Ultrasonographic assessment of tonsillar volume in children

Asimakopoulos, Panagiotis; Pennell, David John Laurie; Mamais, Constantinos; Veitch, Derek; Stafrace, Samuel; Engelhardt, Thomas

doi:10.1016/j.ijporl.2017.01.024

Cited by 22 publications

(25 citation statements)

References 23 publications

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“…However, for both measurement methods PT volume was calculated with no distinction between chronic tonsillitis and OSAS but compliance of sonographic measurements was proven. Presurgical assessment of tonsil anatomy with US is stated to be beneficial to estimate response to tonsillectomy and perioperative complications [7]. In our study the PT volume with sonographic measurement was 2.03 ml for chronic tonsillitis, 5.19 ml for OSAS and 3.61 ml average, which were in accordance with actual volume values.…”

Section: Discussionsupporting

confidence: 86%

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Sonographic measurement of palatine tonsil volume in children and comparison with actual volume

Öztürk¹,

Kilinc²

2017

Med-Science

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Aim of this study is to compare the palatine tonsil (PT) volume measured with transcervical ultrasonography (TCU) in children with the actual volume to research the correlation with tonsillectomy indications. This prospective study included a total of 67 children, 37 boys and 30 girls, aged from 3-17 years who underwent bilateral tonsillectomy. Cases were divided into two groups based on tonsillectomy indications as chronic tonsillitis (Group 1) and obstructive sleep apnea syndrome (OSAS) (Group 2). The sonographic volume was measured with a 4.8-11.0 MHz linear transducer before tonsillectomy, while the actual volume was measured with the water displacement method. The correlation between both volume values was researched. Partial Correlation test was used to analyze correlations between variables after analysis of SPSS 22.0 program and age and gender factors. The mean ages in Groups 1 and 2 were 115.83±53.2 and 120.6±54.7 months, respectively. The actual and sonographic tonsil volumes in Group 1 were 2.03±0.82 ml and 2.22±0.85 ml (p=0.093), in Group 2 were 5.19±0.83 ml and 5.36±1.06 ml (p=0.074), respectively. In both groups the sonographic volume was correlated with the actual volume (r=0.788 and 0.829, respectively). The measured volumes with both methods were higher in Group 2 (p<0.001). TCU is a reliable, cheap, non-invasive and easily accessed method for evaluation of PT volume. It provides beneficial information about the PT size, anatomy and tonsillectomy indications in children.

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Section: Discussionsupporting

confidence: 86%

“…However, depth in the oral aspect and medial boundary extending toward the pharynx are not assessed [4,5]. In recent years, there are studies reporting that transcervical ultrasound (TCU) is an effective and beneficial method to measure PT volume in children [6,7].…”

Section: Introductionmentioning

confidence: 99%

Sonographic measurement of palatine tonsil volume in children and comparison with actual volume

Öztürk¹,

Kilinc²

2017

Med-Science

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“…A previous different study assessing the correlation between tonsil size, obesity and OSAS compared the subjective preoperative measurements with true volume measurements and found that on both measurements tonsil size was higher in obese OSAS cases (16). A study by Asimakopoulos et al found in chronic tonsillitis and OSAS cases the volume measured with TCU before surgery and true values after tonsillectomy were 3.6 ml and 3.9 ml with a correlation identified (8). However, they did not report separate values for chronic tonsillitis and tonsillar hypertrophy and BMI was not noted.…”

Section: Discussionmentioning

confidence: 94%

“…Asimakopoulos et al compared the volume measured by TCU in cases with chronic tonsillitis and OSAS with the true volume measured after tonsillectomy and determined similar results. Before surgery, assessment of tonsil anatomy with US is stated to be beneficial to estimate response to tonsillectomy and perioperative complications (8). Studies have shown that TCU is a very effective method for the staging of tonsillitis in children and diagnosis and monitoring of peritonsillar abscess (12,14).…”

Section: Discussionmentioning

confidence: 99%

“…Additionally for CT there is radiation exposure and MRI requires anesthesia. In recent times studies have determined that transcervical ultrasound (TCU) is a practical method to measure the size of the palatine tonsils (8,9). Additionally, in the recent period there are studies evaluating the correlation of upper respiratory tract stenosis in obese children with OSAS and lymphoid tissue size and fat distribution in abdominal organs with MRI (10).…”

Section: Introductionmentioning

confidence: 99%

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Ultrasonographic measurement of palatine tonsil size and its correlation with body-mass index and hepatosteatosis in adolescents

Öztürk¹

2017

J Turgut Ozal Med Cent

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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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Ultrasonographic assessment of tonsillar volume in children

Cited by 22 publications

References 23 publications

Sonographic measurement of palatine tonsil volume in children and comparison with actual volume

Sonographic measurement of palatine tonsil volume in children and comparison with actual volume

Ultrasonographic measurement of palatine tonsil size and its correlation with body-mass index and hepatosteatosis in adolescents

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

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