ABSTRACT
The significance of radiological assessment in the treatment plan of patients with adenoid hypertrophy cannot be undermined. This study evaluated the correlation between clinical symptoms and radiological findings in the clinical assessment of patients with adenoid hypertrophy.METHODSA cross-sectional study was conducted by recruiting 147 individuals aged between 1 to 27 years from September 2017 to February 2018. Clinical assessment was performed through questionnaires prepared for primary caregivers. Radiographic findings were obtained through lateral nasopharyngeal radiographs. Frequencies, percentages, cross-tabulation, chi-square analysis, and Pearson correlation test were used to analyse the collected data via Statistical Package for Social Sciences (SPSS).RESULTSA positive correlation was observed between clinical presentations of snoring and adenoid thickness. No significant correlations were observed between mouth breathing, obstructive breathing during sleep, and the total clinical score obtained with the nasopharyngeal diameter. A significant correlation of nasopharyngeal diameter with mouth breathing and soft palate thickness was noted. The ratio of soft-palate tissue was also significantly correlated with nasopharyngeal diameter.CONCLUSIONSFindings revealed a significant correlation between mouth breathing with all the radiological findings at 5% level of significance. It also suggests that suspected adenoid hypertrophy in children can be treated with lateral radiograph of the nasopharynx for better treatment outcomes.
ABSTRACT
Background: Radio-diagnostics has become widespread nowadays for identification of diseases, however, a lot of patients, especially females of reproductive age lack awareness of risk factors involved with ionizing radiations. This study aimed to assess the awareness regarding the risk of radiation exposure to female patients and evaluation of the medical staffs' efforts to exclude pregnancy prior to sending patients for radiology examination
Methods: Three-part questionnaires were used for evaluation of reproductive aged female patients who were undergoing investigations with ionizing radiations in January 2017 at Radiology Department in King Abdul-Aziz University Hospital, Jeddah, Saudi Arabia
Results: 43.7%, 65.3%, and 89.6% of physicians, radiologists and receptionists respectively, ask about pregnancy while only a few of them asked about possibility of pregnancy and the first day in last menstrual cycle of the patient. Overall, 91% and 75.2% of patients estimated the risk of cancer from chest radiography and CT respectively; being very small. However, 76.6% of patients correctly thought that CT gave more amounts of radiation than X-rays and 61.3% of patients agreed that it is more important for their physician to diagnose their condition with CT than to worry about the radiation exposure
Conclusion: These data suggests that females have incomplete understanding about risks associate with radiations, in addition to which most of clinical practitioners also do not ask about the possibility of pregnancy which puts patients at a greater risk