Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2023, Vol. 37 ›› Issue (2): 39-44.doi: 10.6040/j.issn.1673-3770.0.2022.002

• 论著 • Previous Articles    

Study on the diagnostic value of children's cephalometric roentgenogram measurement parameters for adenoid hypertrophy

NI Shoujie, ZOU Juanjuan, GUO Ruixiang, HAN Yingying, JIN Xiaoxue, LI Yanzhong, WANG Yan   

  1. Department of Otorhinolaryngology, Qilu Hospital of Shangdong University/National Health Commission Key Laboratory of Otorhinolaryngology (Shangdong University), Jinan 250012, Shangdong, China
  • Published:2023-03-30

Abstract: Objective To identify the parameters of lateral cephalometric radiograph assessment in children with the aim of establishing relevant diagnostic indicators for adenoid hypertrophy. Methods A total of 480 children aged 3-10 years diagnosed with adenoid hypertrophy(A/N≥0.71)in the Department of Otolaryngology, Qilu Hospital of Shandong University, between July 2020 and July 2021 were selected(240 female and 240 male cases). MIMICS 21.0 was used to observe and analyze nine observation indexes of lateral cephalometric radiograph assessment in 480 children. Results There was a strong linear correlation between NS/TS(X2), PNS-UPW(X5), SPP-SPPW(X6), ∠U1-LI(X7), ∠UI-NA(X8), ∠LI-NB(X9), and A/N(X1)indicators(P<0.001). Conclusion The relevant indicators related to lateral cephalometric radiograph assessment had high diagnostic and treatment values for adenoid hypertrophy in children, among which NS/TS(X2), PNS-UPW(X5), SPP-SPPW(X6), ∠U1-LI(X7), ∠UI-NA(X8), and ∠LI-NB(X9)can be used as indicators to assist in adenoid hypertrophy diagnosis(A/N indicators)in children aged 3-8 years.

Key words: Children, Lateral cephalometric radiograph, Adenoids, Adenoid hypertrophy

CLC Number: 

