Background: Adenoid, also termed as nasopharyngeal tonsil, Lushka’s tonsil, is located at the junction of roof and posterior wall of the naso-pharynx. Infections like recurrent rhinitis, sinusitis, tonsillitis can cause chronic Adenoid infection and hypertrophy which can be diagnosed by a postnasal mirror examination, rigid nasal endoscopic examination. Objectives: To relate adenoid hypertrophy by performing x ray nasopharynx lateral view for soft tissues anddiagnostic rigid nasal Endoscopy. Methodology: It was a prospective study conducted among patients visiting tertiary care institute both pediatric and adult group both in patient and out -patient departments of ENT. Patients were selected as case material, with clinical features of Nasal obstruction, Nasal discharge, Sinusitis, Epistaxis, Voice change, Aural symptoms like Tubal obstruction etc were selected. A detailed clinical examination is done. SPSS 21 was used for analysis. Nonparametric test and correlation value were computed. Results: 50 patients were studied as the sample size, all of whom were subjected to both the modalities of investigation, after entering the results in a master charta statistical analysis was done. Value calculated showed a result of +0.795, which is approximating to +0.8, that is very much nearer to +1, showing very strong and positive relation between X-ray and Rigid endoscopic grade which means that x-ray nasopharynx lateral view for soft tissues is nearly as reliable as Rigid endoscopy and thus can beused as reliable tool in diagnosing Adenoid hypertrophy. Conclusion: Even in this endoscopic era, x –ray nasopharynx lateral view for soft tissue can be useful and as reliable as a diagnostic tool for the diagnosis of adenoid hypertrophy, which may the only available investigation in the absence of rigid nasal endoscopic equipment.

Keyword: Adenoid hypertrophy; Nasal endoscopy; Airway obstruction; Nasal discharge; Sinusitis; X-ray nasopharynx.