Objective versus subjective measurements of palatine tonsil size in adult patients with obstructive sleep apnea/hypopnea syndrome

The objective of this study was to evaluate the relationship between subjective and objective tonsil size measurements in adult patients with obstructive sleep apnea/hypopnea syndrome (OSAHS) and compare the tonsil size measurements with the severity of disease. Fifty-one adult patients (46 males an...

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Veröffentlicht in:European archives of oto-rhino-laryngology 2014-08, Vol.271 (8), p.2305-2310
Hauptverfasser: Lai, Chi-Chih, Friedman, Michael, Lin, Hsin-Ching, Wang, Pa-Chun, Hsu, Cheng-Ming, Yalamanchali, Sreeya, Lin, Meng-Chih, Chen, Yung-Che
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container_end_page 2310
container_issue 8
container_start_page 2305
container_title European archives of oto-rhino-laryngology
container_volume 271
creator Lai, Chi-Chih
Friedman, Michael
Lin, Hsin-Ching
Wang, Pa-Chun
Hsu, Cheng-Ming
Yalamanchali, Sreeya
Lin, Meng-Chih
Chen, Yung-Che
description The objective of this study was to evaluate the relationship between subjective and objective tonsil size measurements in adult patients with obstructive sleep apnea/hypopnea syndrome (OSAHS) and compare the tonsil size measurements with the severity of disease. Fifty-one adult patients (46 males and 5 females) who failed continuous positive airway pressure therapy and underwent OSAHS surgery were recruited. Physical examinations, subjective tonsil size grading preoperatively, and objective tonsil measurements including size (length, width, and height), weight and volume immediately after surgery were recorded. The results showed significant positive correlations between subjective tonsil size grading and all the parameters of the objective tonsil measurements ( p  
doi_str_mv 10.1007/s00405-014-2944-3
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Fifty-one adult patients (46 males and 5 females) who failed continuous positive airway pressure therapy and underwent OSAHS surgery were recruited. Physical examinations, subjective tonsil size grading preoperatively, and objective tonsil measurements including size (length, width, and height), weight and volume immediately after surgery were recorded. The results showed significant positive correlations between subjective tonsil size grading and all the parameters of the objective tonsil measurements ( p  &lt; 0.05). When comparing the subjective and objective tonsil measurements with the polysomnographic parameters, the subjective grading was significantly correlated with snoring index ( p  &lt; 0.05) but showed only borderline correlation with apnea/hypopnea index. However, the objective tonsil measurements were significantly correlated with both snoring index and apnea/hypopnea index (both p  &lt; 0.05). 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Although the subjective tonsil size grading reflected the objective tonsil measurements, the objective tonsil measurements were more meaningful in predicting the severity of OSAHS.</description><subject>Adult</subject><subject>Female</subject><subject>Head and Neck Surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Neurosurgery</subject><subject>Organ Size</subject><subject>Otorhinolaryngology</subject><subject>Palatine Tonsil - anatomy &amp; histology</subject><subject>Physical Examination</subject><subject>Retrospective Studies</subject><subject>Sleep Apnea, Obstructive - diagnosis</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtv1TAQRi0EopfCD2CDvGQT6mccL1HFS6rUDawtx5lQXyV28DhFlx3_nFxSumQ1o5kznzSHkNecveOMmStkTDHdMK4aYZVq5BNy4EqqRhnRPiUHZqVplDLmgrxAPDLGtLLyObkQSrdt18kD-X3bHyHUeA_0HgquSHF9nMzgcS0wQ6pI80gXP_kaE9CaE8aJYvwFNCbqh3Wq27bGv-TPWO9o7rGWdc_BCWChfkngr-5OSz43FE9pKHmGl-TZ6CeEVw_1knz7-OHr9efm5vbTl-v3N01QXNWm5UPfaTsKFWTPeh86bfxo2PYIH43sWGdFp7QPdgiW9WHUXnjogwnSWjt08pK83XOXkn-sgNXNEQNMk0-QV3RcKymMbbXYUL6joWTEAqNbSpx9OTnO3Nm82827zbw7m3dyu3nzEL_2MwyPF_9Ub4DYAdxW6TsUd8xrSdvL_0n9A_Qgkjo</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Lai, Chi-Chih</creator><creator>Friedman, Michael</creator><creator>Lin, Hsin-Ching</creator><creator>Wang, Pa-Chun</creator><creator>Hsu, Cheng-Ming</creator><creator>Yalamanchali, Sreeya</creator><creator>Lin, Meng-Chih</creator><creator>Chen, Yung-Che</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140801</creationdate><title>Objective versus subjective measurements of palatine tonsil size in adult patients with obstructive sleep apnea/hypopnea syndrome</title><author>Lai, Chi-Chih ; 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Fifty-one adult patients (46 males and 5 females) who failed continuous positive airway pressure therapy and underwent OSAHS surgery were recruited. Physical examinations, subjective tonsil size grading preoperatively, and objective tonsil measurements including size (length, width, and height), weight and volume immediately after surgery were recorded. The results showed significant positive correlations between subjective tonsil size grading and all the parameters of the objective tonsil measurements ( p  &lt; 0.05). When comparing the subjective and objective tonsil measurements with the polysomnographic parameters, the subjective grading was significantly correlated with snoring index ( p  &lt; 0.05) but showed only borderline correlation with apnea/hypopnea index. However, the objective tonsil measurements were significantly correlated with both snoring index and apnea/hypopnea index (both p  &lt; 0.05). 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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Adult
Female
Head and Neck Surgery
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Miscellaneous
Neurosurgery
Organ Size
Otorhinolaryngology
Palatine Tonsil - anatomy & histology
Physical Examination
Retrospective Studies
Sleep Apnea, Obstructive - diagnosis
title Objective versus subjective measurements of palatine tonsil size in adult patients with obstructive sleep apnea/hypopnea syndrome
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