  • R766.49
[1] Arambula A, Brown JR, Neff Laura, 等. 腭扁桃体、腺样体和舌扁桃体的解剖学和生理学[J]. 中华耳鼻咽喉头颈外科杂志, 2021, 56(10): 1034. doi:10.3760/cma.j.issn.1673-0860.2021.10.101 Alexandra A, Brown JR, Laura N, et al. Anatomy and physiology of palatine tonsils, adenoids and lingual tonsils[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2021, 56(10): 1034. doi:10.3760/cma.j.issn.1673-0860.2021.10.101
[2] Gulotta G, Iannella G, Vicini C, et al. Risk factors for obstructive sleep apnea syndrome in children: state of the art[J]. Int J Environ Res Public Health, 2019, 16(18): E3235. doi:10.3390/ijerph16183235
[3] Perez C. Obstructive sleep apnea syndrome in children[J]. Gen Dent, 2018, 66(6): 46-50.
[4] 汤文勤, 徐小炉, 陈勇强. 鼻咽部侧位X线片在儿童腺样体肥大诊断中的应用[J]. 安徽医学, 2021, 42(6): 648-650. TANG Wenqin, XU Xiaolu, CHEN Yongqiang. The application of lateral nasopharyngeal X-ray in the diagnosis of adenoid hypertrophy in children[J]. Anhui Medical Journal, 2021, 42(6): 648-650.
[5] 崔佳文, 顾非, 王怡超, 等. 腺样体肥大检测手段的进展和评价[J]. 中国医药导报, 2020, 17(13): 62-65. CUI Jiawen, GU Fei, WANG Yichao, et al. Development and evaluation of detection methods for adenoidhypertrophy[J]. China Medical Herald, 2020, 17(13): 62-65.
[6] Shen Y, Li XH, Liang X, et al. A deep-learning-based approach for adenoid hypertrophy diagnosis[J]. Med Phys, 2020, 47(5): 2171-2181. doi:10.1002/mp.14063
[7] Kugelman N, Ronen O, Stein N, et al. Adenoid obstruction assessment in children: clinical evaluation versus endoscopy and radiography[J]. Isr Med Assoc J, 2019, 21(6): 376-380.
[8] Major MP, Saltaji H, El-Hakim H, et al. The accuracy of diagnostic tests for adenoid hypertrophy: a systematic review[J]. J Am Dent Assoc, 2014, 145(3): 247-254. doi:10.14219/jada.2013.31
[9] 宫彦丽. 儿童腺样体肥大影像学检查的诊断价值分析[J]. 影像研究与医学应用, 2020, 4(15): 49-50. doi:10.3969/j.issn.2096-3807.2020.15.030 GONG Yanli. Analysis of the diagnostic value of imaging examinations for adenoid hypertrophy in children[J]. Journal of Imaging Research and Medical Applications, 2020, 4(15): 49-50. doi:10.3969/j.issn.2096-3807.2020.15.030
[10] 章婷, 陈楠, 夏文倩, 等. 腺样体肥大儿童睡眠状况与牙颌面畸形的相关性调查[J]. 临床口腔医学杂志, 2020, 36(9): 549-552. doi:10.3969/j.issn.1003-1634.2020.09.011 ZHANG Ting, CHEN Nan, XIA Wenqian, et al. Sleep status of ah children and its relationship with dentofacial deformity[J]. Journal of Clinical Stomatology, 2020, 36(9): 549-552. doi:10.3969/j.issn.1003-1634.2020.09.011
[11] Moideen SP, Mytheenkunju R, Govindan Nair A, et al. Role of adenoid-nasopharyngeal ratio in assessing adenoid hypertrophy[J]. Indian J Otolaryngol Head Neck Surg, 2019, 71(Suppl 1): 469-473. doi:10.1007/s12070-018-1359-7
[12] 陈国郝, 王英歌, 陈希杭, 等. 新指标NS/TS在评估鼾症儿童鼻咽通气道的作用[J]. 福建医科大学学报, 2017, 51(5): 330-333. CHEN Guohao, WANG Yingge, CHEN Xihang, et al. The function of new indicators NS/TS in assessing nasopharyngeal airway of snoring children[J]. Journal of Fujian Medical University, 2017, 51(5): 330-333.
[13] Lopatiene K, Šidlauskas A, Vasiliauskas A, et al. Relationship between malocclusion, soft tissue profile, and pharyngeal airways: a cephalometric study[J]. Medicina(Kaunas), 2016, 52(5): 307-314. doi:10.1016/j.medici.2016.09.005
[14] Jana M, Gupta AK. Novel use of ultrasound in evaluation of adenoid hypertrophy in children[J]. Indian J Pediatr, 2020, 87(11): 885-886. doi:10.1007/s12098-020-03487-6
[15] Festa P, Mansi N, Varricchio AM, et al. Association between upper airway obstruction and malocclusion in mouth-breathing children[J]. Acta Otorhinolaryngol Ital, 2021, 41(5): 436-442. doi:10.14639/0392-100X-N1225
[16] Galeotti A, Festa P, Viarani V, et al. Correlation between cephalometric variables and obstructive sleep apnoea severity in children[J]. Eur J Paediatr Dent, 2019, 20(1): 43-47. doi:10.23804/ejpd.2019.20.01.09
