11/03/2025
◇The indication for an X-ray in suspected adenoid hypertrophy is typically when a child presents with symptoms suggestive of upper airway obstruction, and imaging is needed to confirm the diagnosis. Indications include:
1. Clinical Symptoms Suggestive of Adenoid Hypertrophy:
●Chronic nasal obstruction
●Mouth breathing
●Snoring and sleep apnea
●Recurrent otitis media or chronic middle ear effusion
●Hyponasal speech (nasal voice)
2. Failure to Improve with Medical Treatment:
Persistent symptoms despite nasal saline irrigation, intranasal steroids, or antihistamines
3. Preoperative Assessment Before Adenoidectomy
■To confirm adenoid size in borderline cases
◇X-ray View Used:
●Lateral Nasopharyngeal X-ray
●Shows the size of the adenoids relative to the airway
