Assessment of size of adenoid-comparison of adenoidal nasopharyngeal ratio and nasal endoscopy in children with chronic adenoiditis

Background: Adenoid hypertrophy (AH) is a common cause of upper airway obstruction in paediatric patients and can have a significant influence on the health of the child. Children who have hypertrophic adenoids often exhibit nasal obstruction, snoring, sleep apnea, otitis media with effusion and craniofacial abnormalities. The main objective of this study was to know the association between size of adenoids and occurrence of otitis media with effusion (OME) and to correlate the grades of AH by lateral nasopharyngeal radiograph and nasal endoscope.Methods: This was an observational cross-sectional study of 100 children who were diagnosed as chronic adenoiditis were studied clinically with relevant investigations. The digital X-ray nasopharynx lateral view and nasal endoscopic results of all the patients were analyzed and graded.Results: Mean Adenoidal-nasopharyngeal ratio for which OME was present was 0.72 which corresponds to X-ray grade 2. It was also found that 80.6% of X-ray grade 3 adenoids had OME and 100% of cases of endoscopic grade 4 adenoids had OME in either or both ears.  36 cases with grade 3 X-rays, 69% were in endoscopic grade 3 and 19.4% cases were shown to have complete choanal obstruction (grade 4).Conclusions: There is significant association between the size of adenoids and OME. The X-ray nasopharynx provides a more convenient method and nasal endoscopy is the gold standard method for determining whether the AH is clinically significant or not.

Unrecognized hyperlucent lesion on lateral film of chest X-Ray

We report an interesting case of bulla right lung, incidently found during CABG surgery.

Study of Plantar Medial Longitudinal Arch and Its Pattern of Development Supported Through Radiographic Evaluation in Western Rajasthan Population.

This study had a purpose of enlarging the data on various parameters and pattern of development of plantar medial longitudinal arch in Western Rajasthan population. Fifty normal children of age between 0-7 years were selected. Subjects were divided in 5 groups according to ages(in months) beginning with 0-18 months,19-36 months and so on up to 90 months of age. Roentgenographs of foot were taken from Right lateral view for study of medial longitudinal arch. Parameters like Arch height, Forepart length, Hindpart length, Anterior and Posterior medial longitudinal arch angle were measured. The data obtained were statistically analyzed.

Useful Lateral Views of Sacrococcygeal Region in Skeletal Scintigraphy / 대한핵의학회잡지

A tail-on-detector (TOD) view has been used to see the symphysis pubis or sacrococcyx in skeletal scintigraphy, but it is inconvenient to acquire because a patient must sit or lean on a detector. The TOD views are still frequently performed in training hospitals in Korea, although it is becoming almost impossible to sit on a camera in this age of dual-headed cameras. The authors show cases with lateral views obtained in supine position that were acquired for the same reason; they are easier and more useful than the TOD views.

Radiologic Result of Displacement according to Position and Measurement Methods in Spondylolisthesis / 대한척추외과학회지

STUDY DESIGN: Prospective analysis was based on radiographic appearance in 80 cases of spondylolisthesis taken in positional change. PURPOSE: The aim of the study was to investigate the flexion-extension lateral radiographs about the difference between decubitus and upright position and the measurement method of displacement in spondylolisthesis. SUMMARY OF LITERATURE REVIEW: Although the flexion-extension lateral radiographs of spine were known the most preferable diagnostic method for spine instability, there are some debates about the difference of displacement according to the patient position and measurement methods. MATERIALS AND METHODS: The radiographs of 80 patients with spondylolisthesis were taken in the decubitus and upright position. Extent of the displacement were measured by Taillard, DuPuis, modified Qunnell & Stockdale method and Ferguson angle, slip angle, lordosis angle and vertebral centroid measurement of lumbar lordosis(CLL) were measured, according to position. RESULTS: Significant difference between the positions was shown on the CLL and lordosis angle. Differences between positions analyzed from Taillard, DuPuis, modified Qunnell & Stockdale method, Ferguson angle and slip angle had no statistical significance. Differences between positions analyzed from the pathologic movement of translation(>4 mm) had a clinically significance in the upright position rather than the decubitus. CONCLUSION: The lateral flexion-extension radiographs on upright position rather than decubitus position are considered as the more useful diagnostic method.

Evaluation of Augmentation Rhinoplasty and Tip Surgery Using Cartilage Autograft by Standardized Lateral View of Photodocumentation / 대한이비인후과학회지

BACKGROUND AND OBJECTIVE: Nasal tip projection and dorsal realignement are important defining features of nasal profile. Recently, the use of rhinoplasty has increased by rhinologic surgeons and good cosmetic results have been reported. But, sufficient analysis of postoperative results is not presented in augmentation rhinoplasty. We aimed to evaluate the augmentation rhinoplasty using pre- and postoperative lateral view under similar conditions. MATERIALS AND METHODS: We performed 22 cases of augmentation rhinoplasty with cartilage auteograft (8 males and 14 females, aged 21 to 53 years) between September 1997 and August 1998. Using lateral view, pre- and postoperative nasofrontal, nasofacial, nasolabial, nasal tip rotational angle, and height of nasion, depth of the nasion, tip projection, tip angle were analysed. RESULTS: The increment of nasofrontal angle was 3.3degreesin males and 3.8degrees in females. The increment of height of the nasion was 1.4 mm in males and 2.1 mm in females, and the increment of tip projection was 1.3 mm in males and 1.7 mm in females, and the increment of tip angle was 1.6degreesin males and 2.1degreesin females. The increment of nasofacial angle was 2.9degrees in males and 3.9degrees in females, and the increment of nasolabial angle was 0degrees in males and 1.6degreesin females. The increment of nasal tip rotational angle was 0.2degrees in males and 0.7degreesin females, respectively. CONCLUSION: We achieved good cosmetic results by cartilage autograft and hoped to increase the efficacy of augmentation rhinoplasty in future, based on this study.

Metric study of the upper airway in normal Korean adults with new radiologic lateral view of chest / 대한마취과학회지

Authors measured various portions of upper airway by use of new radiologic lateral view of chest in order to study the mean values of upper airway in normal Korean adults (n=100). The length between anterior teeth and the top of the epiglottis was 8.9+/-0.6 cm in male and 8.5+/-0.6 cm in female. The length beteen anterior teeth and the mid portion of trachea was 20.4 +/-0.7 cm in male and 18.8+/-0.8 cm in female. The length between anterior teeth and carina was 27.1+/-0.9 cm in male and 25.3+/-0.9 cm in female, while the length of trachea was 13.3+/-0.7 cm in male and 12.9+/-0.5 cm in female. The vocal cord and the carina were usually located at the level of the 5th cervicl and the 5th thoracic vertebra, respectively, in both sexes. This study also showed that the central portion of the trachea was located at the level of the lower border of the medial end of clavicle.