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KMID : 0361020230660090591
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Korean Journal of Otolaryngology - Head and Neck Surgery
2023 Volume.66 No. 9 p.591 ~ p.596
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Comparison of Radiographic Parameters and Perioperative Quality of Life According to the Degree of Adenoid Extension to Choana
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Bang Je-Ho
Kim Seok-Hyun
Lee Jong-Hwan
Son Seung-Yup
Lee Kun-Hee
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Abstract
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Background and Objectives The aims of this study were to clarify the impact of adenoidalextension toward the choana on the quality of life and to find differences in radiographic pa-rameters between patients needing additional excision with a 90-degree tip and those whoonly require a 40-degree debrider tip.
Subjects and Method Patients who underwent adenoidectomy with both 40-degree and90-degree debrider tips were defined as the difficult-to-treat (DTT) group. Patients who un-derwent adenoidectomy using only a 40-degree debrider tip were defined as the control group.
We measured the antroadenoidal distance, the adenoidal nasopharyngeal ratio (ANR), thelength from the adenoid to hard palate, and reviewed the Korean Obstructive Sleep Apnea-18(KOSA-18) scale scores.
Results There was no difference in the quality of life due to OSA between the DTT and con-trol groups, pre- and post-operatively. Correlation analysis between the antroadenoidal dis-tance and the pre-operative KOSA-18 scale scores revealed a negative correlation. The antroad-enoidal distance was shorter in the DTT group; however, a cut-off value could not be obtained.
The ANR was a statistically discriminatory, but not effective, factor.
Conclusion There was no difference in the KOSA-18 scale scores between the groups withthe adenoidal extension toward the choana and the control. The ANR should be considered inthe pre-operative radiographic evaluation but is not a diagnostic parameter for choanal exten-sion. Further studies to find additional parameters are necessary.
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KEYWORD
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Adenoidectomy, Adenoids, Cephalometry, Sleep apnea, obstructive, Tonsillectomy
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