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A suggested clinical score to predict the severity of adenoid obstruction in children

Show simple item record Bitar M.A. Rahi A. Khalifeh M. Madanat L.-M.S.
dc.contributor.editor Oct-2006 2017-10-05T16:01:26Z 2017-10-05T16:01:26Z 2006
dc.identifier 10.1007/s00405-006-0086-y
dc.identifier.issn 09374477
dc.description.abstract Chronic nasal obstruction in children is a very common disorder. Obstructing adenoid is usually the first to blame. Though the clinical assessment is essential, it is often considered unreliable or insufficient. We conducted a prospective clinical study to validate a clinical score predicting the severity of adenoid obstruction in symptomatic children. The clinical score (CS) included mouth breathing, snoring, restless sleep, frequent waking-up at night and obstructive breathing during sleep. Each item received a score of 0 or 1. The palatal airway was evaluated on a lateral nasopharyngeal x-ray. The degree of obstruction was assessed intra-operatively by a laryngeal mirror using a 3-grade scale. The volume of each adenoid specimen was measured. Eighty-six patients were enrolled, 51 boys and 35 girls, aged 13-181 months (mean 52, median 45). The CS correlated very well with the intra-operative findings (p 0.01) and with the degree of palatal airway obstruction (p 0.05) but not with the volume of the adenoid removed (p 0.05). The CS was higher in children younger than 3 years (CS 3 in 85.7percent vs. 29.2percent), having more frequent obstructive breathing during sleep (71.43percent vs. 21.54percent). A CS of three or higher, predicted severe obstruction in 96.5percent of patients, as detected intra-operatively. The suggested CS is simple to use and is highly reliable in identifying children in need for adenoidectomy, in the context of normal anterior rhinoscopy and tonsils less than grade three. © Springer-Verlag 2006.
dc.format.extent Pages: (924-928)
dc.language English
dc.publisher NEW YORK
dc.relation.ispartof Publication Name: European Archives of Oto-Rhino-Laryngology; Publication Year: 2006; Volume: 263; no. 10; Pages: (924-928);
dc.source Scopus
dc.title A suggested clinical score to predict the severity of adenoid obstruction in children
dc.type Article
dc.contributor.affiliation Bitar, M.A., Section of Pediatric Otolaryngology, Department of Otolaryngology, Head and Neck Surgery, American University of Beirut Medical Center, PO Box: 11-0236-A52, Beirut, 1107-2020, Lebanon
dc.contributor.affiliation Rahi, A., Department of Pediatrics, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Khalifeh, M., Faculty of Medicine, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Madanat, L.-M.S., Faculty of Medicine, Turku University Hospital, Turku, Finland
dc.contributor.authorAddress Bitar, M.A.; Section of Pediatric Otolaryngology, Department of Otolaryngology, Head and Neck Surgery, American University of Beirut Medical Center, PO Box: 11-0236-A52, Beirut, 1107-2020, Lebanon; email:
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Pediatrics and Adolescent Medicine;
dc.contributor.authorDepartment Pediatrics and Adolescent Medicine
dc.contributor.faculty Faculty of Medicine
dc.contributor.authorInitials Bitar, MA
dc.contributor.authorInitials Rahi, A
dc.contributor.authorInitials Khalifeh, M
dc.contributor.authorInitials Madanat, LMS
dc.contributor.authorReprintAddress Bitar, MA (reprint author), Amer Univ Beirut, Med Ctr, Dept Otolaryngol Head and Neck Surg, Sect Pediat Otolaryngol, POB 11-0236 A52, Beirut 11072020, Lebanon.
