The radiologic evaluation of adenoid hypertrophy and the presence of sinusitis in pediatric patients with chronic otitis media

Abstract

Objective: The present study was conducted to evaluate whether adenoid hypertrophy and the presence of sinusitis were associated with pediatric chronic otitis media (COM) radiologically. Materials and Methods: The computed tomography scans of 71 pediatric patients (33 males and 28 females) ranging in age from 3 to 17 (mean 12 ± 3.9) years who had been admitted to our tertiary care hospital were retrospectively evaluated for adenoid size, nasopharyngeal (NP) airway opening, and the presence of sinusitis. Thirty-six pediatric patients who had been operated on COM were selected as Group 1, and 35 patients who had no middle ear disease were selected as Group 2. The radiological findings of the two groups were compared. Results: Adenoid size and NP airway opening measurements were not statistically different between the groups (P = 0.237 and P = 0.298), so as the NP narrowing by soft palate (P = 0.992). Furthermore, there was no statistically significant difference in the incidence of sinusitis between the groups (P = 0.464). Conclusion: Our results have shown that there was no significant difference of adenoid hypertrophy and the presence of sinusitis in pediatric COM patients and non-COM patients radiologically. For further information, prospective epidemiological trials with longer follow-up periods including pediatric patients are suggested.