Evaluation of the Normal Tonsils in Pediatric Patients With Ultrasonography

Hosokawa, Takahiro; Yamada, Yoshitake; Tanami, Yutaka; Hattori, Satoshi; Sato, Yumiko; Hosokawa, Mayumi; Oguma, Eiji

doi:10.7863/ultra.16.05083

Cited by 14 publications

(18 citation statements)

References 13 publications

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“…This study was done to assess the possibility of using USG in measuring tonsil volume. In previous studies, USG was reported to be a useful imaging method in both the diagnosis and treatment of tonsillar diseases in pediatric populations . A study by Bandarkar et al reported the tonsil USG method in children and argued its inclusion within the routine algorithm, especially in peritonsillar abscess cases.…”

Section: Discussionmentioning

confidence: 99%

“…A study by Bandarkar et al reported the tonsil USG method in children and argued its inclusion within the routine algorithm, especially in peritonsillar abscess cases. A study by Hosokawa et al also reported that USG could be used to assess the tonsil tissue in almost all children with ease. In this study, we investigated the success of USG also in adults in addition to a pediatric population.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of Tonsil Volume With Transcervical Ultrasonography in Both Children and Adults

Mengi

Sağtaş

Kara

2019

J of Ultrasound Medicine

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Objectives To investigate the success of ultrasonography (USG) in the objective measurement of palatin tonsil volume in both children and adults and to compare those results with clinical findings. Methods Eighty‐five patients, who were scheduled to undergo tonsillectomy with the indications of recurrent tonsillitis and obstructive sleep apnea syndrome, were included in the study. The tonsil grades of the patients were recorded according to the Friedman tonsil grading. The tonsil size and volume were measured with transcervical USG. After tonsillectomy, the volumes of the tonsils were calculated by the displacement method. The correlation between the obtained data was evaluated. In all analyses, P < .05 was accepted as a statistical level of significance. Results Fifty children and 35 adults were included in the study. In children, the mean actual volume ± SD of 100 tonsils was measured as 3.5 ± 1.45 mL, and the USG volume was 3.67 ± 1.59 mL; a high correlation was found between both methods (r = 0.842; P < .05). In adults, the mean actual volume of 70 tonsils was measured as 5.15 ± 2.25 mL, and the USG volume was 5.71 ± 2.98 mL; a moderate correlation was found between the methods (r = 0.589; P < .05). In children, a moderate correlation was found between the Friedman grading and the USG (r = 0.532; P < .05), and actual (r = 0.549; P < .05) tonsil volumes. In adults, a low correlation was found between the Friedman grading and the USG (r = 0.363; P < .05) and actual (r = 0.384; P < .05) tonsil volumes. Conclusions Ultrasonography is a useful, accessible, and noninvasive imaging method for objective measurement of tonsil volume in adults and children.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Assessment of Tonsil Volume With Transcervical Ultrasonography in Both Children and Adults

Mengi

Sağtaş

Kara

2019

J of Ultrasound Medicine

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“…Recently, ultrasound has been gaining favor due to its capacity to visualize the oropharynx with precision. 11,12,[26][27][28] One study in particular examined tonsil volumes of 26 children via ultrasound and reported good correlation of ultrasound and volumetric measurements. 12 However, our study is the first to confirm that tonsil size in all 3 dimensions is accurately measured with ultrasound and correlates with ex vivo specimens.…”

Section: Discussionmentioning

confidence: 99%

High‐Frequency Ultrasound: A Novel Diagnostic Tool to Measure Pediatric Tonsils in 3 Dimensions

Kay‐Rivest

Saint‐Martin

Daniel

2019

Otolaryngol.--head neck surg.

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Objective A wide variety of pathologies can affect the palatine tonsils. Ultrasound is a commonly used modality for assessing head and neck masses in children; however, its use in tonsillar evaluation has not been widely explored. The objective of this study was to measure 3-dimensional tonsillar size with ultrasound, in centimeters, and correlate these measurements with actual ex vivo dimensions on pathology specimens. Study Design We performed a prospective cohort study. Setting The study was set in a tertiary care children’s hospital. Subjects and Methods Children undergoing tonsillectomy were included in the study. Transcervical high-frequency ultrasonography (HFU) was performed prior to surgery to obtain 3-dimensional measurements of the right and left palatine tonsils. Mean sizes were compared to ex vivo tonsil measurements and correlations were obtained. Results Seventy-five consecutive children underwent a transcervical HFU, with a total of 150 tonsils analyzed. The mean differences between HFU and pathology measurements were −0.08 cm and −0.24 cm for the right and left craniocaudal axes, −0.19 cm and −0.18 cm for the right and left mediolateral axes, and 0.05 cm and 0.03 cm for the right and left anteroposterior axes. Correlation coefficients between ultrasound and pathology measurements were all above 0.5. Conclusion HFU can accurately measure the size of pediatric tonsils in 3 dimensions.

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“…The laterally located, triangular‐shaped sublingual glands are usually homogenous, symmetrical and relatively hyperechoic 14 . The lingual artery branches and the main duct draining the submandibular glands pass medially 11 …”

Section: Ultrasound Technique: Trans‐cervical and Intra‐oralmentioning

confidence: 99%

“…During the oral phase the tongue causes the posterior movement of the bolus. Lingual movement propels the bolus posteriorly, and the buccal musculature ensures the material does not fall into the lateral sulci 11 …”

Section: Introductionmentioning

confidence: 99%

Tongue sonography: An introduction

2020

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Sonography has long been recognised as the primary imaging modality in the evaluation of thyroid, parathyroid, nodal, and salivary gland pathologies. Since the late 1980‐2019's, the literature has described an evolving role for ultrasound in the assessment of the tongue and the floor of mouth. Ultrasound can be used for tumour staging, vascular malformations, and for the evaluation of tongue movement during phonation and in the sleep cycle. This article aims to introduce the sonographer to the basic technique, sonographic anatomy, and commonly encountered abnormalities of tongue ultrasound. It has been divided into three key sections: Anatomy, Function, and Physiology; ultrasound technique (Transcervical/Intra‐oral); common pathology.

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Evaluation of the Normal Tonsils in Pediatric Patients With Ultrasonography

Abstract: The tonsils of almost all pediatric patients could be evaluated by ultrasound, particularly for patients older than 3 years. Additionally, a striated pattern of the tonsils was observed in most cases.

Cited by 14 publications

References 13 publications

Assessment of Tonsil Volume With Transcervical Ultrasonography in Both Children and Adults

Assessment of Tonsil Volume With Transcervical Ultrasonography in Both Children and Adults

High‐Frequency Ultrasound: A Novel Diagnostic Tool to Measure Pediatric Tonsils in 3 Dimensions

Tongue sonography: An introduction

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