Importance of nasal fiberoptic examination in the presence of a normal X-ray of the cavum

A total of 45 children aged 4–12 years were studied at the Rhinosinusology out-patient clinic of HCFMRP. The patients complained of marked nasal obstruction refractory to any clinical treatment, and a cavum X-ray showed no sign of airway obstruction. All children were submitted to nasal fiberoptic e...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2000-09, Vol.55 (1), p.29-32
Main Authors: Souza, B.B, Hennemann, G.V, Anselmo-Lima, W.T
Format: Article
Language:English
Subjects:
Adenoids
Biological and medical sciences
Cavum X-ray
Child
Child, Preschool
Endoscopy
Endoscopy - methods
Ent
Female
Fiber Optic Technology
Fiberoptic examination in children
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Nasal Cavity - diagnostic imaging
Nasal Cavity - physiopathology
Nasal obstruction
Nasal Obstruction - diagnosis
Nasal Obstruction - diagnostic imaging
Non tumoral diseases
Otorhinolaryngology. Stomatology
Radiography
Sensitivity and Specificity
Tropical medicine
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:A total of 45 children aged 4–12 years were studied at the Rhinosinusology out-patient clinic of HCFMRP. The patients complained of marked nasal obstruction refractory to any clinical treatment, and a cavum X-ray showed no sign of airway obstruction. All children were submitted to nasal fiberoptic examination in order to determine the number of false-negative results. The examinations showed 12 cases of severe hypertrophy of adenoid vegetations (27%) and 19 cases of moderate hypertrophy (42%). Furthermore, we detected six cases of hypertrophy of the turbinate cauda (13.3%) and three cases of posterior septal deviation (6.6%). These data suggest the importance of the indication of this examination, which permits a tri-dimensional and dynamic evaluation of the cavum area.
ISSN:0165-5876
1872-8464
DOI:10.1016/S0165-5876(00)00370-0