dc.contributor.authorUniversity American University of Beirut Medical Center
dc.description.cited CREPEAU J, 1982, OTOLARYNG HEAD NECK, V90, P548; Friedman M, 2002, OTOLARYNG HEAD NECK, V127, P13, DOI 10.1067-mhn.2002.126477; HIBBERT J, 1977, CLIN OTOLARYNGOL, V2, P297, DOI 10.1111-j.1365-2273.1977.tb01373.x; JEANS WD, 1981, CLIN RADIOL, V32, P337, DOI 10.1016-S0009-9260(81)80060-8; Kubba H, 2001, J LARYNGOL OTOL, V115, P380; MAW AR, 1981, CLIN OTOLARYNGOL, V6, P317, DOI 10.1111-j.1365-2273.1981.tb01805.x; Paradise JL, 1998, PEDIATRICS, V101, P979, DOI 10.1542-peds.101.6.979; SORENSEN H, 1980, ACTA OTO-LARYNGOL, V89, P227, DOI 10.3109-00016488009127132; TANKEL JW, 1986, J LARYNGOL OTOL, V100, P637, DOI 10.1017-S0022215100099825
dc.description.citedCount 15
dc.description.citedTotWOSCount 17
dc.description.citedWOSCount 15
dc.format.extentCount 5
dc.identifier.coden EAOTE
dc.identifier.pubmedID 16799801
dc.identifier.scopusID 33748659025
dc.publisher.address 233 SPRING STREET, NEW YORK, NY 10013 USA
dc.relation.ispartOfISOAbbr Eur. Arch. Oto-Rhino-Laryn.
dc.relation.ispartOfIssue 10
dc.relation.ispartofPubTitle European Archives of Oto-Rhino-Laryngology
dc.relation.ispartofPubTitleAbbr Eur. Arch. Oto-Rhino-Laryngol.
dc.relation.ispartOfVolume 263
dc.source.ID WOS:000240396200008
dc.type.publication Journal
dc.subject.otherAuthKeyword Adenoid
dc.subject.otherAuthKeyword Adenoid volume
dc.subject.otherAuthKeyword Clinical score
dc.subject.otherAuthKeyword Nasopharyngeal X-ray
dc.subject.otherAuthKeyword Snoring
dc.subject.otherIndex adenoid
dc.subject.otherIndex adenoidectomy
dc.subject.otherIndex adolescent
dc.subject.otherIndex airway obstruction
dc.subject.otherIndex article
dc.subject.otherIndex child
dc.subject.otherIndex childhood disease
dc.subject.otherIndex clinical examination
dc.subject.otherIndex correlation analysis
dc.subject.otherIndex disease severity
dc.subject.otherIndex female
dc.subject.otherIndex human
dc.subject.otherIndex major clinical study
dc.subject.otherIndex male
dc.subject.otherIndex mouth breathing
dc.subject.otherIndex nasopharynx
dc.subject.otherIndex nose obstruction
dc.subject.otherIndex palate
dc.subject.otherIndex prediction
dc.subject.otherIndex priority journal
dc.subject.otherIndex prospective study
dc.subject.otherIndex restlessness
dc.subject.otherIndex scoring system
dc.subject.otherIndex sleep apnea syndrome
dc.subject.otherIndex sleep disorder
dc.subject.otherIndex snoring
dc.subject.otherIndex validation process
dc.subject.otherIndex wakefulness
dc.subject.otherIndex Adenoids
dc.subject.otherIndex Adolescent
dc.subject.otherIndex Analysis of Variance
dc.subject.otherIndex Child
dc.subject.otherIndex Child, Preschool
dc.subject.otherIndex Chronic Disease
dc.subject.otherIndex Female
dc.subject.otherIndex Humans
dc.subject.otherIndex Infant
dc.subject.otherIndex Male
dc.subject.otherIndex Nasal Obstruction
dc.subject.otherIndex Predictive Value of Tests
dc.subject.otherIndex Prospective Studies
dc.subject.otherIndex Severity of Illness Index
dc.subject.otherKeywordPlus AIRWAY
dc.subject.otherKeywordPlus SIGNS
dc.subject.otherKeywordPlus SIZE
dc.subject.otherWOS Otorhinolaryngology

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