OSAS Clinical Trial
Official title:
ASSESSMENT OF TONSIL VOLUME WITH TRANSCERVICAL ULTRASONOGRAPHY IN BOTH CHILDREN AND ADULTS - A PROSPECTIVE CLINICAL RESEARCH
The tonsil volume is an important factor in the decision of the tonsillectomy operation. For this reason, it is important to evaluate the tonsil size before the surgery. Ultrasonography was used in a limited number of studies about tonsil tissue assessment and also those studies include only the pediatric population. In this study, we investigate the success of ultrasonography in adults additionally pediatric population as a contribution to literature.
Tonsillectomy is a common procedure performed on both adults and children. Recurrent
tonsillitis, snoring and obstructive sleep apnea is among the most important indications for
this surgery. Tonsil volume, in addition to recurrent tonsillitis frequency, are both
considered in deciding tonsillectomy operation. Moreover, recent studies showed a correlation
between tonsil hypertrophy and tonsillitis frequency. For this reason, a reliable assessment
of tonsil volume is crucial both during clinical follow-up and surgery decision.
Today, a number of clinical staging systems are used to assess tonsil volume; with 'Friedman
Scale' and 'Brodsky Scale' being the most commonly used systems. Those staging systems employ
physical examination and are graded on palatine tonsils' midline extension. In other words,
clinical staging uses just the transverse length of tonsils and vertical length and depth are
dismissed. In addition, other factors such as patient non-compliance, size of the tongue and
tongue base, hyperactive gag reflex and trismus make a clinical assessment difficult. For
those reasons, a correct clinical assessment of tonsil volume is not always conceivable.
Ultrasonography (USG) was used in a limited number of studies about tonsil tissue assessment
despite high patient compliance, low cost and its non-radioactive nature. Also, those studies
include only the pediatric population.In this study, we would like to assess the success of
USG in objective measurement of tonsil volume in both pediatric and adult populations and
comparison of those results with clinical findings
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