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<p>Background: Adenoid hypertrophy in the pediatric population, if left unaddressed can lead to significant morbidity, affecting their academic performance and productivity. Aim: To assess the correlation of the clinical symptom scoring in adenoid hypertrophy with the X-ray nasopharynx findings among children. Materials and methods: This descriptive cross-sectional study was done in the ENT department among children aged 6 months to 15 years from January 2024 and June 2024. All children underwent clinical symptom scoring, and X-ray of the nasopharynx, which were graded for adenoid hypertrophy. Continuous variables were reported as medians with interquartile ranges (IQR), and categorical variables as proportions. Spearman’s correlation assessed the relationship between symptom scoring and adenoid hypertrophy. ROC curve analysis assessed the diagnostic accuracy of symptom scores, while binary logistic regression identified predictors of high symptom scores. Results: In our study, ear block symptom significantly correlated with moderate to severe adenoid hypertrophy on X-ray (<i>p</i> = 0.05). Snoring and mouth breathing also showed significant correlation with X-ray (<i>p</i> &lt; 0.001). Adenoid facies were seen in 46.2% and significantly associated with higher X-ray grading (<i>p</i> = 0.000). Spearman’s correlation showed a significant correlation between symptom score and adenoid hypertrophy (<i>r</i> = 0.680, <i>p</i> &lt; 0.001). ROC curve analysis demonstrated good diagnostic accuracy of the clinical symptom score, with an AUC of 0.851 (95% CI: 0.751–0.951), sensitivity of 69.8%, and specificity of 90.9% (<i>p</i> &lt; 0.001). Binary logistic regression identified severe X-ray grading as a significant predictor of high symptom scores (Adjusted OR = 22.731, 95% CI: 4.615–111.949, <i>p</i> &lt; 0.001), while age and sex were not significant predictors. Conclusion: The overall clinical scoring has a positive correlation with X-ray nasopharynx findings which makes this a complementary tool for the assessment of severity of adenoid hypertrophy. This study also emphasizes that all pediatric patients presenting with adenoid hypertrophy should be evaluated for associated ear conditions.</p>

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Does Clinical Symptom Scoring Correlate with X-ray Findings in Evaluating Adenoid Hypertrophy? A Descriptive Cross-sectional Study

  • 期刊论文

  • 发表日期：

    2026年2月7日

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  • Vijayasaravanan Madhu,
  • Sophia Amalanathan,
  • Abinaya Rajendiran,
  • Srivalli Chilakamarri,
  • Kumaran Ramesh Colbert

摘要

Background: Adenoid hypertrophy in the pediatric population, if left unaddressed can lead to significant morbidity, affecting their academic performance and productivity. Aim: To assess the correlation of the clinical symptom scoring in adenoid hypertrophy with the X-ray nasopharynx findings among children. Materials and methods: This descriptive cross-sectional study was done in the ENT department among children aged 6 months to 15 years from January 2024 and June 2024. All children underwent clinical symptom scoring, and X-ray of the nasopharynx, which were graded for adenoid hypertrophy. Continuous variables were reported as medians with interquartile ranges (IQR), and categorical variables as proportions. Spearman’s correlation assessed the relationship between symptom scoring and adenoid hypertrophy. ROC curve analysis assessed the diagnostic accuracy of symptom scores, while binary logistic regression identified predictors of high symptom scores. Results: In our study, ear block symptom significantly correlated with moderate to severe adenoid hypertrophy on X-ray (p = 0.05). Snoring and mouth breathing also showed significant correlation with X-ray (p < 0.001). Adenoid facies were seen in 46.2% and significantly associated with higher X-ray grading (p = 0.000). Spearman’s correlation showed a significant correlation between symptom score and adenoid hypertrophy (r = 0.680, p < 0.001). ROC curve analysis demonstrated good diagnostic accuracy of the clinical symptom score, with an AUC of 0.851 (95% CI: 0.751–0.951), sensitivity of 69.8%, and specificity of 90.9% (p < 0.001). Binary logistic regression identified severe X-ray grading as a significant predictor of high symptom scores (Adjusted OR = 22.731, 95% CI: 4.615–111.949, p < 0.001), while age and sex were not significant predictors. Conclusion: The overall clinical scoring has a positive correlation with X-ray nasopharynx findings which makes this a complementary tool for the assessment of severity of adenoid hypertrophy. This study also emphasizes that all pediatric patients presenting with adenoid hypertrophy should be evaluated for associated ear conditions.