Open‑mouth versus closed‑mouth X‑ray in the evaluation of adenoid hypertrophy

Aims: This study aimed to compare the outcomes of open‑mouth and closed‑mouth X‑rays concerning the detection of hypertrophic adenoids and decision‑making about adenoidectomy as this has been insufficiently explored. Materials and Methods: In the otolaryngology ward, 140 patients with chronic difficulty in breathing were divided into two groups (open‑mouth and closed‑mouth X‑rays). Analyze the t‑test for adenoid thickness, nasopharyngeal diameter, and soft palate (SP) thickness in both groups. Statistical Analysis Used: Comparison between open‑mouth and closed‑mouth groups was statistically significant for the detection of nasopharyngeal diameter(P = 0.015) but not for adenoid thickness(P = 0.062) and SP thickness (P = 0.176). Results: The total clinical score in diagnosing hypertrophied adenoid was not significant between the two groups (P = 0.257). Conclusions: Diagnosis and decision‑making about adenoidectomy cannot be determined solely through radiographic imaging techniques.