Endoscopic Evaluation of Adenoids: Reproducibility Analysis of Current Methods
Main Author: | |
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Publication Date: | 2013 |
Other Authors: | , , |
Format: | Article |
Language: | eng |
Source: | Repositório Institucional da UNIFESP |
Download full: | http://repositorio.unifesp.br/handle/11600/36012 http://dx.doi.org/10.3342/ceo.2013.6.1.36 |
Summary: | Objectives. TO investigate intra- and interexaminers' reproducibility of usual adenoid hypertrophy assessment methods, according to nasofiberendoscopic eXamination.Methods. Forty children of both sexes, ages ranging between 4 and 14 years, presenting with nasal obstruction and oral breathing suspected to be caused by adenoid hypertrophy, were enrolled in this study, Patients were evaluated by nasofiberendoscopy, and records were referred to and evaluated by two experienced otolaryngologists. Examiners analysed the records according to different evaluation methods; i.e., estimated, and measured percentage of choanal occlusion; as well as Subjective and objective classificatory systems of adenoid hypertrophy.Results. Data disclosed excellent intraexarniner reproducibility for both estimated and measured choanal occlusion. Interexaminers analysis revealed lower reproducibility rates of estimated in relation to measured choanal occlusion. Measured choanal occlusion also demonstrated less agreement among evaluations made through the right and left sides of the nasal cavity. Alternatively, intra- and interexaminers reliability analysis revealed higher agreement for subjective than objective classificatory system. Besides, subjective method demonstrated higher agreement than the objective classificatory system, when opposite sides were compared.Conclusion. Our results suggest that Measured is superior to estimated percentage of choanal occlusion, particularly if employed bilaterally, diminishing the lack of agreement between sides. When adenoid categorization is used instead, the authors recommend Subjective rather than objective classificatory system of adenoid hypertrophy. |
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Feres, Murilo Fernando Neuppmann [UNIFESP]Hermann, Juliana Sato [UNIFESP]Sallum, Ana Carolina [UNIFESP]Pignatari, Shirley Shizue Nagata [UNIFESP]Universidade Federal de São Paulo (UNIFESP)2016-01-24T14:31:18Z2016-01-24T14:31:18Z2013-03-01Clinical and Experimental Otorhinolaryngology. Seoul: Korean Soc Otorhinolaryngol, v. 6, n. 1, p. 36-40, 2013.1976-8710http://repositorio.unifesp.br/handle/11600/36012http://dx.doi.org/10.3342/ceo.2013.6.1.36WOS000317157200007.pdf10.3342/ceo.2013.6.1.36WOS:000317157200007Objectives. TO investigate intra- and interexaminers' reproducibility of usual adenoid hypertrophy assessment methods, according to nasofiberendoscopic eXamination.Methods. Forty children of both sexes, ages ranging between 4 and 14 years, presenting with nasal obstruction and oral breathing suspected to be caused by adenoid hypertrophy, were enrolled in this study, Patients were evaluated by nasofiberendoscopy, and records were referred to and evaluated by two experienced otolaryngologists. Examiners analysed the records according to different evaluation methods; i.e., estimated, and measured percentage of choanal occlusion; as well as Subjective and objective classificatory systems of adenoid hypertrophy.Results. Data disclosed excellent intraexarniner reproducibility for both estimated and measured choanal occlusion. Interexaminers analysis revealed lower reproducibility rates of estimated in relation to measured choanal occlusion. Measured choanal occlusion also demonstrated less agreement among evaluations made through the right and left sides of the nasal cavity. Alternatively, intra- and interexaminers reliability analysis revealed higher agreement for subjective than objective classificatory system. Besides, subjective method demonstrated higher agreement than the objective classificatory system, when opposite sides were compared.Conclusion. Our results suggest that Measured is superior to estimated percentage of choanal occlusion, particularly if employed bilaterally, diminishing the lack of agreement between sides. When adenoid categorization is used instead, the authors recommend Subjective rather than objective classificatory system of adenoid hypertrophy.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Universidade Federal de São Paulo, Postgrad Program Otolaryngol Head & Neck Surg, BR-04119060 São Paulo, BrazilUniversidade Federal de São Paulo, Dept Otolaryngol Head & Neck Surg, Div Pediat Otolaryngol, BR-04119060 São Paulo, BrazilUniversidade Federal de São Paulo, Postgrad Program Otolaryngol Head & Neck Surg, BR-04119060 São Paulo, BrazilUniversidade Federal de São Paulo, Dept Otolaryngol Head & Neck Surg, Div Pediat Otolaryngol, BR-04119060 São Paulo, BrazilFAPESP: 08/53538-0Web of Science36-40engKorean Soc OtorhinolaryngolClinical and Experimental OtorhinolaryngologyAdenoidsDiagnostic techniquesEndoscopyEndoscopic Evaluation of Adenoids: Reproducibility Analysis of Current Methodsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALWOS000317157200007.pdfapplication/pdf1502808${dspace.ui.url}/bitstream/11600/36012/1/WOS000317157200007.pdfaefb541c97dd7e95f0cf8ed59e2ef7beMD51open accessTEXTWOS000317157200007.pdf.txtWOS000317157200007.pdf.txtExtracted texttext/plain23558${dspace.ui.url}/bitstream/11600/36012/2/WOS000317157200007.pdf.txt3bc2c1a46a6f9da9f33f7fb38773be14MD52open access11600/360122022-11-04 15:08:27.245open accessoai:repositorio.unifesp.br:11600/36012Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-05-25T12:28:44.577017Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Endoscopic Evaluation of Adenoids: Reproducibility Analysis of Current Methods |
