Prevalence of tonsillar hypertrophy and associated oropharyngeal symptoms in primary school children in Denizli, Turkey

Kara, Cüneyt Orhan; Ergin, Hacer; Koçak, Gülendam; Kılıç, İlknur; Yurdakul, Merve

doi:10.1016/s0165-5876(02)00247-1

Cited by 49 publications

(34 citation statements)

References 15 publications

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“…A similar result was found by Kara et al 4 However, ATH is considered the main causal factor for obstructive sleep apnea and hypopnea in children and adolescents; and nocturnal enuresis is associated with the increase in the intra-abdominal pressure secondary to the breathing efforts during episodes of apnea and hypopnea, 25 as well as the decreased secretion of antidiuretic hormone or increased atrial natriuretic peptide, leading to increased urine volume. 26 This higher atrial natriuretic factor seems to be secondary to the episodes of hypoxemia and increased intrathoracic negative pressure in those patients with OSAS.…”

Section: Discussionsupporting

confidence: 82%

Associação entre hipertrofia adenotonsilar, tonsilites e crises álgicas na anemia falciforme

Salles¹,

Ramos²,

Daltro³

et al. 2009

J. Pediatr. (Rio J.)

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Objectives: To determine the prevalence of obstructive adenotonsillar hypertrophy in children and adolescents with sickle cell anemia; to investigate possible associations between the presence of more than five episodes of tonsillitis in the last 12 months and episodes of painful crises in the same period; and to compare the mean annual hemoglobin level in children and adolescents with and without obstructive adenotonsillar hypertrophy. Methods:Prospective, observational, cross-sectional study involving 85 children and adolescents with sickle cell anemia. All patients answered a questionnaire and underwent a standard otolaryngology examination, including endoscopic endonasal approach. The diagnosis of obstructive adenotonsillar hypertrophy was made according to the Brodsky scale. Results:The prevalence of obstructive adenotonsillar hypertrophy was 55.3%. Obstructive adenotonsillar hypertrophy was associated with history of difficulty in eating (76.7 vs. 23.5%, p = 0.003), presence of more than five episodes of tonsillitis in the last 12 months (70.6 vs. 29.4%, p = 0.021), loud snoring (73.0 vs. 27.0%, p = 0.004), and sleep apnea (71.8 vs. 28.2%, p = 0.005). Patients with obstructive adenotonsillar hypertrophy had more episodes of recurrent upper airway tract infection (62.5 vs. 37.5; p = 0.010). The presence of more than five episodes of tonsillitis in the last 12 months was associated with episodes of painful crises (median = 12 vs. 2, p = 0.017). There was no significant difference between mean annual hemoglobin levels of patients with obstructive adenotonsilar hypertrophy vs. nonobstructive adenotonsillar hypertrophy: 7.6 vs. 8.2 g/dL, p = 0.199. Conclusion:The prevalence of obstructive adenotonsillar hypertrophy was 55.3% in children and adolescents with sickle cell anemia; the presence of more than five episodes of tonsillitis in the last 12 months was associated with episodes of painful crises in the same period; there was no difference in the mean annual hemoglobin value among those with or without obstructive adenotonsillar hypertrophy.J Pediatr (Rio J). 2009;85(3):249-253: Tonsil, tonsillitis, hemoglobin, children, adolescents, sickle cell disease.

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Section: Discussionsupporting

confidence: 82%

Associação entre hipertrofia adenotonsilar, tonsilites e crises álgicas na anemia falciforme

Salles¹,

Ramos²,

Daltro³

et al. 2009

J. Pediatr. (Rio J.)

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“…Os portadores de HAT não apresentaram queixa de enurese noturna, neste estudo, resultado semelhante foi encontrado por Kara et al 4 . Entretanto, considera-se a HAT como principal fator causal da apneia e hipopneia obstrutiva do sono em crianças e adolescentes, e que a enurese noturna está associada ao aumento da pressão intra-abdominal secundária aos esforços respiratórios durante os episódios de apneia e hipopneia 25 , além da diminuição da secreção do hormônio antidiurético ou um aumento do peptídeo atrial natriurético, levando a um aumento do volume urinário 26 .…”

Section: Discussionunclassified

Association between adenotonsillar hypertrophy, tonsillitis and painful crises in sickle cell disease

Salles¹,

Ramos²,

Daltro³

et al. 2009

J Pediatr (Rio J)

