Department of Otolaryngology and Head and Neck Surgery, Pamukkale University School of Medicine, Denizli, Turkey.
Department of Radiology, Pamukkale University School of Medicine, Denizli, Turkey.
J Ultrasound Med. 2020 Mar;39(3):529-534. doi: 10.1002/jum.15129. Epub 2019 Sep 8.
To investigate the success of ultrasonography (USG) in the objective measurement of palatin tonsil volume in both children and adults and to compare those results with clinical findings.
Eighty-five patients, who were scheduled to undergo tonsillectomy with the indications of recurrent tonsillitis and obstructive sleep apnea syndrome, were included in the study. The tonsil grades of the patients were recorded according to the Friedman tonsil grading. The tonsil size and volume were measured with transcervical USG. After tonsillectomy, the volumes of the tonsils were calculated by the displacement method. The correlation between the obtained data was evaluated. In all analyses, P < .05 was accepted as a statistical level of significance.
Fifty children and 35 adults were included in the study. In children, the mean actual volume ± SD of 100 tonsils was measured as 3.5 ± 1.45 mL, and the USG volume was 3.67 ± 1.59 mL; a high correlation was found between both methods (r = 0.842; P < .05). In adults, the mean actual volume of 70 tonsils was measured as 5.15 ± 2.25 mL, and the USG volume was 5.71 ± 2.98 mL; a moderate correlation was found between the methods (r = 0.589; P < .05). In children, a moderate correlation was found between the Friedman grading and the USG (r = 0.532; P < .05), and actual (r = 0.549; P < .05) tonsil volumes. In adults, a low correlation was found between the Friedman grading and the USG (r = 0.363; P < .05) and actual (r = 0.384; P < .05) tonsil volumes.
Ultrasonography is a useful, accessible, and noninvasive imaging method for objective measurement of tonsil volume in adults and children.
探讨超声（USG）在儿童和成人腭扁桃体体积的客观测量中的应用，并将结果与临床发现进行比较。
本研究纳入了 85 名因复发性扁桃体炎和阻塞性睡眠呼吸暂停综合征而计划行扁桃体切除术的患者。根据 Friedman 扁桃体分级记录患者的扁桃体等级。经颈超声测量扁桃体大小和体积。扁桃体切除术后，采用移位法计算扁桃体体积。评估所得数据之间的相关性。在所有分析中，P<0.05 被认为具有统计学意义。
本研究纳入了 50 名儿童和 35 名成人。在儿童中，100 个扁桃体的平均实际体积±标准差为 3.5±1.45mL，USG 体积为 3.67±1.59mL；两种方法之间存在高度相关性（r=0.842；P<0.05）。在成人中，70 个扁桃体的平均实际体积为 5.15±2.25mL，USG 体积为 5.71±2.98mL；两种方法之间存在中度相关性（r=0.589；P<0.05）。在儿童中，Friedman 分级与 USG（r=0.532；P<0.05）和实际扁桃体体积（r=0.549；P<0.05）之间存在中度相关性。在成人中，Friedman 分级与 USG（r=0.363；P<0.05）和实际扁桃体体积（r=0.384；P<0.05）之间存在低度相关性。
超声是一种有用、可及且非侵入性的成像方法，可用于测量儿童和成人的扁桃体体积的客观指标。
