الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Adenoidal hypertrophy with all its complications is a common presentation among children. There are many different methods to diagnose it. Logically, direct vision is the best way, the nasopharyngeal mirror is a way to see, but being extremely annoying, needing a skilled person to get information and literally impossible in very young age, one should search for another method to see. Endoscopy is the modern excellent method that does not only examine the nasopharynx under direct vision but also examine the nasal cavity to search for other pathologies, and can get an accurate degree. All that makes endoscopy a golden method to diagnose.
But again the problems of availability, costs, skilled physician and co- operative child, make one search for another way to use other-than direct vision to make a diagnosis.
Radiography is an old way to diagnose, economic, easy, and respectable, with only hazards of exposure to radiation as a drawback.
In 55 mouths breathing children with suspected adenoidal hypertrophy, and with ages ranging from 4 to 12 years we worked on a prospective study to determine the best way to diagnose adenoidal hypertrophy.
Radiological examination was done to every patient, in the form of a simple X-ray skull lateral view then a radiological score was calculated according to the size of adenoids in relation to the nasopharyngeal air column.
Then the child was submitted to nasopharyngoscopic examination, and then a score, was calculated according to degree of obstruction.
Using simple X-ray was found to be accurate in diagnosis of adenoid hypertrophy in the usual form, besides being able to estimation of its degree but in severe cases which seem to need operation, we should rely on endoscopy to save coasts and hazards of radiation.