الفهرس 
Material and methodsOnly 14 pages are availabe for public view
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Abstract
sa
Enlarged adenoids is a co•• on
infants and young children and
trouble. for the. I
Nasal ob.~ructiDn.
Na.al discharQ_ ant.riar or pa.~.riar.
”auth br.at.hing.
Sar. t.hroat..
Acute suppurative otitis .edia.
Secret.ory otit.is ••dia.
SUMMARV AND CONCLUSXQNS
problelll affecting
this causes many
Recurrent ch•• t infection.
Mental lethargy, somnolence.
So, it is i.portant to diagnose cases of adenoiditis
accurately before curettage under general
anaesth •• ia.
Diagnosi. of adenoids depends upanl
1- Full history.
2- Clinical exa.ination of the no •• , throat. and
3- Post.na.al .irror .xa.1Mat.ion.
4- Digital palpation of the nasopharynx.
5
oft tissue mas. in the X-ray
lateral view soft tissue shadow for the
n.sopharynx to a
nasopharynx,
but this met ad gives many fallacies as
.any cases diagnosed as ha ing adenoids bY X-ray but
when they are
under general anaesthesia
they sho- the adenoid .ass to be very
saall or not
present at all.
Fibrooptic endoscope • broad field for
to use t.he
fiberooptic nasopharyngoscope for diagdiagnosis
in different p. ts of the body, so, we try
nosis of enlarged adenoid
have adenoids.
in children suspected to
This study ai••s• to correlate different lIlethods
for diagnosiS of adenoids (i.e., X-ray, F. o. ,
This st.udy include
80 child complaining of one
of adenoids, 1
from e”ery child’s parent. a history is taken,
E.N.T. examinat.ion is dane, po.tn ••• l mirror is
done, digital palpatio
is done, X-ray lateral ”iew
soft tissue shadoW on the nasopharynx is
done, then
every child ts
by lidaaryngoscope
under local spray
cain. lOX for 5 .tnut.s
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60
are proved
90 c.ses, and
to have
25 cases
Results;
Children
their ag•• •
In -final
adenoids by
are
grouped into 5 groupS according to
X-ray from
a,.. exa.ined under general
This give. 47 c •• ••
no .denaids with 107.
result: 55 c
.re proved to have no aden
All the S5 c••• •
anae.th ••t. before
only +ve and e c ••• •
fallacy of the total
Fiberooptic examination give•• bout 59 ca••’ to
have adenoid. and 21 to have no adenDids, these
cas,. when .x••ined un er g.neral .naesthes
ia
all
ca.’. proved to have • enoids by fibro.COpe are
proved’ to haye .denoid under gener.1 an•••th•• ia.
The•• tot.l r••ult. are n t the truthJ
For .x••pl~1 Age gra 4-5 y~ar. includes ~q
children fro. th•• X-r.y di.gno.i. shoWS 13 c•••• to
have adenoids and 6 cas’s to have nD adenoids, but
on fiberoaptic exaMination 15 cases are proved to
have adenoids but these 15 c.se’ are
1 1 ca.’S from
the 13 c•••• +v. by rad’ology and 4 caS’. frO. the 6
c•••• -v. by radiology.
Exa.ination und.r .n •• th.sia of .11 c•• •• +ve
by radioloQY and F.O. proved the true r.sul
t
• by
fiberDOptic .or. than th radiOlogy.
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Sa, radiology gives ,.any
;
fallaci •• and fibei
roop~ic is a aor. accura~e! •• thod ~han radiology.
CpncluliOns,
UsinljJ t.he fibe”Dop~i~ nasopharyngoscope a. a
Me~hod for diagnosis of aldenoids is mo,.. accura~e
than radiology of
t.he ~••opharynx as regards presence
or ab •• nce of adenoi~s, bU~ t.he diagnosis of
the size of
i
adenoids i~ not easy to b. done by ~he
fiberascape .ccu,.a~.ly.
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