An Insight into Usefulness of Anterior Rhinomanometry as Marker in Adenoid Hypertrophy
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Abstract
INTRODUCTION
Prospective Observational Study in 34 Patients from December 2018 till November 2022 in Tertiary Care Hospital to objectively assess diagnostic utility of anterior rhinomanometry in symptomatic patients undergoing Adenoidectomy preoperatively and postoperatively and subjectively compare changes in quality of life.
MATERIALS AND METHODS
Patients with clinical history of adenoid hypertrophy managed clinically for 2 months, posted for adenotonsillectomy were performed Anterior Rhinomanometry using M/s GENESIS MEDICAL SYSTEMS NASOBALANCE – P 5 to calculate both baseline and post decongestion resistance values. Postoperatively anterior rhinomanometry is performed after 12 weeks and compared with preoperative nasal resistance values. Quality of Life measured by Visual Analogue Scale.
RESULTS
Comparison of Preop post decongestion and postop pre decongestion of nasal resistance following adenoidectomy revealed nasal resistance significantly reduced (p<0.05). When nasal resistance preoperatively compared with X ray nasopharynx there was proportionate increase in nasal resistance as soft tissue narrowing of airway increases.
CONCLUSION
Visual Analogue Scale reveals improvement of quality of life in 28/34 = 82.35% patients. Comparison of Pre and post decongestion values following adenoidectomy in isolated asymptomatic patients revealed p value is insignificant which is established by anterior rhinomanometry suggesting values of nasal airway resistance remained similar in isolated adenoid hypertrophy patients.
Article Details
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