Evidence map›Paper›PMID 40918775›Full record

ReviewCureus2025

Comparison Between Adenoid-Nasopharynx Ratio and Endoscopic Examination of Adenoid Hypertrophy: A Systematic Review and Meta-Analysis.

Rajesh Gupta, Manas Ranjan Rout, Sabita Rauniyar, Subrat K Patra, Sanghamitra Jena

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Rajesh GuptaOtolaryngology - Head and Neck Surgery, Kalinga Institute of Medical Sciences (KIMS), Bhubaneswar, IND.
Manas Ranjan RoutOtolaryngology - Head and Neck Surgery, Kalinga Institute of Medical Sciences (KIMS), Bhubaneswar, IND.
Sabita RauniyarOrthodontics and Dentofacial Orthopaedics, Om Shanti Dental Clinic Pvt. Ltd., Kathmandu, NPL.
Subrat K PatraOtolaryngology - Head and Neck Surgery, Kalinga Institute of Medical Sciences (KIMS), Bhubaneswar, IND.
Sanghamitra JenaOrthodontics and Dentofacial Orthopaedics, Kalinga Institute of Dental Sciences (KIDS), Bhubaneswar, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Otitis media is a major health issue that usually results from adenoid hypertrophy. Diagnosis is based on symptoms, such as mouth breathing, and imaging studies, including lateral neck radiography (LNR). The adenoid-nasopharyngeal ratio (ANR) is one of the most important and widely used criteria in LNR studies. It helps estimate the real size of adenoid gland measurements. The present systematic review aimed to detect the accuracy of adenoid hypertrophy diagnosis by LNR and compare the same with the endoscopic method. According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Diagnostic Test Accuracy (PRISMA-DTA) guideline, a scoping evaluation of the articles was performed. The electronic databases considered were PubMed, Scopus, Web of Science, and Embase, from January 2004 to November 2024. The inclusion and exclusion criteria were applied. A total of 20 articles were studied in detail, 13 full-text articles were further excluded, and finally, seven articles were found appropriate to be included in this review. The outcome of this systematic review has led to the conclusion that endoscopic examination, when employed for measurement of adenoid hypertrophy, has shown extremely positive and promising results as compared to cephalometric and head-neck radiographs.

Indexed as

adenoid hypertrophyadenoid-nasopharyngeal ratio (anr)endoscopic methodslateral neck radiography (lnr)otitis media

Identifiers

PMID40918775
PMCPMC12411681

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