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KMID : 0361020230660050315
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Korean Journal of Otolaryngology - Head and Neck Surgery
2023 Volume.66 No. 5 p.315 ~ p.321
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Correlation of Clinical Score, Radiological Examination, and Nasopharyngeal Endoscopy in Adenoid Hypertrophy Patients as a Consideration of Adenoidectomy
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Puguh Setyo Nugroho
Rosa Falerina
Hendra Kurnia Rakhma
Alfian Nurfaizi
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Abstract
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Background and Objectives Appropriate diagnostics help in determining the best ap-proach for managing adenoid hypertrophy. This study aimed to learn more about many diag-nostic procedures for adenoid hypertrophy to improve good health and the quality of medicaldecisions, 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 ofadenoid hypertrophy at the Otorhinolaryngology-Head and Neck Surgery (ORL-HNS) outpa-tient unit. The participants underwent all of the diagnostic stages, including history takingand physical examination to determine the clinical scores, radiological examination, and theendoscopic examination of the nasopharynx. The correlation between the clinical scores, ra-diological examination, and the endoscopic examination of the nasopharynx was statisticallyanalyzed.
Results Of the 73 patients, 46 were male (63%) and 27 were female (37%). The correlationbetween each examination modality was determined using the Spearman’s statistical analysis.
There was a moderately strong correlation between clinical scores and radiological examina-tions with the p-value of 0.0022 and the r-value of 0.3529, and a very strong significant corre-lation between the clinical scores and endoscopic examination with the p-value of 0.0001 andthe r-value of 0.7562. In comparison, the correlation between the radiological and endoscopicexaminations of the nasopharynx was significant but weak, with the p-value of 0.0057 and ther-value of 0.3208.
Conclusion The findings indicated that radiological and endoscopic examinations of the na-sopharynx could be used to establish a correlation between adenoid hypertrophy and clinicalsymptoms associated with adenoid hypertrophy. Although the correlation strength was statis-tically different, these diagnostic modalities can complement each other.
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KEYWORD
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Adenoidectomy, Adenoids, Endoscopy, , Radiography
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