Does subjective tonsillar grading reflect the real volume of palatine tonsils?

Yasan, Hasan; Aynali, Giray; Erdoğan, Oğuz; Yariktaş, Murat

doi:10.1016/j.ijporl.2011.01.030

Cited by 13 publications

(12 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…10 In a study by Hasan Yasan et al, the correlation subjective tonsil size to the objective tonsil volume body mass index, body surface area, age and gender, size was investigated and found a statistically significant correlation between objective volume of tonsils and subjective grading of tonsils, also with body mass index. 11 However subjective tonsil size assessment in children has a limited value especially in size 2 and 3, but subjective tonsil size reflects real palatine tonsil size in adults and hence predicting the real volume preoperatively. 12 In our study we found significant correlation between subjective grading and oropharyngeal tonsil volume and total volume of the tonsils in patients with recurrent tonsillitis.…”

Section: Discussionmentioning

confidence: 99%

Clinical grading of tonsils: does it truly represent total tonsil volume in patients with recurrent tonsillitis

Venkatesha

Yogeesha

Asha

2017

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

Background: Tonsils undergo hypertrophy due to recurrent infection or as a part of generalized lymphoid hypertrophy. There is a good correlation between clinical tonsil grade and objective tonsil volume in adult snorers and obstructive sleep apnea (OSA) patients.Relationship between clinical grading, oropharyngeal tonsil volume and total tonsil volume has been investigated in OSA patients but a very few in recurrent tonsillitis patients. Methods: A total of 50 tonsillectomy specimens from 25 patients who underwent tonsillectomy for recurrent tonsillitis were evaluated for tonsil volume oropharyngeal volume. These volumes were evaluated by a mathematical formula. Total volume, oropharyngeal and tonsillar volume were correlated with clinical grading of the tonsil. Also neck circumference, body mass index was assessed and correlation with clinical grading was found out with spearman correlation coefficient. Results: A spearman’s correlation was used to determine the relationship between 50 tonsillectomy specimens for total volume and clinical grading. There was a moderate positive monotonic correlation between total tonsil volume and clinical grading (rs =0.407, n =50, p <0.01, Correlation is significant at the 0.01 level 2-tailed) and there was a mild positive monotonic correlation between intraoral tonsil volume and clinical grading (rs =0.351, n =50, p <0.05 Correlation was significant at the 0.05 level 2-tailed). Conclusions: Total tonsil volume and oropharyngeal volume correlates well with clinical grading of the tonsil. BMI and neck circumference does not correlate with the clinical grading of the tonsil.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical grading of tonsils: does it truly represent total tonsil volume in patients with recurrent tonsillitis

Venkatesha

Yogeesha

Asha

2017

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…A patient's suitability for adenotonsillectomy as a potential treatment for OSA may be influenced by objective physical examination findings such as tonsil size. 7,[13][14][15][16] Thus, precise monitoring and careful communication of tonsil size may be a critical component of care of these children. Many research studies on the interventions for OSA include measurement of tonsil size.…”

Section: Discussionmentioning

confidence: 99%

The Reliability of Clinical Tonsil Size Grading in Children

Kumar

Valenzuela

Kozak

et al. 2014

JAMA Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…Thus, the comparison of objective palatine tonsil volume and subjective tonsil size may lead to inaccurate correlation (Yasan et al 2011).…”

Section: Discussionmentioning

confidence: 99%

“…They compared the differences of each parameter according to subjective tonsil size and between children and adults. Yasan et al (2011) reported that objective tonsil volume is correlated with subjective tonsil size, body mass index, body surface area and age in patients with recurrent acute tonsillitis. Lai et al (2014) proposed that subjective tonsil size grading could reflect objective tonsil measurements; however, the objective tonsil measurements were more meaningful in predicting the severity of OSA/hypopnea syndrome.…”

Section: Introductionmentioning

confidence: 99%

Palatine tonsil volume estimation using different methods after tonsillectomy

Sağiroğlu

Acer

Okuducu³

et al. 2016

Anat Sci Int

View full text Add to dashboard Cite

This study was carried out to measure the volume of the palatine tonsil in otorhinolaryngology outpatients with complaints of adenotonsillar hypertrophy and chronic tonsillitis who had undergone tonsillectomy. To date, no study has investigated palatine tonsil volume using different methods and compared with subjective tonsil size in the literature. For this purpose, we used three different methods to measure palatine tonsil volume. The correlation of each parameter with tonsil size was assessed. After tonsillectomy, palatine tonsil volume was measured by Archimedes, Cavalieri and Ellipsoid methods. Mean right-left palatine tonsil volumes were calculated as 2.63 ± 1.34 cm and 2.72 ± 1.51 cm by the Archimedes method, 3.51 ± 1.48 cm and 3.37 ± 1.36 cm by the Cavalieri method, and 2.22 ± 1.22 cm and 2.29 ± 1.42 cm by the Ellipsoid method, respectively. Excellent agreement was found among the three methods of measuring volumetric techniques according to Bland-Altman plots. In addition, tonsil grade was correlated significantly with tonsil volume.

show abstract

Does subjective tonsillar grading reflect the real volume of palatine tonsils?

Cited by 13 publications

References 9 publications

Clinical grading of tonsils: does it truly represent total tonsil volume in patients with recurrent tonsillitis

Clinical grading of tonsils: does it truly represent total tonsil volume in patients with recurrent tonsillitis

The Reliability of Clinical Tonsil Size Grading in Children

Palatine tonsil volume estimation using different methods after tonsillectomy

Contact Info

Product

Resources

About