Significance of adenochoanal ratio and clinical score as diagnostic assessment for the adenoid hypertrophy

Hasan M Altumbabi?



Introduction: Chronic nasal obstruction in children is a very common disorder encountered in primary care and Ear, nose and throat [ENT] clinics. Obstructive adenoid has been implicated to be the major cause and is often the first to be blamed. It may be assessed by various tools, but there is a small consensus on their usefulness in diagnosis of adenoid hypertrophy.

Aim: The aim of this preliminary study is to determinate a significance of  adenochoanal ratio [ACR] and clinical score [CS] for diagnostic assessment of adenoid hypertrophy.

Patients and methods: The study was conducted prospectively and encompassed 100 children, aged 35 - 170 months, consecutively admitted for tonsillectomy and tonsilloadenoidectomy. For all patients preoperationally we determined a CS and they were underwent rhinomanometry. Intraoperationally we determine ACR.       

Results: One hundred patients aged 35 - 170 months, met the inclusion criteria. Significant relationship was found between diagnosis of admitted patients and ACR. Also, there were statistically significant correlation between ACR and CS. Correlation of CS with rhinomanometry was statistically analyzed with regression analysis. The P value was less than .001, showing significant relationship between them.

Conclusion: The CS suggested in our study, was devised relying on the most common symptoms encountered in patients with obstructive adenoid in the absence of other contributing pathologies. The strong correlation between the CS, ACR and rhinomanometry gives confidence in this score, especially that its predictive value based on that is very useful clinically.

Key words: adenoid hypertrophy, adenochoanal ratio, clinical score.


adenoid hypertrophy, adenochoanal ratio, clinical score

DOI: 10.5457/ams.v41i2.281