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KMID : 0361019980410081021
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Korean Journal of Otolaryngology - Head and Neck Surgery
1998 Volume.41 No. 8 p.1021 ~ p.1024
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Correlation between Preoperative Simple Skull Lateral X-ray Findings and Symptom Improvement after Adenoidectomy
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김용재/Yong Jae Kim
김형석/Hyeong Seok Kim
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Abstract
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Background and Objectives: Obliteration of the nasopharynx by adenoid hypertrophy is the primary indication for adenoidectomy. For the documentation of nasopharyngeal adenoid tissue, various methods including radiological, aerodynamic
diagnostic
modalities have been utilized but are not practically effecient. The authors aimed to investigate the correlation between the shortest A-P diameter of nasopharynx in the preoperative skull lateral view and the postoperative symptom improvement
and
to
establish the criteria for selecting adenoidectomy candidates. Materials and Methods: We have evaluated the data from 79 children (50 males, 29 females : age range 4-14 years, mean 6.7 years), who received adenoidectomy with or without
tonsillectomy by a single surgeon (senior author) from Jan. 1996 through Dec. 1996. Results: The subjective symptom improvement of the nasal obstruction and snoring was more significantly remarkable in the children whose shortest A-P
diameter of
nasopharyngeal air-space in skull lateral view was less than 6 ㎜ than that of the children with diameter greater than 6 ㎜. The subjective symptom improvement did not significantly differ with the accompaniment of palatine tonsillectomy.
Conclusion: The simple skull lateral X-ray is useful in predicting the subjective symptom improvement and the "cut-off" value of the shortest A-P diameter of nasopharyngeal air-space would be close to 6 ㎜.
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