Digital oral photography for pediatric tonsillar hypertrophy grading
Abstract Background Tonsillar hypertrophy contributes to pediatric disorders, including obstructive sleep apnea. The goal was to determine the utility of digital photographs for pediatric tonsillar grading. Methods Using Brodsky's grading scale, 41 children (3.0–14.6 years) had in-person tonsil...
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| Veröffentlicht in: | International journal of pediatric otorhinolaryngology 2011-06, Vol.75 (6), p.841-843 |
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| container_title | International journal of pediatric otorhinolaryngology |
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| creator | Montgomery-Downs, Hawley E Ramadan, Hassan H Clawges, Heather C McBean, Amanda L Insana, Salvatore P Santy, Eleanor E |
| description | Abstract Background Tonsillar hypertrophy contributes to pediatric disorders, including obstructive sleep apnea. The goal was to determine the utility of digital photographs for pediatric tonsillar grading. Methods Using Brodsky's grading scale, 41 children (3.0–14.6 years) had in-person tonsil grading during a routine pediatric ENT physical examination. Oral photographs were obtained with a standard single-lens reflex digital camera and graded by the same ENT physician and by an independent Pediatrician. Results In-person and photograph gradings were highly correlated, but also differed significantly. Yet photograph gradings did not differ between physicians, suggesting that photographs provide unique, consistent information to different clinicians. Discrepancies between in-person and photograph gradings were not explained by child age. Conclusion Static images may provide experts more time for mental calculations and may therefore provide a superior estimation of tonsil size. Photographs should be considered for remote use, as well as a potentially better alternative to current in vivo estimates. |
| doi_str_mv | 10.1016/j.ijporl.2011.03.022 |
| format | Article |
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The goal was to determine the utility of digital photographs for pediatric tonsillar grading. Methods Using Brodsky's grading scale, 41 children (3.0–14.6 years) had in-person tonsil grading during a routine pediatric ENT physical examination. Oral photographs were obtained with a standard single-lens reflex digital camera and graded by the same ENT physician and by an independent Pediatrician. Results In-person and photograph gradings were highly correlated, but also differed significantly. Yet photograph gradings did not differ between physicians, suggesting that photographs provide unique, consistent information to different clinicians. Discrepancies between in-person and photograph gradings were not explained by child age. Conclusion Static images may provide experts more time for mental calculations and may therefore provide a superior estimation of tonsil size. Photographs should be considered for remote use, as well as a potentially better alternative to current in vivo estimates.</description><identifier>ISSN: 0165-5876</identifier><identifier>EISSN: 1872-8464</identifier><identifier>DOI: 10.1016/j.ijporl.2011.03.022</identifier><identifier>PMID: 21514678</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Adolescent ; Child ; Child, Preschool ; Digital photograph ; Female ; Humans ; Hypertrophy - pathology ; Male ; Observer Variation ; Otolaryngology ; Palatine Tonsil - pathology ; Pediatric ; Pediatrics ; Photography ; Physical Examination ; Predictive Value of Tests ; Remote ; Reproducibility of Results ; Severity of Illness Index ; Tonsillar hypertrophy</subject><ispartof>International journal of pediatric otorhinolaryngology, 2011-06, Vol.75 (6), p.841-843</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2011 Elsevier Ireland Ltd</rights><rights>Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c416t-bde20f983c5b00108bfde204d278aa0b6b158ad3186d68a0e6b8d490d0cd0c373</citedby><cites>FETCH-LOGICAL-c416t-bde20f983c5b00108bfde204d278aa0b6b158ad3186d68a0e6b8d490d0cd0c373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0165587611001340$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21514678$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Montgomery-Downs, Hawley E</creatorcontrib><creatorcontrib>Ramadan, Hassan H</creatorcontrib><creatorcontrib>Clawges, Heather C</creatorcontrib><creatorcontrib>McBean, Amanda L</creatorcontrib><creatorcontrib>Insana, Salvatore P</creatorcontrib><creatorcontrib>Santy, Eleanor E</creatorcontrib><title>Digital oral photography for pediatric tonsillar hypertrophy grading</title><title>International journal of pediatric otorhinolaryngology</title><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><description>Abstract Background Tonsillar hypertrophy contributes to pediatric disorders, including obstructive sleep apnea. The goal was to determine the utility of digital photographs for pediatric tonsillar grading. Methods Using Brodsky's grading scale, 41 children (3.0–14.6 years) had in-person tonsil grading during a routine pediatric ENT physical examination. Oral photographs were obtained with a standard single-lens reflex digital camera and graded by the same ENT physician and by an independent Pediatrician. Results In-person and photograph gradings were highly correlated, but also differed significantly. Yet photograph gradings did not differ between physicians, suggesting that photographs provide unique, consistent information to different clinicians. Discrepancies between in-person and photograph gradings were not explained by child age. Conclusion Static images may provide experts more time for mental calculations and may therefore provide a superior estimation of tonsil size. Photographs should be considered for remote use, as well as a potentially better alternative to current in vivo estimates.