Capabilities of Nasal Videoendoscopy in Diagnostics of Pharyngeal Tonsil Condition in Children with Bronchial Asthma

The aim of the investigation was to assess nasal videoendoscopy capabilities in the diagnostics of pharyngeal tonsil condition in children with atopic bronchial asthma (BA).

Materials and Methods. We studied the condition of pharyngeal tonsil in 116 patients aged from 3 to 17 years (mean age 9.7±4.3 years), with atopic BA of various severity complaining of nasal breathing problems, using rigid rhinoscopes (Кarl Storz, Germany), 2.7 and 4.0 mm in diameter, viewing angle being 0 and 30°, laryngoscope 90° (Atmos, Germany), flexible nasopharyngoscope, 3.2 mm, and video camera (Atmos, Germany). Control group involved 108 children comparable in age and gender, with complaints of nasal breathing disturbances, without BA.

Results. The application of nasal videoendoscopy enabled to find out the incidence of degree II–III hypertrophy of pharyngeal tonsil among children with BA at any age to be significantly higher than that in control group children (without BA). According to the present study, hypertrophy of pharyngeal tonsil contributes considerably in nasal obstruction formation in BA children: 86.1% preschool children, 74.2% primary school children, 45.8% senior school children, and 20% adolescents that should be taken into consideration when managing such patients.

Conclusion. Nasal videoendoscopy enables to eliminate diagnostic difficulties, and evaluate objectively the pharyngeal tonsil condition in patients with bronchial asthma of different age groups. The merit of nasal videoendoscopy in obtaining new data on the fact that hypertrophy of pharyngeal tonsil in general is more common in asthmatic patients than among children without asthma, and it should be taken into account in the management of such patients.

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Krasilnikova S.V., Eliseeva Т.I., Shakhov А.V., Geppe N.A. Capabilities of Nasal Videoendoscopy in Diagnostics of Pharyngeal Tonsil Condition in Children with Bronchial Asthma. Sovremennye tehnologii v medicine 2016; 8(3): 126, https://doi.org/10.17691/stm2016.8.3.15