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A TISSUE IGNORED IN CERVICAL ULTRASOUND: RELATIONSHIP OF PALATINE TONSIL SIZE WITH AGE, SEX, BODY MASS INDEX, AND BODY SURFACE AREA IN THE PEDIATRIC POPULATION

SABRİYE GÜLÇİN BOZBEYOĞLU, MAHMUT BİLAL DOĞAN

Cerrahpaşa Medical Journal - 2023;47(3):302-305

Department of Radiology, Istanbul Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Istanbul, Turkey

 

Objective: Evaluation of the palatine tonsils is an important issue both in cases of acute infection and in diseases such as obstructive sleep apnea. This study aimed to determine whether there is a relationship between the palatine tonsil volume and gender, age, body mass index, and body surface area in children by ultrasonography. METHODS: Two hundred patients aged 3-15 years were included. The study population was divided into 4 groups, three years apart. Tonsil volume was calculated in mm using the formula “0.52 × length × width × height”. Pearson and Spearman rho tests were used for correlation. Results: Of the study group, 99 (49.5%) were girls. The mean age of the cases was 8.5 ± 3.4. When the patients’ ages and right and left palatine volumes were evaluated, a significant but very weak correlation was observed (r = 0.167, P = .018; r = 0.161, P = .023, right and left, respectively). When the palatine volumes of the patients were evaluated according to their body mass index (BMI) and body surface area (BSA), the results were similar (BMI: r = 0.253, P < .01; r = 0.282, P < .01; BSA: r = 0.207, P = .003; r = 0.242, P = .001). In the post hoc evaluation, statistical significance was observed in the 3-6 age group and the 9-12 age group (P = .028). Conclusion: In this study, it has been observed that tonsil size increases with variables such as age, BMI, and BSA. Determining the normal value of tonsil volume in healthy children will be useful in the diagnosis of diseases with tonsil enlargement.