Palatine tonsil volume estimation using different methods after tonsillectomy

Sağiroğlu, Ayşe; Acer, Niyazi; Okuducu, Hacı; Ertekın, Tolga; Erkan, Mustafa; Durmaz, Esra; Aydın, Mesut; Yılmaz, Seher; Zararsız, Gökmen

doi:10.1007/s12565-016-0350-1

Cited by 8 publications

(6 citation statements)

References 18 publications

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“…This staging may be a reason for false comparison of the connective tissue area. So in this study we calculated the real tonsil volumes according to the Archimedes principle to overcome this problem (5).…”

Section: Discussionmentioning

confidence: 99%

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Tonsil Hipertrofisinde Bağ Dokusu ve Lenfoid Dokunun Rolü

Sivrice¹,

Yasan²,

Erkılınç³

et al. 2021

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi

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Objective: This study aimed to investigate connective tissue and lymphoid tissue ratios in tonsillectomy specimens to determine differences between microanatomical structures.Material and Methods: Tonsillectomy materials were collected from patients aged 3-13 years and three groups were created. Patients with larger tonsils than 3 cc and had recurrent tonsillitis history were included to the group 1, larger tonsils than 3 cc without recurrent tonsillitis history were included to the group 2 and tonsil sizes less than 2 cc with recurrent tonsillitis history were included to the group 3. Masson's Trichrome stained slides were evaluated to determine the connective and lymphoid tissues. We use Python programming language and count pixels to calculate the approximate ratio of the connective tissue area. Results:The mean connective tissue percentages were 5.45±2.50 in group 1, 5.45±2.42 in group 2 and 10.90±3.41 in group 3. There was significantly higher connective tissue ratios in group 3 compared to group 1 and group 2 (p=0.001). Lymphoid tissue was significantly higher in group 1 and group 2 compared to group 3 (p=0.001). Follicle numbers were significantly different among 3 groups (p=0.032). Conclusion:The mechanism of the tonsillar hypertrophy has not been elucidated, yet. We found that; as long as the tonsil volume increases, lymphoid tissue ratio increases to. In other words, the lymphoid region is the main part responsible for the enlargement of the tonsil in hypertrophic tonsils. Relationship between recurrent inflammation and microanatomical structures of the palatine tonsil seem to be more complicated than previously supposed knowledge.

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Section: Discussionmentioning

confidence: 99%

“…Removed tonsils were placed into a syringe with full of water in the operating room. Water displaced by tonsils was measured using 50 mL syringes to determine the real tonsil volume (5).…”

Section: Patient Selection and Study Designmentioning

confidence: 99%

Tonsil Hipertrofisinde Bağ Dokusu ve Lenfoid Dokunun Rolü

Sivrice¹,

Yasan²,

Erkılınç³

et al. 2021

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi

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“…In the present study, the univariate and multivariate analysis demonstrated that age and BMI affected the consistency between tonsil grade and tonsil volume. We speculated that pharyngeal cavity and embedded tonsil size decreased with age owing to tonsil atrophy and degeneration [ 26 , 29 ], thereby decreasing the possibility of the embedded tonsil. In addition, palatine tonsils are lymphoid tissues that form a part of the Waldeyer ring.…”

Section: Discussionmentioning

confidence: 99%

Correlation between Brodsky Tonsil Scale and Tonsil Volume in Adult Patients

Zhang

Xiao

2018

BioMed Research International

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Purpose To evaluate the value of Brodsky tonsil scale in predicting the objective tonsil volume and to identify the potential factors that might interfere with the accuracy of prediction. Methods A total of 87 adult patients who underwent single tonsillectomy or uvulopalatopharyngoplasty (UPPP) procedure including tonsillectomy in our hospital between Jan 2015 and Dec 2016 were included. The data of Brodsky tonsil scale evaluated preoperatively and objective tonsil volume evaluated postoperatively were collected for analysis. Results Among the 87 adult patients included, 85 patients underwent bilateral tonsillectomy, while only 2 underwent unilateral procedure. Therefore, a total of 172 tonsils were included. Significant positive correlations were established between Brodsky scale and objective volume for either right (R = 0.647), left (R = 0.664), or overall tonsils (R = 0.654) (all p < 0.001). However, volume overlaps could be found between 2+ and 3+ tonsils. Age [odds ratio (OR) = 4.053, p = 0.003] and body mass index (BMI; OR=1.740, p = 0.044) were found to be independent factors that could influence the consistency between the Brodsky scale and objective volume. As a result, a formula “Index = -1.409+1.399×age+0.554×BMI” was constructed for the evaluation of the consistency. Conclusion Tonsil grading was significantly correlated with tonsil volume; preoperative tonsil grading that reflected the real tonsil volume was regarded as the protocol for the evaluation of the tonsil size. Age and BMI were independent factors that could affect the consistency between tonsil grade and tonsil volume. A mathematical model was estimated to predict the consistency accurately.

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“…After obtaining the data set, the next step was to determine tonsil volume and variance. Tonsillar volume was calculated using the validated ellipsoid method as per the equation below [9]:…”

Section: Tonsil Analysismentioning

confidence: 99%