EFFECT OF STEROID SPRAY ON ADENOIDS AND THE CORRELATION OF RADIOGRAPHIC AND ENDOSCOPIC FINDINGS IN ASSESSING THE PEDIATRIC PATIENTS.

JPUMHS; 2025:15:01, 50-56. http://doi.org/10.46536/jpumhs/2025/15.01.595

Abstract

OBJECTIVE: To determine the effect of steroid spray on adenoids and the correlation of
radiographic and endoscopic findings in assessing the pediatric patients during a one-year
period STUDY DESIGN: Cross sectional study. PLACE AND DURATION OF STUDY:
Department of Pediatric surgery of Peoples University of Medical & Health Sciences for
Women, Shaheed Benazir Abad, Sindh (June 25, 2022 to June 24, 2023). SUBJECTS AND
METHOD: 83 patients of age bracket of 2 years to 19 years with nasal obstruction, discharge,
mouth breathing, sleep apnea, ear complaints, with adenoid tissue on x-ray imaging and with
clinical symptoms of adenoid hypertrophy lasting consistently for 6 months were included.
Patients were assessed clinically along with endoscopic and radiographic assessment followed
by pharmacological management with corticosteroid nasal spray. Mean + SD deviation was
determined for quantitative variables, whereas frequency and percentages were derived for
qualitative variables. Pearson’s Correlation was used to determine the correletion between
A/N ratio and Endoscopic results. Statistical package for social science (SPSS) software
version 26. RESULTS: The most of the children 36 (43%) were found in age group between
6-10. Male Female ratio was 2.4:1. A significant improvement has been found in clinical
symptoms after steroid nasal spray usage. The A/N ratio and endoscopic adenoid size were
found significantly positively correlated (r=+0.46, p=0.01). CONCLUSION: A significant
correlation between the A/N ratio and endoscopic adenoid assessment. Furthermore, the use
of steroid nasal spray as a treatment technique for the conservative management of adenoid
hypertrophy is also very beneficial.