[17] Katyal V, Pamula Y, Martin AJ, et al. Craniofacial and upper airway morphology in pediatric sleep-disordered breathing: systematic review and meta-analysis[J]. Am J Orthod Dentofacial Orthop, 2013, 143(1): 20-30.e3. doi:10.1016/j.ajodo.2012.08.021
[18] Patel A, Brook CD, Levi JR. Comparison of adenoid assessment by flexible endoscopy and mirror exam[J]. Int J Pediatr Otorhinolaryngol, 2020, 134: 110073. doi:10.1016/j.ijporl.2020.110073
[19] Wang HW, Qiao XT, Qi SQ, et al. Effect of adenoid hypertrophy on the upper airway and craniomaxillofacial region[J]. Transl Pediatr, 2021, 10(10): 2563-2572. doi:10.21037/tp-21-437
[20] Wang HW, Qiao XT, Qi SQ, et al. Effect of adenoid hypertrophy on the upper airway and craniomaxillofacial region[J]. Transl Pediatr, 2021, 10(10): 2563-2572. doi:10.21037/tp-21-437
[21] 羊红梅, 周盛平, 李欧, 等. 腺样体肥大对儿童颅颌面及上气道形态发育的影响研究[J]. 中国优生与遗传杂志, 2021, 29(1): 115-118. doi:10.13404/j.cnki.cjbhh.2021.01.030 YANG Hongmei, ZHOU Shengping, LI Ou, et al. Effects of adenoid hypertrophy on craniofacial and upper airway development in children[J]. Chinese Journal of Birth Health & Heredity, 2021, 29(1): 115-118. doi:10.13404/j.cnki.cjbhh.2021.01.030
[22] Xu ZF, Wu YX, Tai J, et al. Risk factors of obstructive sleep apnea syndrome in children[J]. J Otolaryngol Head Neck Surg, 2020, 49(1): 11. doi:10.1186/s40463-020-0404-1
[23] Atilla MH, Özda??塂 S, Özda??塂T, et al. Association of Ugrp2 gene polymorphisms with adenoid hypertrophy in the pediatric population[J]. Braz J Otorhinolaryngol, 2018, 84(5): 599-607. doi:10.1016/j.bjorl.2017.07.004
[24] 贾曼玉, 邹世桢, 李进让. 儿童腺样体扁桃体肥大与肥胖相关性研究[J]. 中华耳鼻咽喉头颈外科杂志, 2020(8): 760-763. JIA Manyu, ZOU Shizhen, LI Jinrang. Study on the relationship between adenoid and tonsil hypertrophy and obesity in children[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2020(8): 760-763.
[25] Talebian S, Sharifzadeh G, Vakili I, et al. Comparison of adenoid size in lateral radiographic, pathologic, and endoscopic measurements[J]. Electron Physician, 2018, 10(6): 6935-6941. doi:10.19082/6935
[26] Wang HW, Qiao XT, Qi SQ, et al. Effect of adenoid hypertrophy on the upper airway and craniomaxillofacial region[J]. Transl Pediatr, 2021, 10(10): 2563-2572. doi:10.21037/tp-21-437
[27] 杨丽华. 腺样体肥大伴不同程度扁桃体肥大对颌面部发育及自然头位的影响[D]. 太原: 山西医科大学, 2020.
[28] 郝峪. 腺样体肥大患儿的上气道结构分析及其对颌面部发育的影响[D]. 太原: 山西医科大学, 2015.
[29] 冯晨, 郭瑞祥, 王岩. 等离子射频消融术在儿童阻塞性睡眠呼吸暂停中的应用和进展[J]. 山东大学耳鼻喉眼学报, 2021, 35(2): 16-21. doi:10.6040/j.issn.1673-3770.1.2020.105 FENG Chen, GUO Ruixiang, WANG Yan. Application and progress of coblation in children with obstructive sleep apnea[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(2): 16-21. doi:10.6040/j.issn.1673-3770.1.2020.105
[30] Pereira L, Monyror J, Almeida FT, et al. Prevalence of adenoid hypertrophy: a systematic review and meta-analysis[J]. Sleep Med Rev, 2018, 38: 101-112. doi:10.1016/j.smrv.2017.06.001
[31] 张一彤, 刘海琴, 任晓勇. 儿童阻塞性睡眠呼吸暂停相关认知障碍的研究现状、问题与展望[J]. 山东大学耳鼻喉眼学报, 2021, 35(2): 119-124. doi:10.6040/j. issn.1673-3770.0.2020.187 ZHANG Yitong, LIU Haiqin, REN Xiaoyong. Cognitive and behavioral dysfunction related to obstructive sleep apnea in children: current status, problems, and prospects[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(2): 119-124. doi:10.6040/j. issn.1673-3770.0.2020.187
[32] Abdel Tawab HM, Tabook SMS. Correlation between adenoid hypertrophy, tympanometry findings, and viscosity of middle ear fluid in chronic otitis media with effusion, southern oman[J].Ear Nose Throat J,2021,100(3):141-146. doi: 10.1177/0145561319875438
[33] Liu JL, Li SH, Cai YM, et al. Automated radiographic evaluation of adenoid hypertrophy based on VGG-lite[J]. J Dent Res, 2021, 100(12): 1337-1343. doi:10.1177/00220345211009474
