Does adenoid hypertrophy really have effect on tympanometry?
OBJECTIVE
The goal of this study is to determine the correlation between the radiographic measurements of adenoid size and tympanometric findings.


METHODS
Prospective study.


METHODS
Haydarpasa Numune Research and Education Hospital, Istanbul, Turkey.


METHODS
Nine five consecutive children complaining of one or more of the symptoms of upper airway obstruction (UAO) (presence of snoring, mouth breathing or difficulty in breathing during sleep, obstructive breathing or apnea during sleep) were included in the study. Symptom severity was assessed by a standardized questionnaire. All patients underwent digital lateral soft tissue radiographs. Assessment of nasopharyngeal obstruction in radiographs was done according to four different methods. Tympanometry was used to evaluate the middle ear.


RESULTS
Of 190 ears, 79 were type A, 49 were type B and 62 were type C tympanograms. The symptom severity of 14 patients was graded as mild, 56 patients as moderate and 25 patients as severe. There was no statistically significant difference between UAO symptom severity groups and tympanogram types (p>0,05). Each one of the four methods of radiologic measurements of the adenoid enlargement showed no statistically significant difference between the tympanogram types (p>0,05).


CONCLUSIONS
The adenoid hypertrophy in both means of radiologic measurements and symptom severity does not correlate with the changes in tympanograms. These findings do not support the hypothesis that adenoidal size plays a major role in the etiopathogenesis of middle ear effusion (MEE).
Toros
Sema Zer
SZ
Department of Otorhinolaryngology/Head and Neck Surgery, Haydarpaşa Numune Educational and Research Hospital, Istanbul, Turkey.
Kiliçoğlu
Gamze
G
Noşeri
Hülya
H
Naiboğlu
Bariş
B
Kalaycik
Ciğdem
C
Külekçi
Semra
S
Karaca
Ciğdem Tepe
CT
Habeşoğlu
Tülay
T
D000158:Acoustic Impedance Tests; D000234:Adenoids / Q000473:pathology*; D000402:Airway Obstruction / Q000000981:diagnostic imaging / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D006801:Humans; D006984:Hypertrophy; D009305:Nasopharynx / Q000000981:diagnostic imaging; D011446:Prospective Studies; D011859:Radiography; D012720:Severity of Illness Index