Pediatric tonsil size: Objective vs subjective measurements correlated to overnight polysomnogram

Howard, N. Scott; Brietzke, Scott E.

doi:10.1016/j.otohns.2009.01.008

Cited by 72 publications

(56 citation statements)

References 7 publications

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“…Subjective tonsil grading was reported to be correlated with objective measurements of palatine tonsil volume in patients with sleep disordered breathing [2,3]. We also found significant correlation between objective tonsil volume and subjective tonsil size, body surface area, body mass index and age.…”

Section: Discussionsupporting

confidence: 64%

“…Therefore, we have included the patients with the diagnosis of recurrent acute tonsillitis as indication for surgery. Subjective tonsil size was evaluated using 0-4+ scale described by Brodsky et al [1][2][3]. The objective of this study was to compare subjective tonsil size estimation using by Brodsky scale to objective tonsil volume measurement completed during tonsillectomy.…”

Section: Introductionmentioning

confidence: 99%

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

Yasan

Aynali

Erdoğan

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionsupporting

confidence: 64%

Section: Introductionmentioning

confidence: 99%

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

Yasan

Aynali

Erdoğan

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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“…High-quality studies suggest no association (meta-analysis) (class I) [17,18]. Grading systems for pharyngeal anatomy, such as the Friedman palate position or the Mallampati score, are not related to AHI in children with symptoms of SDB (class I and IV) [19]. b) Evidence for the association between allergic rhinitis and OSAS comes from studies of low methodological quality [20].…”

Section: Literature Reviewmentioning

confidence: 99%

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

et al. 2015

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This document summarises the conclusions of a European Respiratory Society Task Force on the diagnosis and management of obstructive sleep disordered breathing (SDB) in childhood and refers to children aged 2-18 years. Prospective cohort studies describing the natural history of SDB or randomised, double-blind, placebo-controlled trials regarding its management are scarce. Selected evidence (362 articles) can be consolidated into seven management steps. SDB is suspected when symptoms or abnormalities related to upper airway obstruction are present (step 1). Central nervous or cardiovascular system morbidity, growth failure or enuresis and predictors of SDB persistence in the long-term are recognised (steps 2 and 3), and SDB severity is determined objectively preferably using polysomnography (step 4). Children with an apnoea-hypopnoea index (AHI) >5 episodes·h, those with an AHI of 1-5 episodes·h −1 and the presence of morbidity or factors predicting SDB persistence, and children with complex conditions (e.g. Down syndrome and Prader-Willi syndrome) all appear to benefit from treatment (step 5). Treatment interventions are usually implemented in a stepwise fashion addressing all abnormalities that predispose to SDB (step 6) with re-evaluation after each intervention to detect residual disease and to determine the need for additional treatment (step 7). @ERSpublications Management of obstructive sleep disordered breathing in childhood should follow a stepwise approach

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“…Exophytic tonsils may cause more obstruction in sleep than the endophytic tonsils, and the mixed results in various studies could be secondary to this. There are studies that have shown that true tonsil size using magnetic resonance imaging 36 and post-surgical removal volume measurements 37 have a positive correlation with OSA. This emphasizes the idea that in vivo tonsil position may play a more significant role Mallampati score (sitting and supine) and tonsillar size were independent predictors of OSA and its severity, but the Mallampati score supine was superior to the other two.…”

Section: Tonsillar Sizementioning

confidence: 99%