Abstract
Objective: To determine the sensitivity and was 0.69 (range 0.54-0.75, SD ± 0.104). RAS had
specificity of clinical and radiological assessment shown specificity and sensitivity of 89.4% and
of adenoid weight in children. 91.6% for moderately severe and 90% and 94.8%
Methodology: This cross-sectional descriptive for severe adenoid hypertrophy. CAS had
study was conducted at Social Security Hospital approximately 85% of specificity and sensitivity
Islamabad, Pakistan from January 2008 to for both moderately severe and severly
December 2010. Initial assessment was made by hypertrophied cases.
ENT surgeon. Clinical assessment score (CAS) Conclusion: Both clinical assessment and
was given as mild, moderate, moderately severe, radiography could determine relationship
severe hypertrophy. Then the size of adenoid was between adenoid hypertrophy and associated
measured by lateral neck radiography. The AN symptoms and therefore are complementary.
ratio was calculated by radiologist. The weight Between them, radiography can serve as a better
were recorded by surgeon after adenoidectomy. planning tool. (Rawal Med J 2013;38:286-289).
Results: We studied 55 children who were to Key Words: Adenoidal-nasopharyngeal ratio
undergo adenoidectomy. 30 (54.5%) were male (AN ratio), adenoids, obstructive sleep
and 25 (45.4) were female with age range of 3 to apnea.
12 years (mean 6.1 years). The mean AN ratios
