ACE grading-A proposed endoscopic grading system for adenoids and its clinical correlation

Ajoy Mathew Varghese, P. Naina*, Alan T. Cheng, Syed Kamran Asif, Mary Kurien

*المؤلف المقابل لهذا العمل

نتاج البحث: المساهمة في مجلةArticleمراجعة النظراء

9 اقتباسات (Scopus)

ملخص

Objectives: To propose a novel endoscopic adenoid grading system using a rigid nasal endoscope and to study its correlation with the clinical diagnosis. Methodology: Prerecorded video clips of rigid nasal endoscopy taken during endoscopic adenoidectomy were retrieved. Otolaryngology consultants blinded to the clinical diagnosis of the child were presented these videos and asked to grade the adenoid hypertrophy as per the proposed endoscopic ACE (Airway/. Choana/. Eustachian tube) grading system. The clinical diagnosis was correlated with the different aspects of the descriptive endoscopic grading system. Results: 152 video clips were presented to the otolaryngology consultants for grading. The average age was 8.6 years (SD-3.48), while the male female ratio was 3:2. The A subcomponent of the ACE grading showed significant correlation with the diagnosis of sleep disordered breathing and chronic adenotonsillitis, C subcomponent with sleep disordered breathing and the E subcomponent with the diagnosis of otitis media. Conclusion: The proposed endoscopic grading is easily applicable and at the same time clearly describes the relation of the adenoids to the nasopharynx, choana and Eustachian tube. Different aspects of the grading system correlated differently with the clinical diagnosis emphasizing that a descriptive scoring rather than a comprehensive scoring is a more relevant clinical tool.

اللغة الأصليةEnglish
الصفحات (من إلى)155-159
عدد الصفحات5
دوريةInternational Journal of Pediatric Otorhinolaryngology
مستوى الصوت83
المعرِّفات الرقمية للأشياء
حالة النشرPublished - أبريل 1 2016
منشور خارجيًانعم

ASJC Scopus subject areas

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