A Comparative Study of Radiological and Endoscopic Methods for Assessing Adenoid Tissue in Chronic Adenoiditis

Introduction: The superior and posterior borders of the nasopharynx include a lobulated mass of lymphoidtissue called the adenoid, sometimes referred to as the pharyngeal or Luschka's tonsil. After birth, it growsquickly at first, but between the ages of 8 and 10, it typically experiences some atrophy and involution.Aims: This study compares the diagnostic effectiveness of nasoendoscopy and X-ray soft tissue nasopharynxlateral view in assessing adenoid size in individuals with chronic adenoiditis.Materials & Methods: A prospective observational comparative studyweredone in Medica Super specialtyHospital Kolkata. Period of study 1 year and total sample size were 70Result: In our study, using the Cohen Konak radiological method, a statistically significant association wasobserved between radiological grading and clinical severity (p = 0.0006). Among patients with moderate-severeclinical symptoms, 20 (33.3%) had moderate-severe radiological findings and 40 (66.6%) had mild findings.Conversely, in the mild clinical group, 50 (62.5%) showed moderate-severe radiological findings, while 30(37.5%) had mild findings.Conclusion: We came to the conclusion that nasal endoscopy is a good screening tool and a more accurate wayto measure the size of adenoids in patients with chronic adenoiditis because it has a greater sensitivity of87.10%, according to our study. The X-ray soft tissue lateral view of the nasopharynx is inexpensive, easilyaccessible, non-invasive, and comfortable for the youngster.