[1] YI Tongying, WANG Xueni, HAN Xudong, BAI Caiying, WU Qizhen. Application effect and safety evaluation of inhalation anesthesia in children's electronic rhinopharyngeal endoscopy [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(1): 26-29.
[2] ZHANG Xiaoxue, WANG Wei, LIU Jie, XU Zhenju, QIAN Yongheng, HAN Min. The bacteriological characteristics and drug sensitivity of the oropharyngeal region in children and adults with OSAHS [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(1): 35-40.
[3] WANG Xingxin, YANG Xinyu, ZHENG Xiaojun, DING Lin, SHENG Yawen, BI Xiaoyun, YANG Jiguo. Acupoint application therapy for adenoid hypertrophy in children: a case report [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(5): 122-124.
[4] ZHANG Fengzhen, WANG Guixiang, WEI Yunyun, ZHANG Yamei, ZHAO Jing, WANG Hua, LI Hongbin, LI Xiaodan, ZHANG Jie. Perioperative management of children with mild bleeding disorders undergoing adenotonsillectomy procedures [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(4): 66-72.
[5] LU Weili, JIANG Tao, LI Xianhua. Analysis of sIgE in polysensitized children with allergic rhinitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(3): 260-265.
[6] JIN Xiaoxue, HAN Yingying, GUO Ruixiang, NI Shoujie, ZOU Juanjuan, WANG Yan, LI Yanzhong. Correlation between allergy factors and maxillofacial malformation in children with tonsil and adenoid hypertrophy in denture replacement period [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(2): 45-50.
[7] YANG Yang, WANG Xiaoxu, ZHANG Jie. Progress on diagnosis and treatment of middle ear cholesteatoma in children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 1-6.
[8] GAO Xinzhong, LING Zongtong, SHEN Ling, LIU Pingfang, LIN Xin, XU Yangyang. Analysis of the efficacy of balloon eustachian tuboplasty combined with adenoidectomy in the treatment of otitis media with effusion in children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 7-12.
[9] HU Chunyan, DANG Panhong, ZHANG Rui, FAN Mengyun. Analysis of audiological and imaging characteristics of 149 children with unilateral sensorineural hearing loss [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 31-36.
[10] DANG Panhong, ZHANG Rui, HU Chunyan, WANG Jie, FAN Mengyun. Clinical analysis of facial nerve decompression via an external transmastoid-subtemporal labyrinth approach in eight children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 37-42.
[11] LIU Shanshan, HAN Shujing, WANG Xiaoxu, LI Yanhong, NI Xin, ZHANG Jie. Hearing loss in children after bacterial meningitis: a systematic review and meta-analysis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 48-54.
[12] JIAO Xuemei, YANG Yang, LI Chunfeng, ZHANG Xiaolin. Effect of tympanic membrane insertion on the function of eustachian tube in children with secretory otitis media [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 60-63.
[13] WANG Pengpeng, GE Wentong, TANG Lixing, YANG Xiaojian, ZHANG Wei, XIAO Xiao, HAN Yang. Four cases of open rhinoplasty approach for congenital nasal dermoid and sinus cysts in children and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 64-69.
[14] LI Menghui, ZHI Lili, QI Kaiwen, WANG Shanshan, GAO Qian, BU Meiling,. Clinical research of subcutaneous immunotherapy on children with allergic asthma caused by dust mites and combined with mold allergen [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 75-80.
[15] CHEN Kun, LU Hui, HUANG Qi, LI Lei, MENG Guozhen, YANG Jun, HOU Dongming. Clinical diagnosis and treatment of congenital nasal sinus mass in children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 81-85.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!