</description><subject>Adolescent</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Digital photograph</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertrophy - pathology</subject><subject>Male</subject><subject>Observer Variation</subject><subject>Otolaryngology</subject><subject>Palatine Tonsil - pathology</subject><subject>Pediatric</subject><subject>Pediatrics</subject><subject>Photography</subject><subject>Physical Examination</subject><subject>Predictive Value of Tests</subject><subject>Remote</subject><subject>Reproducibility of Results</subject><subject>Severity of Illness Index</subject><subject>Tonsillar hypertrophy</subject><issn>0165-5876</issn><issn>1872-8464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1r3DAQQEVpaTZp_0EovvVkZ0aSZeVSKEmbBAI5NDkLWZJ35XgtR_IG9t9HZjc99FIQEgxvPvSGkHOECgHFRV_5fgpxqCggVsAqoPQDWaFsaCm54B_JKmN1WctGnJDTlHoAbKCuP5MTijVy0cgVub72az_roQgxX9MmzGEd9bTZF12IxeSs13P0ppjDmPww6Fhs9pOLcwwLk1Hrx_UX8qnTQ3Jfj-8Zefr96_Hqtrx_uLm7-nlfGo5iLlvrKHSXkpm6zbOAbLslwi1tpNbQihZrqS1DKayQGpxopeWXYMHkwxp2Rr4f6k4xvOxcmtXWJ-PyWKMLu6SkaBhFyheSH0gTQ0rRdWqKfqvjXiGoRZ_q1UGfWvQpYCrry2nfjg127dbZv0nvvjLw4wC4_M1X76JKxrvRZE_RmVnZ4P_X4d8CZvCjN3p4dnuX-rCLY1aoUCWqQP1ZVrhsEDEbYxzYG20PmIY</recordid><startdate>20110601</startdate><enddate>20110601</enddate><creator>Montgomery-Downs, Hawley E</creator><creator>Ramadan, Hassan H</creator><creator>Clawges, Heather C</creator><creator>McBean, Amanda L</creator><creator>Insana, Salvatore P</creator><creator>Santy, Eleanor E</creator><general>Elsevier Ireland Ltd</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>20110601</creationdate><title>Digital oral photography for pediatric tonsillar hypertrophy grading</title><author>Montgomery-Downs, Hawley E ; Ramadan, Hassan H ; Clawges, Heather C ; McBean, Amanda L ; Insana, Salvatore P ; Santy, Eleanor E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c416t-bde20f983c5b00108bfde204d278aa0b6b158ad3186d68a0e6b8d490d0cd0c373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Digital photograph</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertrophy - pathology</topic><topic>Male</topic><topic>Observer Variation</topic><topic>Otolaryngology</topic><topic>Palatine Tonsil - pathology</topic><topic>Pediatric</topic><topic>Pediatrics</topic><topic>Photography</topic><topic>Physical Examination</topic><topic>Predictive Value of Tests</topic><topic>Remote</topic><topic>Reproducibility of Results</topic><topic>Severity of Illness Index</topic><topic>Tonsillar hypertrophy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Montgomery-Downs, Hawley E</creatorcontrib><creatorcontrib>Ramadan, Hassan H</creatorcontrib><creatorcontrib>Clawges, Heather C</creatorcontrib><creatorcontrib>McBean, Amanda L</creatorcontrib><creatorcontrib>Insana, Salvatore P</creatorcontrib><creatorcontrib>Santy, Eleanor E</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>International journal of pediatric otorhinolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Montgomery-Downs, Hawley E</au><au>Ramadan, Hassan H</au><au>Clawges, Heather C</au><au>McBean, Amanda L</au><au>Insana, Salvatore P</au><au>Santy, Eleanor E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Digital oral photography for pediatric tonsillar hypertrophy grading</atitle><jtitle>International journal of pediatric otorhinolaryngology</jtitle><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>75</volume><issue>6</issue><spage>841</spage><epage>843</epage><pages>841-843</pages><issn>0165-5876</issn><eissn>1872-8464</eissn><abstract>Abstract Background Tonsillar hypertrophy contributes to pediatric disorders, including obstructive sleep apnea. The goal was to determine the utility of digital photographs for pediatric tonsillar grading. Methods Using Brodsky's grading scale, 41 children (3.0–14.6 years) had in-person tonsil grading during a routine pediatric ENT physical examination. Oral photographs were obtained with a standard single-lens reflex digital camera and graded by the same ENT physician and by an independent Pediatrician. Results In-person and photograph gradings were highly correlated, but also differed significantly. Yet photograph gradings did not differ between physicians, suggesting that photographs provide unique, consistent information to different clinicians. Discrepancies between in-person and photograph gradings were not explained by child age. Conclusion Static images may provide experts more time for mental calculations and may therefore provide a superior estimation of tonsil size. Photographs should be considered for remote use, as well as a potentially better alternative to current in vivo estimates.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>21514678</pmid><doi>10.1016/j.ijporl.2011.03.022</doi><tpages>3</tpages></addata></record> |
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| subjects | Adolescent Child Child, Preschool Digital photograph Female Humans Hypertrophy - pathology Male Observer Variation Otolaryngology Palatine Tonsil - pathology Pediatric Pediatrics Photography Physical Examination Predictive Value of Tests Remote Reproducibility of Results Severity of Illness Index Tonsillar hypertrophy |
| title | Digital oral photography for pediatric tonsillar hypertrophy grading |
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