title |
Endoscopic Evaluation of Adenoids: Reproducibility Analysis of Current Methods |
spellingShingle |
Endoscopic Evaluation of Adenoids: Reproducibility Analysis of Current Methods Feres, Murilo Fernando Neuppmann [UNIFESP] Adenoids Diagnostic techniques Endoscopy |
title_short |
Endoscopic Evaluation of Adenoids: Reproducibility Analysis of Current Methods |
title_full |
Endoscopic Evaluation of Adenoids: Reproducibility Analysis of Current Methods |
title_fullStr |
Endoscopic Evaluation of Adenoids: Reproducibility Analysis of Current Methods |
title_full_unstemmed |
Endoscopic Evaluation of Adenoids: Reproducibility Analysis of Current Methods |
title_sort |
Endoscopic Evaluation of Adenoids: Reproducibility Analysis of Current Methods |
author |
Feres, Murilo Fernando Neuppmann [UNIFESP] |
author_facet |
Feres, Murilo Fernando Neuppmann [UNIFESP] Hermann, Juliana Sato [UNIFESP] Sallum, Ana Carolina [UNIFESP] Pignatari, Shirley Shizue Nagata [UNIFESP] |
author_role |
author |
author2 |
Hermann, Juliana Sato [UNIFESP] Sallum, Ana Carolina [UNIFESP] Pignatari, Shirley Shizue Nagata [UNIFESP] |
author2_role |
author author author |
dc.contributor.institution.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Feres, Murilo Fernando Neuppmann [UNIFESP] Hermann, Juliana Sato [UNIFESP] Sallum, Ana Carolina [UNIFESP] Pignatari, Shirley Shizue Nagata [UNIFESP] |
dc.subject.eng.fl_str_mv |
Adenoids Diagnostic techniques Endoscopy |
topic |
Adenoids Diagnostic techniques Endoscopy |
description |
Objectives. TO investigate intra- and interexaminers' reproducibility of usual adenoid hypertrophy assessment methods, according to nasofiberendoscopic eXamination.Methods. Forty children of both sexes, ages ranging between 4 and 14 years, presenting with nasal obstruction and oral breathing suspected to be caused by adenoid hypertrophy, were enrolled in this study, Patients were evaluated by nasofiberendoscopy, and records were referred to and evaluated by two experienced otolaryngologists. Examiners analysed the records according to different evaluation methods; i.e., estimated, and measured percentage of choanal occlusion; as well as Subjective and objective classificatory systems of adenoid hypertrophy.Results. Data disclosed excellent intraexarniner reproducibility for both estimated and measured choanal occlusion. Interexaminers analysis revealed lower reproducibility rates of estimated in relation to measured choanal occlusion. Measured choanal occlusion also demonstrated less agreement among evaluations made through the right and left sides of the nasal cavity. Alternatively, intra- and interexaminers reliability analysis revealed higher agreement for subjective than objective classificatory system. Besides, subjective method demonstrated higher agreement than the objective classificatory system, when opposite sides were compared.Conclusion. Our results suggest that Measured is superior to estimated percentage of choanal occlusion, particularly if employed bilaterally, diminishing the lack of agreement between sides. When adenoid categorization is used instead, the authors recommend Subjective rather than objective classificatory system of adenoid hypertrophy. |
publishDate |
2013 |
dc.date.issued.fl_str_mv |
2013-03-01 |
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2016-01-24T14:31:18Z |
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2016-01-24T14:31:18Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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dc.identifier.citation.fl_str_mv |
Clinical and Experimental Otorhinolaryngology. Seoul: Korean Soc Otorhinolaryngol, v. 6, n. 1, p. 36-40, 2013. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/36012 http://dx.doi.org/10.3342/ceo.2013.6.1.36 |
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1976-8710 |
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WOS000317157200007.pdf |
dc.identifier.doi.none.fl_str_mv |
10.3342/ceo.2013.6.1.36 |
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WOS:000317157200007 |
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Clinical and Experimental Otorhinolaryngology. Seoul: Korean Soc Otorhinolaryngol, v. 6, n. 1, p. 36-40, 2013. 1976-8710 WOS000317157200007.pdf 10.3342/ceo.2013.6.1.36 WOS:000317157200007 |
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http://repositorio.unifesp.br/handle/11600/36012 http://dx.doi.org/10.3342/ceo.2013.6.1.36 |
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eng |
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Korean Soc Otorhinolaryngol |
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Korean Soc Otorhinolaryngol |
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