European Archives of Oto-Rhino-Laryngology

, Volume 265, Issue 10, pp 1263–1268

Does tonsillectomy reduce the risk of being a habitual or severe snorer?

  • Cüneyt Orhan Kara
  • Funda Tümkaya
  • Necdet Ardic
  • Bulent Topuz


We assessed the relationship between tonsillectomy and being a habitual or severe snorer. Volunteers were asked to provide their age and sex, a detailed snoring history covering the frequency and intensity of snoring, and their smoking and alcohol intake habits. After oral and nasal examinations, the tonsil size scores, Mallampati index scores, and nasal obstructions of the volunteers were recorded. Body heights and weights were measured, and body mass indexes were calculated. Being male, aging, an increase in body mass index and tonsillectomy were identified as independent risk factors for being a habitual and severe snorer. Although a nasal obstruction was found to be an independent risk factor for being a habitual snorer, an obstructive tongue base was identified as an independent risk factor for being a severe snorer. Tonsillectomy reduces the risk of being both a habitual and severe snorer. This reduced incidence and intensity of snoring following tonsillectomy could be accepted as a long-term beneficial side effect of the operation.


Snoring Tonsillectomy 


  1. 1.
    Ah-See KW, Stewart M, Banham SW, Robinson K, Carter R, Wilson JA (1998) Systematic analysis of snoring in women. Ann Otol Rhinol Laryngol 107:227–231PubMedGoogle Scholar
  2. 2.
    Akcam T, Friedman O, Cook TA (2004) The effect on snoring of structural nasal valve dilatation with a butterfly graft. Arch Otolaryngol Head Neck Surg 130:1313–1318PubMedCrossRefGoogle Scholar
  3. 3.
    Akcay A, Kara CO, Dagdeviren E, Zencir M (2006) The variation of tonsils size in 4–17 yr-old school children. J Otolaryngol 35:270–274PubMedCrossRefGoogle Scholar
  4. 4.
    Bloom JW, Kaltenborn WT, Quan SF (1988) Risk factors in a general population for snoring. Importance of cigarette smoking and obesity. Chest 93:678–683PubMedCrossRefGoogle Scholar
  5. 5.
    Chan J, Akst LM, Eliachar I (2004) The roles of the anterior tonsillar pillar and previous tonsillectomy on sleep-disordered breathing. Ear Nose Throat J 83:410–413Google Scholar
  6. 6.
    Cirignotta F, D’Alessandro R, Partinen M, Zucconi M, Cristina E, Gerardi R, Cacciatore FM, Lugaresi E (1989) Prevalence of every night snoring and obstructive sleep apnoeas among 30–69-year-old men in Bologna, Italy. Acta Neurol Scand 79:366–372PubMedCrossRefGoogle Scholar
  7. 7.
    Coleman JA (2003) Pathophysiology of snoring and obstructive sleep apnea (airway dynamics) In: Fairbanks DNF, Mickelson SA, Woodson BT (eds) Snoring and obstructive sleep apnea, 3rd edn. Lippincott Williams & Wilkins, Philadelphia, pp 19–24Google Scholar
  8. 8.
    Fairbanks DNF (2003) Snoring A general overview with historical perspectives In: Fairbanks DNF, Mickelson SA, Woodson BT (eds) Snoring and obstructive sleep apnea, 3rd edn. Lippincott Williams & Wilkins, Philadelphia, pp 1–17Google Scholar
  9. 9.
    Friedman M, Ibrahim H, Joseph NJ (2004) Staging of obstructive sleep apnea/hypopnea syndrome: a guide to appropriate treatment. Laryngoscope 114:454–459PubMedCrossRefGoogle Scholar
  10. 10.
    Kara CO, Ergin H, Kocak G, Kılıc I, Yurdakul M (2002) Prevalence of tonsillar hypertrophy and associated oropharyngeal symptoms in primary school children in Denizli, Turkey. Int J Pediatr Otorhinolaryngol 66:175–179PubMedCrossRefGoogle Scholar
  11. 11.
    Kara CO, Kara CO, Zencir M, Topuz B, Zencir M, Kadıkoylu S, Tumkaya F (2005) The prevalence of snoring in adult population. Kulak Burun Bogaz Ihtis Derg 14:18–24PubMedGoogle Scholar
  12. 12.
    Lavie P (1983) Incidence of sleep apnea in a presumably healthy working population: a significant relationship with excessive daytime sleepiness. Sleep 6:312–318PubMedGoogle Scholar
  13. 13.
    Lim PV, Curry AR (1999) A new method for evaluating and reporting the severity of snoring. J Laryngol Otol 113:336–340PubMedCrossRefGoogle Scholar
  14. 14.
    Nerfeldt P, Graf P, Borg S, Friberg D (2004) Prevalence of high alcohol and benzodiazepine consumption in sleep apnea patients studied with blood and urine tests. Acta Otolaryngol 124:1187–1190PubMedCrossRefGoogle Scholar
  15. 15.
    Svensson M, Lindberg E, Naessen T, Janson C (2006) Risk factors associated with snoring in women with special emphasis on body mass index: a population-based study. Chest 129:933–941PubMedCrossRefGoogle Scholar
  16. 16.
    Perez-Padilla JR, Slawinski E, Difrancesco LM, Feige RR, Remmers JE, Whitelaw WA (1993) Characteristics of the snoring noise in patients with and without occlusive sleep apnea. Am Rev Respir Dis 147:635–644PubMedGoogle Scholar
  17. 17.
    Teculescu D, Hannhart B, Cornette A, Montaut-Verient B, Virion JM, Michaely JP (2001) Prevalence of habitual snoring in a sample of French males. Role of “minor” nose-throat abnormalities. Respiration 68:365–670PubMedCrossRefGoogle Scholar
  18. 18.
    Tzifa KT, Shehab ZP, Robin PE (1998) The relation between tonsillectomy and snoring. Clin Otolaryngol Allied Sci 23:148–51PubMedCrossRefGoogle Scholar
  19. 19.
    Young T, Finn L, Kim H (1997) The University of Wisconsin Sleep, Respiratory Research Group, nasal obstruction as a risk factor for sleep-disordered breathing. J Allergy Clin Immunol 99:757–762CrossRefGoogle Scholar
  20. 20.
    Zamarron C, Gude F, Alvarez JM, Rivera M, Gonzalez FJ, Rodriguez JR (2000) Airway disorders and pulmonary function in snorers: a population-based study. Respir Med 94:835–840PubMedCrossRefGoogle Scholar
  21. 21.
    Zonato AI, Martinho FL, Bittencourt LR, de Oliveira Campones Brasil O, Gregorio LC, Tufik S (2005) Head and neck physical examination: comparison between nonapneic and obstructive sleep apnea patients. Laryngoscope 115:1030–1034PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Cüneyt Orhan Kara
    • 1
  • Funda Tümkaya
    • 1
  • Necdet Ardic
    • 1
  • Bulent Topuz
    • 1
  1. 1.ENT Departments, Medicine FacultyPamukkale UniversityDenizliTurkey

Personalised recommendations