A Comparative Study of Radiograph and Nasal Endoscopy in Diagnosis of Hypertrophied Adenoids

  • Nayanjyoti SarmaEmail author
  • Gautam Khaund
Original Article


Adenoid hypertrophy is a common presentation in the growing age group. It results in varied symptomatology resulting in nasal obstruction, mouth breathing, snoring, nasal discharge and nasal intonation of voice. Diagnostic nasal endoscopy and plain radiograph are the two most widely done investigative procedures. In our study we have compared the results of these two diagnostic modalities in defining the grade of adenoid hypertrophy and establish the differences in results so that a proper diagnosis is made and appropriate management is initiated.


Adenoid hypertrophy Nasal endoscopy Radiographs Nasopharynx Adenoid facies 


Compliance with Ethical Standards

Conflict of interest

Authors Nayanjyoti Sarma and Gautam Khaund declares that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


  1. 1.
    Robb PJ (2008) The adenoid and adenoidectomy. In: Gleeson M, Browning GG, Burton MJ, Clarke R, Hibbert J, Jones NS et al (eds) Scott-Brown’s otorhinolaryngology, head and neck surgery, vol 84, 7th edn. Hodder Arnold, London, pp 1094–1101CrossRefGoogle Scholar
  2. 2.
    Lusk RP, Stankiewicz JA (1997) Pediatric rhinosinusitis. Otolaryngol Head Neck surg 117(Suppl. Part 2):S53–S57CrossRefGoogle Scholar
  3. 3.
    Pruzansky S (1975) Roentgen cephalometric studies of tonsil and adenoid in normal and pathological states. Ann Otol Rhino Laryngol 84:55–62CrossRefGoogle Scholar
  4. 4.
    Fujioka M, Young LW, Girdany BR (1995) Radiographic evaluation adenoid size in children: adenoid as key factor in upper airway infection. Int J Otorhinilaryngol 32:71–80CrossRefGoogle Scholar
  5. 5.
    Lourenco EA, de Lopez KC, Pontes AJ, Oliveira MH, Umemura A, Vargas AL (2005) Comparison between radiological and nasopharyngolaryngoscopic assessment of adenoid tissue volume in mouth breathing children. Rev Bras de Otorrhinolaringol 71(1):23–27CrossRefGoogle Scholar
  6. 6.
    Britton PD (1989) Effect of respiration on nasopharyngeal radiograph when assessing adenoidal enlargement. J Laryngol Otol 103(1):71–73CrossRefGoogle Scholar
  7. 7.
    Wright ED, Pearl AJ, Manoukian JJ (1998) Laterally hypertrophic adenoids as contributory factor in otitis media. Int J Pediatr Otolaryngol 45:207–214CrossRefGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2017

Authors and Affiliations

  1. 1.Nightingale HospitalGuwahatiIndia

Personalised recommendations