PMID: 11606958Oct 19, 2001Paper

A comparison of nasopharyngeal endoscopy and lateral cephalometric radiography in the diagnosis of nasopharyngeal airway obstruction

American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics
D I FilhoL G Gandin

Abstract

Two auxiliary methods of diagnosing nasopharyngeal airway obstruction were compared. Cephalometric radiography and nasopharyngeal videoendoscopy were evaluated for efficacy in terms of reproducibility and validity. Thirty orthodontic patients (7 to 12 years of age) seeking otorhinolaryngologic treatment for mouth breathing, or mouth and nose breathing, had nasopharyngeal endoscopy and radiographic examinations performed on the same day. Two otorhinolaryngologists analyzed the results. Nasopharyngeal endoscopy was more reliable in identifying all the obstructive nasopharyngeal processes. Endoscopy obtained kappa index scores of almost perfect agreement for diagnosis of posterior nasal septum deviation, of substantial agreement for anterior nasal septum deviation and lower turbinate hypertrophy, and of moderate agreement for middle turbinate hypertrophy. Lateral cephalometric radiography obtained scores of perfect agreement for imaging hypertrophy of the middle turbinate, of almost perfect agreement for imaging hypertrophy of the posterior portion of the inferior turbinate, and of substantial agreement for imaging hypertrophy of the inferior turbinate. Radiographic diagnoses of hypertrophy of the middle and lower turbinates exhib...Continue Reading

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Citations

Nov 10, 2011·International Journal of Immunopathology and Pharmacology·F PagellaG L Marseglia
May 19, 2010·Orthodontics & Craniofacial Research·M G LenzaP M Cattaneo
Aug 9, 2008·Cranio : the Journal of Craniomandibular Practice·Emi InadaYouichi Yamasaki
Sep 20, 2007·Sleep & Breathing = Schlaf & Atmung·G Dave Singh, Mark Abramson
Mar 15, 2011·European Journal of Orthodontics·Mariana B VizzottoHeloísa E Silveira
Dec 8, 2015·American Journal of Rhinology & Allergy·Rossana B LealValdenice A de Menezes
Feb 19, 2014·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Ilaria BrambillaGian Luigi Marseglia
Oct 17, 2017·European Journal of Orthodontics·Luize Severo MartinsMariana Boessio Vizzotto
Nov 26, 2019·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Yuyun Yueniwati, Nana Halim
Jun 21, 2021·Journal of Anatomy·Roni Abou Sleiman, Antoine Saadé
Dec 4, 2010·International Journal of Pediatric Otorhinolaryngology·Murilo Fernando Neuppmann FeresShirley Shizue Nagata Pignatari

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