Any correlation between severity of symptoms and the adenoid nasopharyngeal ratio?
Annals of Medical Research and Practice · Volume 4, Issue 1 (2023) · pp. 2
Abstract
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<jats:title>Objective:</jats:title>
<jats:p>Adenoid Hypertrophy is a common childhood condition that presents with mouth breathing, nasal discharge, snoring and sleep apnea. Lateral Nasopharyngeal X-ray aids diagnosis and assessment of patency of the Nasopharyngeal air column through Adenoid Nasopharyngeal Ratio (ANR). This study aims to correlate ANR with symptoms and signs of Adenoid Hypertrophy.</jats:p>
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<jats:title>Material and Methods:</jats:title>
<jats:p>A retrospective study conducted in the Ear, Nose and Throat/Head and Neck Surgery (ENT/HNS) Department of University of Abuja Teaching Hospital, Gwagwalada from January 2019 to December 2021. The case notes and Lateral Nasopharyngeal X-rays of 66 Children aged between 2months to 11 years, with suspected Adenoid Hypertrophy were retrieved and relevant retrieved data analyzed.</jats:p>
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<jats:title>Results:</jats:title>
<jats:p>A total of 66 patients were enrolled into this study with 50 (75.76%) males and 16 (24.24%) females. The age range was between 2 months to 11 years, with a mean of 3.65±2.76 years. ANR ranged from 0.03 to 0.94 with mean 0.71±0.15. Out of the 66 participants, 30 (46.15%) had ANR of 0.7, while 35 (53.85%) had ANR of > 0.7. Linear regression analysis showed association between age and ANR (P < 0.05). Snoring was the most common symptom (92.42%), followed by Mouth breathing (89.39%) and Nasal Discharge (77.27%). Majority of patients (88.6%) had a Mild Symptom Score. There was no statistically significant relationship between any of the clinical features and ANR.</jats:p>
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<jats:title>Conclusion:</jats:title>
<jats:p>There is no significant correlation between the clinical features and adenoid nasopharyngeal ratio.</jats:p>
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