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Journal of The Korean Society of Emergency Medicine 2000;11(3): 321-324. |
Objective Criteria for Radiologic Diagnosis of Epiglottitis in Korean Adults |
Young Gi Min, Yoon Seok Jung, Sang Kyu Yoon, In Cheol Park, Joon Pil Cho |
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ABSTRACT |
BACKGROUNDs: A retrospective study was performed to define objective radiologic parameters in diagnosing epiglottitis on soft-tissue lateral neck radiographic study.
METHODS: Parameters of soft-tissue structures(epiglottis width, third vertebral body width, ratio of epiglottic width to third vertebral body width) in 30 adult patients compared with those of age and sex-matched controls with foreign body in throat whose radiographic reading was normal.
RESULTS: Epiglottis width of more than 11mm, ratio of epiglottis width(EW) to the third vertebral body width(C3W) of more than 0.5 were, respectively, found to be 100% sensitive and specific in differentiating between patients with and without epiglottitis.
CONCLUSION: These preliminary results suggest that EW/C3W ratio of more than 0.5, EW of more than 11mm, respectively, may be useful in the diagnosis of epiglottitis in adult patients. |
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