Clinical assessment of adenoidal obstruction based on the nasal obstruction index is no longer useful in children.

Author: BossiAnna, CapaccioPasquale, DusiElisa, EspositoSusanna, MarchisioPaola, NazzariErica, PignataroLorenzo, PrincipiNicola, TorrettaSara

Paper Details 
Original Abstract of the Article :
OBJECTIVE: To evaluate the accuracy of clinical assessment of adenoidal obstruction based on a standardized score of the degree of mouth breathing and speech hyponasality (nasal obstruction index [NOI]) in comparison to nasal fiberoptic endoscopy. STUDY DESIGN: Cross-sectional study with planned da...See full text at original site
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引用元:
https://doi.org/10.1016/j.otohns.2009.10.027

データ提供:米国国立医学図書館(NLM)

Reconsidering Clinical Assessment of Adenoidal Obstruction in Children

In the field of pediatrics, accurate diagnosis of adenoidal obstruction is critical for effective management of respiratory and ear-related issues in children. This study challenges the traditional method of clinically assessing adenoidal obstruction using the nasal obstruction index (NOI). The researchers conducted a cross-sectional study on a cohort of children suspected of adenoidal obstruction, comparing clinical assessment with nasal fiberoptic endoscopy. Their findings demonstrate that clinical assessment using the NOI is unreliable and should be reevaluated.

Clinical Assessment of Adenoidal Obstruction Requires Reassessment

The study found no substantial agreement between the NOI and the degree of adenoidal obstruction, suggesting that the NOI is an unreliable tool for assessing this condition. This research has significant implications for clinical practice, suggesting that alternative methods for assessing adenoidal obstruction may be necessary. The findings encourage a reevaluation of current clinical assessment practices.

Improving Diagnostic Accuracy for Children

As a doctor, I'm always concerned about making accurate diagnoses for my young patients. This study's findings on the unreliability of the NOI highlight the need for more accurate methods of assessing adenoidal obstruction. It's a reminder that we must constantly strive to improve our diagnostic tools and practices to ensure the best possible care for children.

Dr.Camel's Conclusion

This study serves as a reminder that we must constantly question and refine our clinical practices. By reevaluating the use of the nasal obstruction index for assessing adenoidal obstruction in children, the researchers are pushing for more accurate and reliable diagnostic approaches, leading to better care for our youngest patients.

Date :
  1. Date Completed 2010-03-12
  2. Date Revised 2010-05-26
Further Info :

Pubmed ID

20115981

DOI: Digital Object Identifier

10.1016/j.otohns.2009.10.027

Related Literature

SNS
PICO Info
in preparation
Languages

English

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