Association between Adenoid-Nasopharyngeal Ratio and Tympanogram Width in Adenoid Hypertrophy Patients

Introduction Adenoid hypertrophy is a change in adenoid size that can lead to obstruction the Eustachian tube and become a risk factor for otitis media effusion (OME) in children. Standard objective examination of adenoid hypertrophy uses adenoid-nasopharyngeal ratio (A-N ratio) based on correct lat...

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Autores principales: Muhammad Arif Sudianto Utama, Widodo Ario Kentjono, Haris Mayagung Ekorini
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Lenguaje:EN
Publicado: Thieme Medical Publishers, Inc. 2021
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Acceso en línea:https://doaj.org/article/1a7c7f3838bd479e9357348e28403a7a
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spelling oai:doaj.org-article:1a7c7f3838bd479e9357348e28403a7a2021-11-23T23:56:45ZAssociation between Adenoid-Nasopharyngeal Ratio and Tympanogram Width in Adenoid Hypertrophy Patients2454-67982455-461810.1055/s-0041-1735332https://doaj.org/article/1a7c7f3838bd479e9357348e28403a7a2021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1735332https://doaj.org/toc/2454-6798https://doaj.org/toc/2455-4618Introduction Adenoid hypertrophy is a change in adenoid size that can lead to obstruction the Eustachian tube and become a risk factor for otitis media effusion (OME) in children. Standard objective examination of adenoid hypertrophy uses adenoid-nasopharyngeal ratio (A-N ratio) based on correct lateral skull radiography. Adenoid hypertrophy is one of the factors causing OME in children. There is still much debate about the association between A-N ratio and tympanogram width (Tw). Determining the association of A-N ratio and Tw in adenoid hypertrophy patients. Methods Participants performed a true lateral radiographic examination using Fujioka method to determine A-N ratio, and Tw to determine middle-ear pressure. The distance between examination of A-N ratio and tympanogram examination was at maximum of ~1 week. The association between A-N ratio and Tw in patients with adenoid hypertrophy used the Pearson correlation test. This research employed significance level p < 0.05. Results Most participants were aged between 6 and 10 years (38.10%), male patients (57.14%), and the symptom most participants complained of was snoring during sleep (38.10%). Most participants had A-N ratio of 0.53 to 0.70 (61.90%) with an average of 0.60 ± 0.05. The average value of Tw measurement was 102.83 ± 50.03 daPa (r = 0.605; p < 0.001). Conclusion There is a significant association between A-N ratio base on true lateral radiographic examination and Tw in adenoid hypertrophy patients.Muhammad Arif Sudianto UtamaWidodo Ario KentjonoHaris Mayagung EkoriniThieme Medical Publishers, Inc.articleadenoid-nasopharyngeal ratioadenoid hypertrophytympanogram widthNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENAsian Journal of Oncology (2021)
institution DOAJ
collection DOAJ
language EN
topic adenoid-nasopharyngeal ratio
adenoid hypertrophy
tympanogram width
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle adenoid-nasopharyngeal ratio
adenoid hypertrophy
tympanogram width
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Muhammad Arif Sudianto Utama
Widodo Ario Kentjono
Haris Mayagung Ekorini
Association between Adenoid-Nasopharyngeal Ratio and Tympanogram Width in Adenoid Hypertrophy Patients
description Introduction Adenoid hypertrophy is a change in adenoid size that can lead to obstruction the Eustachian tube and become a risk factor for otitis media effusion (OME) in children. Standard objective examination of adenoid hypertrophy uses adenoid-nasopharyngeal ratio (A-N ratio) based on correct lateral skull radiography. Adenoid hypertrophy is one of the factors causing OME in children. There is still much debate about the association between A-N ratio and tympanogram width (Tw). Determining the association of A-N ratio and Tw in adenoid hypertrophy patients. Methods Participants performed a true lateral radiographic examination using Fujioka method to determine A-N ratio, and Tw to determine middle-ear pressure. The distance between examination of A-N ratio and tympanogram examination was at maximum of ~1 week. The association between A-N ratio and Tw in patients with adenoid hypertrophy used the Pearson correlation test. This research employed significance level p < 0.05. Results Most participants were aged between 6 and 10 years (38.10%), male patients (57.14%), and the symptom most participants complained of was snoring during sleep (38.10%). Most participants had A-N ratio of 0.53 to 0.70 (61.90%) with an average of 0.60 ± 0.05. The average value of Tw measurement was 102.83 ± 50.03 daPa (r = 0.605; p < 0.001). Conclusion There is a significant association between A-N ratio base on true lateral radiographic examination and Tw in adenoid hypertrophy patients.
format article
author Muhammad Arif Sudianto Utama
Widodo Ario Kentjono
Haris Mayagung Ekorini
author_facet Muhammad Arif Sudianto Utama
Widodo Ario Kentjono
Haris Mayagung Ekorini
author_sort Muhammad Arif Sudianto Utama
title Association between Adenoid-Nasopharyngeal Ratio and Tympanogram Width in Adenoid Hypertrophy Patients
title_short Association between Adenoid-Nasopharyngeal Ratio and Tympanogram Width in Adenoid Hypertrophy Patients
title_full Association between Adenoid-Nasopharyngeal Ratio and Tympanogram Width in Adenoid Hypertrophy Patients
title_fullStr Association between Adenoid-Nasopharyngeal Ratio and Tympanogram Width in Adenoid Hypertrophy Patients
title_full_unstemmed Association between Adenoid-Nasopharyngeal Ratio and Tympanogram Width in Adenoid Hypertrophy Patients
title_sort association between adenoid-nasopharyngeal ratio and tympanogram width in adenoid hypertrophy patients
publisher Thieme Medical Publishers, Inc.
publishDate 2021
url https://doaj.org/article/1a7c7f3838bd479e9357348e28403a7a
work_keys_str_mv AT muhammadarifsudiantoutama associationbetweenadenoidnasopharyngealratioandtympanogramwidthinadenoidhypertrophypatients
AT widodoariokentjono associationbetweenadenoidnasopharyngealratioandtympanogramwidthinadenoidhypertrophypatients
AT harismayagungekorini associationbetweenadenoidnasopharyngealratioandtympanogramwidthinadenoidhypertrophypatients
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