Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/4533
Title: Variation in tonsil size in 4- to 17-year-old schoolchildren
Authors: Akçay, Ahmet
Kara, Cüneyt.Orhan.
Dagdeviren, Erol.
Zencir, Mehmet.
Keywords: Apnea
Asymmetric tonsil
Snoring
Tonsil size
Tonsillar hypertrophy
adolescent
apnea
article
controlled study
female
fever
human
hypertrophy
major clinical study
male
preschool child
prevalence
priority journal
questionnaire
school child
snoring
tonsil
tonsil disease
tonsillitis
Adolescent
Child
Child, Preschool
Cross-Sectional Studies
Female
Humans
Hypertrophy
Male
Palatine Tonsil
Prevalence
Questionnaires
Sleep Apnea Syndromes
Tonsil
Tonsillitis
Turkey
Abstract: Objective: The purpose of this study was to evaluate the variation in tonsil size and prevalence of asymmetric tonsils in 4- to 17-year-old schoolchildren and the relationships between tonsillar hypertrophy and frequent tonsillitis, frequent fever, and sleep-related symptoms observed by parents. Design: Cross-sectional study. Setting: Six daycare centres, four primary schools, and four high schools. Methods: Questionnaire and physical examination. Main Outcome Measures: The size of the tonsils was evaluated and scored on a 4-point scale. The interrelationships between tonsillar hypertrophy and other studied symptoms were examined. Results: In the study, the parents of 1784 children, consisting of 803 (45%) boys and 981 (55%) girls, completed the questionnaires. The prevalence rates of snoring, habitual snoring, observed apnea, and habitual observed apnea were 24.6%, 4.1%, 3.8%, and 0.9%, respectively. The results of tonsil scoring were grade 1, 62.7%; grade 2, 28.4%; grade 3, 3.3%; and grade 4, 0.1%. The prevalence rate of grade 1 tonsils was increasing, whereas the prevalence rates of grade 2 and 3 tonsils were decreasing with increasing age. Tonsil size peaked in 4- to 8-year-old children. The prevalence rates of tonsillar hypertrophy and asymmetric tonsils were 3.4% and 1.7%, respectively. Tonsillar hypertrophy was found to be significantly associated with male gender, a history of frequent tonsillitis, a history of frequent fever, often or always snoring, and often or always observed apnea. Conclusions: A tonsil size curve was developed in 4- to 17-year-old schoolchildren. Children aged 4- to 8 years with oropharyngeal symptoms and particularly male gender should undergo consultation with otorhinolaryngology and pediatric pulmonology physicians for the evalution of adenotonsillar tissue.
URI: https://hdl.handle.net/11499/4533
https://doi.org/10.2310/7070.2005.0118
ISSN: 0381-6605
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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