Relationship of Brodsky Tonsillar Grading in Adults with Age, Gender, and Anthropometric Measurements

Abstract

Objective: To determine the association of Brodsky Tonsillar Grading with age, gender, body mass index, and neck circumference in adults Methodology: A cross-sectional study was conducted at PNS Shifa Hospital, Karachi from January to July 2020. A total of 54 adults with tonsillar hypertrophy were included. History and demographic details of each subject were noted. Both right and left tonsil sizes were graded using Brodsky Grading. Height, weight, and neck circumference was measured. Analysis was done using Statistical Package for Social Sciences 23.0. Results: Age was associated significantly (p-value 0.0009) with Brodsky Tonsillar Grading for the right tonsil whereas it was insignificant for the left tonsil (p-value 0.25). Insignificant association between clinical grading of tonsils with gender (male n = 29, p-value 0.079 and female n =25, p-value 0.343) was found. Thirty one study participants were found to have normal BMI, 14 were overweight whereas 9 individuals were obese. Significant association was found between Brodsky Grading for right tonsil (p-value 0.014) and BMI. Statistically non-significant association was found between Brodsky Grading for left tonsil (p-value 0.216) and BMI. Regarding neck circumference and clinical grading, significant relationship was found with p-value 0.002 and 0.014 respectively. Conclusion: Brodsky Tonsillar Grading was associated positively with age and BMI for the right side and with neck circumference for both the sides. Therefore clinical assessment of tonsils by grading and anthropometric measurements are helpful in recognition of patient’s condition and treatment.