Measurements of adult lingual tonsil tissue in health and disease

Friedman, Michael; Wilson, Meghan N.; Pulver, Tanya; Golbin, Dina; Lee, George P.; Gorelick, Gleb; Joseph, Ninos J.

doi:10.1016/j.otohns.2009.12.036

Cited by 31 publications

(58 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Part of the discrepancy may be related to the scoring scale used by the respective authors. In this study, the LTH scoring scale described by Sung et al was used because Friedman’s scale was not yet published at the time of study [8]. Previous methods of measurement using both CT and MRI have also been described, but given the expense are not justified for routine evaluation in a universal-payer system such as in Canada [1].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with lingual tonsil hypertrophy in Canadian adults

Harris

Rotenberg

Roth

et al. 2017

Journal of Otolaryngology - Head & Neck Surgery

View full text Add to dashboard Cite

BackgroundHypertrophy of the lingual tonsil tissue in the adult patient is thought to contribute to the pathophysiology of obstructive sleep apnea. The underlying etiology of lingual tonsil hypertrophy (LTH) in the adult patient is unclear and likely multifactorial. Previous studies have suggested that the lingual tonsils may undergo compensatory hyperplasia post-tonsillectomy in children, although it is unknown if this occurs or persists into adulthood. The purpose of this study was to determine what factors are associated with LTH in a population of Canadian adults.MethodsAdult patients presenting for consultation to an academic Rhinology/General Otolaryngology practice were eligible for enrollment. Demographic data including age, body mass index (BMI), Reflux Symptom Index (RSI), history of allergy, and history of tonsillectomy was collected via questionnaire. Endoscopic photographs of the base of tongue and larynx were captured. These were graded for LTH and Reflux Finding Scale (RFS) by blinded examiners. Statistical analysis was performed by comparing the mean LTH value to the variables of interest using two-tailed T-test. P < .05 was considered significant.ResultsOne hundred two subjects were enrolled. Age ranged from 18 to 78. 28 patients had previous tonsillectomy. This was not associated with a significant increase in lingual tonsil tissue (r = −0.05, p = 0.61). RFS >7 or RSI >13 was considered positive for laryngopharyngeal reflux. There was no difference in LTH based on RSI positivity (p = 0.44). RFS positivity correlated with increased lingual tonsil tissue (p < 0.05). BMI >30 was associated with increased lingual tonsil hypertrophy (p < 0.05).ConclusionsAn elevated body mass index and positive Reflux Finding Score are associated with lingual tonsil hypertrophy in adults. Reflux symptom index, history of allergy and history of childhood tonsillectomy are not associated with LTH.

show abstract

Section: Discussionmentioning

confidence: 99%

Factors associated with lingual tonsil hypertrophy in Canadian adults

Harris

Rotenberg

Roth

et al. 2017

Journal of Otolaryngology - Head & Neck Surgery

View full text Add to dashboard Cite

show abstract

“…The LT of the lingual tonsil was classified according to the Friedman grading system . A standardized grading scale ranging from 0 to 4 (Fig.…”

Section: Methodsmentioning

confidence: 99%

“…This lymphatic hypertrophy (LH) is implicated in a variety of airway pathologies, ranging from sleep‐related breathing disorders, lingual tonsillitis, and difficult intubation procedures . Additionally, it is frequently a cause of foreign body sensation in the throat and of pharyngodynia in cases of it inflammation …”

Section: Introductionmentioning

confidence: 99%

“…The etiology regarding the growth of this lymphatic tissue (LT) has not been clearly proved . The few studies about this topic showed that previous adenotonsillectomy, laryngopharyngeal reflux (LPR), and a high body mass index could be correlated to LTH, even if defined data regarding this aspect are not available …”

Section: Introductionmentioning

confidence: 99%

“…Robotic surgery allows blunt dissection of the excessive LT from the muscular plane of the BOT to achieve a complete resection of LT . However, the lingual tonsil LT does not present a capsule dividing it from the underlying tissues, as the palatine tonsils do; therefore, lymphatic cell aggregates may remain after the procedure, especially in the lateral region of the BOT …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Lingual tonsil lymphatic tissue regrowth in patients undergoing transoral robotic surgery

Iannella

Magliulo²,

Montevecchi

et al. 2018

The Laryngoscope

View full text Add to dashboard Cite

Objectives/Hypothesis: To evaluate a possible regrowth of lingual tonsil lymphatic tissue in patients submitted to lingual tonsil resection with transoral robotic surgery (TORS).Study Design: Retrospective Study. Methods: Medical records of patients surgically treated by means of TORS to remove excessive lymphatic tissue of the lingual tonsil were retrospectively reviewed. Postoperative endoscopic data after long-term follow-up were analyzed to investigate possible lymphatic tissue regrowth. Preoperative and postoperative lingual tonsil lymphatic tissue were classified according to the standardized Friedman's grading scale ranging from 0 to 4.Results: Sixty-eight patients (41 male and 27 female; mean age = 51.3 years) were considered suitable for the study analysis. Clinical regrowth was observed in six (8.8%) patients: four (5.9%) and two (2.9%) patients with grade 2 and 3 lymphatic hypertrophy, respectively. No correlation between the grade of regrowth, the time interval from surgery, and the volume of lymphatic tissue removed was found.Conclusions: The lymphatic tissue regrowth after TORS resection appears to be very low.

show abstract