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Palatine tonsil volume estimation using different methods after tonsillectomy

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Abstract

This study was carried out to measure the volume of the palatine tonsil in otorhinolaryngology outpatients with complaints of adenotonsillar hypertrophy and chronic tonsillitis who had undergone tonsillectomy. To date, no study has investigated palatine tonsil volume using different methods and compared with subjective tonsil size in the literature. For this purpose, we used three different methods to measure palatine tonsil volume. The correlation of each parameter with tonsil size was assessed. After tonsillectomy, palatine tonsil volume was measured by Archimedes, Cavalieri and Ellipsoid methods. Mean right–left palatine tonsil volumes were calculated as 2.63 ± 1.34 cm3 and 2.72 ± 1.51 cm3 by the Archimedes method, 3.51 ± 1.48 cm3 and 3.37 ± 1.36 cm3 by the Cavalieri method, and 2.22 ± 1.22 cm3 and 2.29 ± 1.42 cm3 by the Ellipsoid method, respectively. Excellent agreement was found among the three methods of measuring volumetric techniques according to Bland–Altman plots. In addition, tonsil grade was correlated significantly with tonsil volume.

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References

  • Akcay A, Kara CO, Dagdeviren E, Zencir M (2006) Variation in tonsil size in 4- to 17-year-old school children. J Otolaryngol 35:270–274

    Article  PubMed  Google Scholar 

  • Ballin ACKH, Ballin CH, Pereira R, Alcântara LJL, Taques GR, Mocellin M (2011) Palatine tonsils asymmetry: 10 years experience of the otorhinolaryngology service of the clinical hospital of the federal university of Paraná. Int Arch Otorhinolaryngol 15(1):67–71

    Google Scholar 

  • Brodsky L, Adler E, Stanievich JF (1989) Naso- and oropharyngeal dimensions in children with obstructive sleep apnea. Int J Pediatr Otorhinolaryngol 17:1–11

    Article  CAS  PubMed  Google Scholar 

  • Cahali MB, Soares CF, Dantas DA, Formigoni GG (2011) Tonsil volume, tonsil grade and obstructive sleep apnea: is there any meaningful correlation? Clinics (Sao Paulo, Brazil) 66:1347–1352

    Article  Google Scholar 

  • Casteleyn C, Van den Broeck W, Simoens P (2007) Histological characteristics and stereological volume assessment of the ovine tonsils. Vet Immunol Immunopathol 120:124–135

    Article  PubMed  Google Scholar 

  • Crombie IK, Barr G (1990) An investigation into factors that may influence tonsil morphology. J R Soc Med 83:20–21

    CAS  PubMed  PubMed Central  Google Scholar 

  • Davoodreza S (2011) Correlation of tonsillectomy with palatine tonsil size. Acta Medica Iran 49:305–306

    Google Scholar 

  • Donnelly LF, Casper KA, Chen B (2002) Correlation on cine MR imaging of size of adenoid and palatine tonsils with degree of upper airway motion in asymptomatic sedated children. AJR Am J Roentgenol 179:503–508

    Article  PubMed  Google Scholar 

  • Howard NS, Brietzke SE (2009) Pediatric tonsil size: objective vs subjective measurements correlated to overnight polysomnogram. Otolaryngol Head Neck Surg 140:675–681

    Article  PubMed  Google Scholar 

  • Kang KT, Chou CH, Weng WC, Lee PL, Hsu WC (2013) Associations between adenotonsillar hypertrophy, age, and obesity in children with obstructive sleep apnea. PLoS One 8:e78666

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lai CC, Friedman M, Lin HC, Wang PC, Hsu CM, Yalamanchali S, Lin MC, Chen YC (2014) Objective versus subjective measurements of palatine tonsil size in adult patients with obstructive sleep apnea/hypopnea syndrome. Eur Arch Otorhinolaryngol 271:2305–2310

    Article  PubMed  Google Scholar 

  • Li AM, Wong E, Kew J, Hui S, Fok TF (2002) Use of tonsil size in the evaluation of obstructive sleep apnoea. Arch Dis Child 87:156–159

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Nolan J, Brietzke SE (2011) Systematic review of pediatric tonsil size and polysomnogram-measured obstructive sleep apnea severity. Otolaryngol Head Neck Surg 144:844–850

    Article  PubMed  Google Scholar 

  • Prim MP, De Diego JI, Garcia-Bermudez C, Perez-Fernandez E, Hardisson D (2010) A method to calculate the volume of palatine tonsils. Anat Rec 293:2144–2146

    Article  CAS  Google Scholar 

  • Roberts N, Puddephat MJ, McNulty V (2000) The benefit of stereology for quantitative radiology. Br J Radiol 73:679–697

    Article  CAS  PubMed  Google Scholar 

  • Sagiroglu A, Acer N, Ertekin T, Kurtoglu E, Coskun A, Yildirim A, Zararsiz G (2014) Estimation of spleen volume and surface area of the newborns’ cadaveric spleen using stereological methods. Folia Morphol 73:183–192

    Article  CAS  Google Scholar 

  • Terris MK, Stamey TA (1991) Determination of prostate volume by transrectal ultrasound. J Urol 145:984–987

    Article  CAS  PubMed  Google Scholar 

  • Wang JH, Chung YS, Jang YJ, Lee BJ (2009) Palatine tonsil size and its correlation with subjective tonsil size in patients with sleep-disordered breathing. Otolaryngol Head Neck Surg 141:716–721

    Article  PubMed  Google Scholar 

  • Yasan H, Aynali G, Erdogan O, Yariktas M (2011) Does subjective tonsillar grading reflect the real volume of palatine tonsils? Int J Pediatr Otorhinolaryngol 75:618–619

    Article  PubMed  Google Scholar 

  • Younis RT, Hesse SV, Anand VK (2001) Evaluation of the utility and cost-effectiveness of obtaining histopathologic diagnosis on all routine tonsillectomy specimens. Laryngoscope 111:2166–2169

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

We wish to thank, Prof. Dr. Erdogan Unur, Prof. Dr. Harun Ulger, Prof. Dr. Kenan Aycan, Assoc. Prof. Dr. Kazım Ziya Gümüş, for skilful technical assistance.

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Correspondence to Ayşe Sağıroğlu.

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Sağıroğlu, A., Acer, N., Okuducu, H. et al. Palatine tonsil volume estimation using different methods after tonsillectomy. Anat Sci Int 92, 500–508 (2017). https://doi.org/10.1007/s12565-016-0350-1

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