Volume 29, Issue 163, September 2025

Is Lateral Neck Radiography a reliable tool in the Diagnostic Evaluation of Adenoid Hypertrophy?

Justyna Wróblewska^♦, Natalia Skrzypska, Hubert Ziembicki, Paulina Wasilewska, Olga Wojtczak, Kacper Zagaja

University Clinical Hospital, 49 Przybyszewskiego St, 60-355 Poznań, Poland

^♦Corresponding author
Justyna Wróblewska, University Clinical Hospital, 49 Przybyszewskiego St, 60-355 Poznan, Poland

ABSTRACT

Adenoid hypertrophy is one of the most prevalent pediatric conditions. This review aims to evaluate the diagnostic utility of lateral neck radiography in identifying and assessing adenoidal hypertrophy in children, and to compare its effectiveness with that of other diagnostic modalities. We searched systematic reviews and metaanalyses for the highest level of evidence synthesis to summarize diagnostic accuracy, reproducibility, and limitations of radiography in both general and specialized clinical settings. The review also describes how radiography is used to support early clinical decision-making and guide best practices in resource-limited settings. By collecting current evidence, this review presents a comprehensive overview of the role of lateral neck radiography in the diagnostic pathway for pediatric adenoidal hypertrophy.

Keywords: Lateral Neck Radiography, Adenoid Hypertrophy, Adenoidnasopharynx (A/N) ratio, Obstructive Sleep Apnea Syndrome (OSAS)

Medical Science, 2025, 29, e197ms3727

PDF

DOI: https://doi.org/10.54905/disssi.v29i163.e197ms3727

Published: 30 September 2025