| Correlation between the Size of Adenoid and the Preoperative and Postoperative Symptoms after Tonsillectomy and Adenoidectomy |
|
Nam Kyung Yeo, Yong Ju Jang, Bong Jae Lee, Yoo Sam Chung |
|
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. yschung@amc.seoul.kr |
| 편도 절제술 및 아데노이드 절제술 전후 아데노이드 크기와 증상과의 상관관계 |
|
여남경, 장용주, 이봉재, 정유삼 |
|
울산대학교 의과대학 서울아산병원 이비인후과학교실 |
|
|
|
|
| Abstract |
Background and Objectives
For the documentation of nasopharyngeal adenoid tissue, various methods, including radiological, aerodynamic diagnostic modalities, have been utilized but were not practically efficient. The previous evaluation method of radiology was used to measure the shortest A-P diameter of nasopharyngeal air space (NPD min) in the preoperative skull lateral view or adenoidal-nasopharyngeal ratio (A/N ratio) related to the subjective symptoms. The authors attempted to compare the correlation between the narrowest, upper third, middle third, low third A-P diameter of nasopharyngeal air space, A/N ratio in the pre & postoperative skull lateral view and pre & postoperative subjective symptoms.
MATERIALS AND METHODS
We evaluated the data from 100 children (61 males, 39 females: age range 2-14 years, mean 8.2 years), who received adenoidectomy and tonsillectomy from a single surgeon (senior author) from January 2004 to August 2004.
Results
There was no significance in the correlation between A/N ratio in the pre & postoperative skull lateral view and the most pre & postoperative subjective symptoms. However, the degree of postoperative nasal obstruction and cough were significantly related to the postoperative narrowest A-P diameter of nasopharyngeal air space, regardless of the location. The upper third, middle third and low third AP diameter of nasopharyngeal air space were also significantly related to the degree of postoperative cough.
Conclusion
It is necessary to resolve the narrowest A-P diameter of nasopharyngeal air space on the skull lateral view for the improvement of the subjective symptom such as nasal obstruction and cough due to adenoid hypertrophy. |
| Key Words:
Tonsillectomy;Adenoidectomy |
|
PDF Links
Full text via DOI
Download Citation
