{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T07:07:16Z","timestamp":1770534436485,"version":"3.49.0"},"reference-count":19,"publisher":"Cambridge University Press (CUP)","issue":"11","license":[{"start":{"date-parts":[[2008,4,7]],"date-time":"2008-04-07T00:00:00Z","timestamp":1207526400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2008,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215108001916_sec1\"><jats:title>Background:<\/jats:title><jats:p>Obstructive adenoid enlargement is commonly implicated as the major cause of chronic nasal obstruction in children. Although clinical assessment is considered essential, there is little consensus over its reliability. This study was conducted to determine the correlation between graded symptomatology assessment and roentgenographic assessment of adenoidal obstruction.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215108001916_sec2\"><jats:title>Method:<\/jats:title><jats:p>Symptoms assessed included snoring, mouth-breathing and obstructive breathing during sleep. Each symptom was rated on a four-point scale (absent\u00a0=\u00a0zero, mild\u00a0=\u00a0one, moderate\u00a0=\u00a0two and severe\u00a0=\u00a0three). We summed the ratings for each child to obtain the symptomatology score. We used an adenoidal\u2013nasopharyngeal ratio parameter to classify roentgenographic assessment into minimal, moderate or marked obstruction.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215108001916_sec3\"><jats:title>Results:<\/jats:title><jats:p>Sixty-four children, 42 boys and 22 girls, aged one to 12 years were enrolled. The clinical symptomatology scores correlated significantly with the roentgenographic ratings of nasopharyngeal airway obstruction (<jats:italic>r<\/jats:italic>\u00a0=\u00a00.419;<jats:italic>p<\/jats:italic>\u00a0=\u00a00.001). The correlation was significant at roentgenographic ratings of minimal obstruction (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05) and gross obstruction (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). Both the symptomatology score and the roentgenographic rating showed significant correlations with patient age (<jats:italic>r<\/jats:italic>\u00a0=\u00a0\u22120.657,<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01 and<jats:italic>r<\/jats:italic>\u00a0=\u00a0\u22120.340,<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01, respectively).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215108001916_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>Clinical rating of adenoidal symptoms in children provides a reasonably reliable assessment of the presence and severity of nasopharyngeal airway obstruction. This technique of assessment is easy to use and is particularly valid when obstruction is either minimal or gross.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215108001916","type":"journal-article","created":{"date-parts":[[2008,4,7]],"date-time":"2008-04-07T08:13:31Z","timestamp":1207556011000},"page":"1201-1205","source":"Crossref","is-referenced-by-count":21,"title":["Evaluation of adenoidal obstruction in children: clinical symptoms compared with roentgenographic assessment"],"prefix":"10.1017","volume":"122","author":[{"given":"F T","family":"Orji","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B C","family":"Ezeanolue","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2008,4,7]]},"reference":[{"key":"S0022215108001916_ref5","doi-asserted-by":"publisher","DOI":"10.1177\/00034894750840S213"},{"key":"S0022215108001916_ref8","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5540680714"},{"key":"S0022215108001916_ref10","doi-asserted-by":"publisher","DOI":"10.1542\/peds.101.6.979"},{"key":"S0022215108001916_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100102269"},{"key":"S0022215108001916_ref14","doi-asserted-by":"publisher","DOI":"10.3109\/00016488009127132"},{"key":"S0022215108001916_ref13","doi-asserted-by":"publisher","DOI":"10.1177\/019459988209000505"},{"key":"S0022215108001916_ref18","first-page":"299","article-title":"Roentgenologic investigation of the nasopharyngeal tonsil in children of different ages","volume":"7","author":"Johannesson","year":"1968","journal-title":"Acta Radiol"},{"key":"S0022215108001916_ref1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1977.tb01363.x"},{"key":"S0022215108001916_ref9","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1177\/014556139207101207","article-title":"Later cervical radiographs and adenoid size: do they correlate?","volume":"7","author":"Cohen","year":"1992","journal-title":"Ear Nose Throat J"},{"key":"S0022215108001916_ref3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1980.tb01646.x"},{"key":"S0022215108001916_ref16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1981.tb01805.x"},{"key":"S0022215108001916_ref4","first-page":"121","article-title":"How should adenoidal enlargement be measured: a radiological study based on interobserver agreement","volume":"67","author":"Jean","year":"2003","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"S0022215108001916_ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-006-0086-y"},{"key":"S0022215108001916_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(78)90146-0"},{"key":"S0022215108001916_ref17","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100129688"},{"key":"S0022215108001916_ref2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1977.tb01373.x"},{"key":"S0022215108001916_ref6","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.133.3.401"},{"key":"S0022215108001916_ref19","doi-asserted-by":"publisher","DOI":"10.1259\/0007-1285-54-638-117"},{"key":"S0022215108001916_ref15","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100099825"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215108001916","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,3]],"date-time":"2020-05-03T22:32:58Z","timestamp":1588545178000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215108001916\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,4,7]]},"references-count":19,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2008,11]]}},"alternative-id":["S0022215108001916"],"URL":"https:\/\/doi.org\/10.1017\/s0022215108001916","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,4,7]]}}}