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 |
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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 (
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p
< 0.05). When comparing the subjective and objective tonsil measurements with the polysomnographic parameters, the subjective grading was significantly correlated with snoring index (
p
< 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
< 0.05). 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><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-014-2944-3</identifier><identifier>PMID: 24566883</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>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</subject><ispartof>European archives of oto-rhino-laryngology, 2014-08, Vol.271 (8), p.2305-2310</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-61db859f24c3b0bac857af705661f7380892845ac9dc90bcf5a2aebc7c3999d83</citedby><cites>FETCH-LOGICAL-c414t-61db859f24c3b0bac857af705661f7380892845ac9dc90bcf5a2aebc7c3999d83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00405-014-2944-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00405-014-2944-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24566883$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lai, Chi-Chih</creatorcontrib><creatorcontrib>Friedman, Michael</creatorcontrib><creatorcontrib>Lin, Hsin-Ching</creatorcontrib><creatorcontrib>Wang, Pa-Chun</creatorcontrib><creatorcontrib>Hsu, Cheng-Ming</creatorcontrib><creatorcontrib>Yalamanchali, Sreeya</creatorcontrib><creatorcontrib>Lin, Meng-Chih</creatorcontrib><creatorcontrib>Chen, Yung-Che</creatorcontrib><title>Objective versus subjective measurements of palatine tonsil size in adult patients with obstructive sleep apnea/hypopnea syndrome</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><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
< 0.05). When comparing the subjective and objective tonsil measurements with the polysomnographic parameters, the subjective grading was significantly correlated with snoring index (
p
< 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
< 0.05). 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 & Public Health</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Neurosurgery</subject><subject>Organ Size</subject><subject>Otorhinolaryngology</subject><subject>Palatine Tonsil - anatomy & 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 ; Friedman, Michael ; Lin, Hsin-Ching ; Wang, Pa-Chun ; Hsu, Cheng-Ming ; Yalamanchali, Sreeya ; Lin, Meng-Chih ; Chen, Yung-Che</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c414t-61db859f24c3b0bac857af705661f7380892845ac9dc90bcf5a2aebc7c3999d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Female</topic><topic>Head and Neck Surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Neurosurgery</topic><topic>Organ Size</topic><topic>Otorhinolaryngology</topic><topic>Palatine Tonsil - anatomy & histology</topic><topic>Physical Examination</topic><topic>Retrospective Studies</topic><topic>Sleep Apnea, Obstructive - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lai, Chi-Chih</creatorcontrib><creatorcontrib>Friedman, Michael</creatorcontrib><creatorcontrib>Lin, Hsin-Ching</creatorcontrib><creatorcontrib>Wang, Pa-Chun</creatorcontrib><creatorcontrib>Hsu, Cheng-Ming</creatorcontrib><creatorcontrib>Yalamanchali, Sreeya</creatorcontrib><creatorcontrib>Lin, Meng-Chih</creatorcontrib><creatorcontrib>Chen, Yung-Che</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lai, Chi-Chih</au><au>Friedman, Michael</au><au>Lin, Hsin-Ching</au><au>Wang, Pa-Chun</au><au>Hsu, Cheng-Ming</au><au>Yalamanchali, Sreeya</au><au>Lin, Meng-Chih</au><au>Chen, Yung-Che</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Objective versus subjective measurements of palatine tonsil size in adult patients with obstructive sleep apnea/hypopnea syndrome</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>271</volume><issue>8</issue><spage>2305</spage><epage>2310</epage><pages>2305-2310</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><abstract>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
< 0.05). When comparing the subjective and objective tonsil measurements with the polysomnographic parameters, the subjective grading was significantly correlated with snoring index (
p
< 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
< 0.05). Although the subjective tonsil size grading reflected the objective tonsil measurements, the objective tonsil measurements were more meaningful in predicting the severity of OSAHS.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24566883</pmid><doi>10.1007/s00405-014-2944-3</doi><tpages>6</tpages></addata></record> |
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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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