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Pre- and post-operative application of acoustic rhinometry in children with otitis media with effusion and with or without adenoid hypertrophy-a retrospective analysis.

Abstract There is no standardized scheme for preoperative evaluation of adenoid hypertrophy or a consensus on surgical indications for adenoidectomy in children with otitis media with effusion (OME), especially for young children intolerant to nasal endoscopic assessment. The aim of this study was to evaluate the efficacy and reliability of acoustic rhinometry (AR) in evaluating benefits from adenoidectomy in children with OME.
PMID
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Authors

Mayor MeshTerms
Keywords

Acoustic rhinometry

Adenoidectomy

Child

Otitis media with effusion

Journal Title international journal of pediatric otorhinolaryngology
Publication Year Start




PMID- 29224765
OWN - NLM
STAT- MEDLINE
DCOM- 20171226
LR  - 20171226
IS  - 1872-8464 (Electronic)
IS  - 0165-5876 (Linking)
VI  - 103
DP  - 2017 Dec
TI  - Pre- and post-operative application of acoustic rhinometry in children with
      otitis media with effusion and with or without adenoid hypertrophy-a
      retrospective analysis.
PG  - 51-54
LID - S0165-5876(17)30473-1 [pii]
LID - 10.1016/j.ijporl.2017.10.009 [doi]
AB  - BACKGROUND: There is no standardized scheme for preoperative evaluation of
      adenoid hypertrophy or a consensus on surgical indications for adenoidectomy in
      children with otitis media with effusion (OME), especially for young children
      intolerant to nasal endoscopic assessment. The aim of this study was to evaluate 
      the efficacy and reliability of acoustic rhinometry (AR) in evaluating benefits
      from adenoidectomy in children with OME. METHOD: Children with OME who were
      scheduled for surgical intervention were reviewed and AR tests performed
      preoperatively and postoperatively. The patients were divided into two groups
      based on the surgical strategy (Group I: tympanostomy tube placement alone; Group
      II: tympanostomy tube placement plus adenoidectomy). Correlation and regression
      analyses were performed to assess the relationship between findings of AR and
      nasal endoscopy. AR parameters including minimal nasal cross-sectional area
      (MCA), and nasopharyngeal volume (NPV), as well as scores of subjective symptoms 
      were obtained to evaluate the utility of AR pre- and post-surgery. RESULTS:
      Sixty-five children aged 4-10 years who met the inclusion criteria were included.
      No significant differences in gender or age distribution were observed between
      Group I and Group II. MCA, as well as NPV significantly decreased in Group II
      when compared with Group I (p = 0.000). A significant inverse correlation was
      observed between NPV and choanal obstruction ratio in both groups I (r = -0.625, 
      p < 0.001) and II (r = -0.570, p < 0.001). A significant difference between
      preoperative and postoperative NPV and subjective symptom scores was observed in 
      group II after adenoidectomy (p = 0.000). CONCLUSION: AR parameters showed a good
      clinical correlation with findings of nasal endoscopy and thus may be useful for 
      evaluating candidacy for surgical adenoidectomy among children with OME,
      especially in whom preoperative nasal endoscopic examination is not feasible.
      Additionally, AR can reveal the changes occurring within the nasopharyngeal
      passage before and after adenoidectomy.
CI  - Copyright (c) 2017. Published by Elsevier B.V.
FAU - Lai, Dan
AU  - Lai D
AD  - Department of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of
      Southwest Medical University, Luzhou 646000, Sichuan Province, China. Electronic 
      address: [email protected]
FAU - Qin, Gang
AU  - Qin G
AD  - Department of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of
      Southwest Medical University, Luzhou 646000, Sichuan Province, China.
FAU - Pu, Junmei
AU  - Pu J
AD  - Department of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of
      Southwest Medical University, Luzhou 646000, Sichuan Province, China.
FAU - Liu, Lu
AU  - Liu L
AD  - Department of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of
      Southwest Medical University, Luzhou 646000, Sichuan Province, China.
FAU - Yang, Yiying
AU  - Yang Y
AD  - Department of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of
      Southwest Medical University, Luzhou 646000, Sichuan Province, China.
LA  - eng
PT  - Journal Article
DEP - 20171005
PL  - Ireland
TA  - Int J Pediatr Otorhinolaryngol
JT  - International journal of pediatric otorhinolaryngology
JID - 8003603
SB  - IM
MH  - Adenoidectomy/*methods
MH  - Adenoids/*pathology
MH  - Child
MH  - Child, Preschool
MH  - Endoscopy
MH  - Female
MH  - Humans
MH  - Hypertrophy/surgery
MH  - Male
MH  - Middle Ear Ventilation/*methods
MH  - Nasal Cavity/physiopathology
MH  - Otitis Media with Effusion/*physiopathology/surgery
MH  - Reproducibility of Results
MH  - Retrospective Studies
MH  - Rhinometry, Acoustic/*methods
OTO - NOTNLM
OT  - Acoustic rhinometry
OT  - Adenoidectomy
OT  - Child
OT  - Otitis media with effusion
EDAT- 2017/12/12 06:00
MHDA- 2017/12/27 06:00
CRDT- 2017/12/12 06:00
PHST- 2017/07/05 00:00 [received]
PHST- 2017/10/01 00:00 [revised]
PHST- 2017/10/03 00:00 [accepted]
PHST- 2017/12/12 06:00 [entrez]
PHST- 2017/12/12 06:00 [pubmed]
PHST- 2017/12/27 06:00 [medline]
AID - S0165-5876(17)30473-1 [pii]
AID - 10.1016/j.ijporl.2017.10.009 [doi]
PST - ppublish
SO  - Int J Pediatr Otorhinolaryngol. 2017 Dec;103:51-54. doi:
      10.1016/j.ijporl.2017.10.009. Epub 2017 Oct 5.