Jad Hosri, Omar Aboul Hosn, Anthony Ghanem, Anne Marie Daou, Justin Ghadieh, Nader Zalaquett, Randa Barazi
Turkish Archives of Otorhinolaryngology - 2025;63(4):185-189
Objective: To compare the reliability of flexible nasal endoscopy and lateral neck radiography in grading adenoid hypertrophy preoperatively in children. Methods: A retrospective study was performed at a single tertiary care center. Medical records of children who underwent adenoidectomy between January 2019 and December 2023 were reviewed. Preoperative adenoid size was assessed by radiography or endoscopy and compared to intraoperative grading, the reference. Adenoid hypertrophy was graded as mild (25-50%), moderate (51-75%), or severe (76-100%). Results: A total of 360 patients, 199 males and 161 females, were included. The mean age was 4.29+/-2.39 years. Preoperative and intraoperative grading matched in 58% of cases using endoscopy and 44.5% using radiography (p=0.028). Accurate grading was 1.7 times more likely with nasal endoscopy than radiography [odds ratio=1.72; 95% confidence interval (1.06-2.79)]. Conclusion: Flexible nasal endoscopy is more reliable than radiography in preoperative grading of adenoid hypertrophy in children.
