<?xml version="1.0" encoding="UTF-8"?><Articles><Article><id>926</id><JournalTitle>TO STUDY ADENOID HYPERTROPHY AFFECTS SCREENING FOR PRIMARY CILIARY DYSKINESIA USING NASAL NITRIC OXIDE</JournalTitle><Abstract>In patients with primary ciliary dyskinesia (PCD), the release of nitric oxide (NO) is extremely low by epithelia of the
nasopharynx and sinuses. Measurement of nasal NO (nNO) is recommended as a screening test for PCD. The study was
approved by the Ethics Committee of SLIMS in Pondicherry. An informed consent was obtained from all parents and
children older than 12?yr. Participants were recruited from children and adolescents indicated for adenoidectomy at
Department of Otorhinolaryngology. The study aimed to evaluate if adenoids affects nNO and may deteriorate the
performance of the test. In 48 nonallergic patients between 5 and 18 years of age with chronic symptoms of nasal
obstruction and indications for adenoidectomy, the measurements of nNO by chemiluminescence analyser and nasal
patency by active anterior rhinomanometry were performed both before and after adenoidectomy. Adenoidal tissue size
was graded during surgery under general anaesthesia using transoral endoscopy. Patients were stratified into groups with
adenoids grades 1, 2 and 3 (<1/3, 1/3–2/3 and?>?2/3 of the choana and post-nasal space covered by adenoids). Before
adenoidectomy, the median of nNO decreased with the increasing grade of adenoids (920, 663, and 491?ppb, P?<?0.05). The
rhinomanometry results were comparable and showed no correlation with nNO. Seven patients (14.6%) were incorrectly
classified to have PCD based on a subthreshold value of the volume flow of nNO (FnNO?<?77?nL/min). Following
adenoidectomy, nNO of the grade 3 patients increased by 107?ppb (P?<?0.05) and no differences were found between
groups (P?=?0.40). All patients had the postadenoidectomy FnNO >77?nL/min. nNO and FnNO are reduced in nonallergic
children with obstructive adenoids. Adenoid hypertrophy can potentially cause a false positive result of the test for PCD</Abstract><Email>drvrvkk@gmail.com</Email><articletype>Research</articletype><volume>9</volume><issue>4</issue><year>2018</year><keyword>Adenoidectomy; Adenoids; Nasal nitric oxide; Primary ciliary dyskinesia; Rhinomanometry, rhinosinusitis; allergic rhinitis; children</keyword><AUTHORS>Palli Vedita, Boyapalli Sudheer Chandra</AUTHORS><afflication>Assistant Professor of Paediatrics, Sri Lakshmi Narayana Institute of Medical Sciences, Pondichery, India,Assistant Professor of ENT, Sri Lakshmi Narayana Institute of Medical Sciences, Pondichery, India</afflication></Article></Articles>