnostic stages, including history taking and physical examination to determine the clinical scores, radiological examination, and the endoscopic examination of the nasopharynx. The correlation between the clinical scores, radiological examination, and the endoscopic examination of the nasopharynx was statistically analyzed.
Results
Of the 73 patients, 46 were male (63%) and 27 were female (37%). The correlation between each examination modality was determined using the Spearman’s statistical analysis. There was a moderately strong correlation between clinical scores and radiological examinations with the p-value of 0.0022 and the r-value of 0.3529, and a very strong significant correlation between the clinical scores and endoscopic examination with the p-value of 0.0001 and the r-value of 0.7562. In comparison, the correlation between the radiological and endoscopic examinations of the nasopharynx was significant but weak, with the p-value of 0.0057 and the r-value of 0.3208.
Conclusion
The findings indicated that radiological and endoscopic examinations of the nasopharynx could be used to establish a correlation between adenoid hypertrophy and clinical symptoms associated with adenoid hypertrophy. Although the correlation strength was statistically different, these diagnostic modalities can complement each other.

Keyword

Adenoidectomy; Adenoids; Endoscopy; Radiography