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Objectives: To determine the prevalence of obstructive adenotonsillar hypertrophy in children and adolescents with sickle cell anemia; to investigate possible associations between the presence of more than five episodes of tonsillitis in the last 12 months and episodes of painful crises in the same period; and to compare the mean annual hemoglobin level in children and adolescents with and without obstructive adenotonsillar hypertrophy. Methods:Prospective, observational, cross-sectional study involving 85 children and adolescents with sickle cell anemia. All patients answered a questionnaire and underwent a standard otolaryngology examination, including endoscopic endonasal approach. The diagnosis of obstructive adenotonsillar hypertrophy was made according to the Brodsky scale. Results:The prevalence of obstructive adenotonsillar hypertrophy was 55.3%. Obstructive adenotonsillar hypertrophy was associated with history of difficulty in eating (76.7 vs. 23.5%, p = 0.003), presence of more than five episodes of tonsillitis in the last 12 months (70.6 vs. 29.4%, p = 0.021), loud snoring (73.0 vs. 27.0%, p = 0.004), and sleep apnea (71.8 vs. 28.2%, p = 0.005). Patients with obstructive adenotonsillar hypertrophy had more episodes of recurrent upper airway tract infection (62.5 vs. 37.5; p = 0.010). The presence of more than five episodes of tonsillitis in the last 12 months was associated with episodes of painful crises (median = 12 vs. 2, p = 0.017). There was no significant difference between mean annual hemoglobin levels of patients with obstructive adenotonsilar hypertrophy vs. nonobstructive adenotonsillar hypertrophy: 7.6 vs. 8.2 g/dL, p = 0.199. Conclusion:The prevalence of obstructive adenotonsillar hypertrophy was 55.3% in children and adolescents with sickle cell anemia; the presence of more than five episodes of tonsillitis in the last 12 months was associated with episodes of painful crises in the same period; there was no difference in the mean annual hemoglobin value among those with or without obstructive adenotonsillar hypertrophy. J Pediatr (Rio J). 2009;85(3):249-253:Tonsil, tonsillitis, hemoglobin, children, adolescents, sickle cell disease. ResumoObjetivos: Determinar a prevalência da hipertrofia adenotonsilar obstrutiva em crianças e adolescentes portadores de anemia falciforme; investigar possível associação entre presença de mais de cinco episódios de tonsilite nos últimos 12 meses e episódios de crise álgica no mesmo período; e comparar a hemoglobina anual média entre os que apresentam e os que não apresentam hipertrofia adenotonsilar obstrutiva.Métodos: Trata-se de estudo prospectivo, observacional do tipo corte transversal, com 85 crianças e adolescentes com anemia falciforme. Todos responderam questionário e avaliação otorrinolaringológica, incluindo endoscopia nasossinusal. Para o diagnóstico da hipertrofia adenotonsilar obstrutiva foram adotados os critérios de Brodsky.Resultados: A prevalência da hipertrofia adenotonsilar obstrutiva foi de 55,3%. A hipertrofia adenotonsilar obs...

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“…In this course children with adenotonsillar hypertrophy may show some pathologic signs and symptoms [1,2] . Since the initial description by Menashe et al [3] of the serious symptoms and complications of grossly enlarged tonsils, several authors have reported on children with these problems [3][4][5] .…”

Section: Introductionmentioning

confidence: 99%

Relation of Isolated Tonsillar Hypertrophy with Body Mass Index

Egeli¹,

belli²,

Oğhan³

et al. 2006

ORL

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Objective: The purpose of this study was to investigate the relationship between tonsillar hypertrophy and body mass index (BMI). Material and Methods: This is a cross-sectional study which was conducted in three primary schools located in Duzce. A total of 1,282 children between 7 and 12 years of age were evaluated and the size of their tonsils was investigated with regard to height and weight. This study was performed in the course of school screening, and the correlation between estimated tonsil size and BMIs of the children was investigated. Results: Sixteen of 1,282 students were excluded from the study, leaving 1,266 children in the study. The mean (±SD) age of the children was 9.13 ± 1.45 (range 7–12) years. The mean height of the 1,266 children was 129.07 ± 9.95 (range 105–163) cm, the mean weight was 28.81 ± 6.96 (range 15–68) kg, and the mean BMI was 17.09 ± 2.33 (range 12.07–30.0) kg/m². There was no statistically significant effect of tonsil size on BMI. We could not find a significant relation of isolated tonsillar hypertrophy with BMI. Conclusions: No relation could be found between tonsillar hypertrophy and BMI.

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Prevalence of tonsillar hypertrophy and associated oropharyngeal symptoms in primary school children in Denizli, Turkey

Cited by 49 publications

References 15 publications

Associação entre hipertrofia adenotonsilar, tonsilites e crises álgicas na anemia falciforme

Associação entre hipertrofia adenotonsilar, tonsilites e crises álgicas na anemia falciforme

Association between adenotonsillar hypertrophy, tonsillitis and painful crises in sickle cell disease

Relation of Isolated Tonsillar Hypertrophy with Body Mass Index

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