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المستخلص
Hypertrophied adenoids is a common presentation among children, there are different methods to diagnose. This study included 40 children with suspected adenoid hypertrophy, we study and compare its diagnosis, both clinically & radiologically and using the nasal endoscope as a golden standard to judge. Using simple x-ray was found to be superior to clinical evaluation both in diagnosis and in estimating the degree of obstruction of the nasopharyngeal air column.