Factors Associated with Hypertrophy of the Lingual Tonsils

Objective To identify factors that may be associated with lingual tonsil hypertrophy (LTH). Study Design Case series with chart review. Setting Tertiary academic center. Subjects and Methods Retrospective chart review identified 380 patients from August 2013 to April 2014 with graded lingual tonsils...

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Bibliographic Details
Published in:Otolaryngology-head and neck surgery 2015-05, Vol.152 (5), p.851-855
Main Authors: Hwang, Michelle S., Salapatas, Anna M., Yalamanchali, Sreeya, Joseph, Ninos J., Friedman, Michael
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Chi-Square Distribution
Female
Humans
Hypertrophy
lingual tonsil hypertrophy
Male
Middle Aged
Palatine Tonsil - pathology
reflux
Retrospective Studies
sleep apnea
Young Adult
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Summary:Objective To identify factors that may be associated with lingual tonsil hypertrophy (LTH). Study Design Case series with chart review. Setting Tertiary academic center. Subjects and Methods Retrospective chart review identified 380 patients from August 2013 to April 2014 with graded lingual tonsils, documented during routine flexible laryngoscopy. Lingual tonsils were graded using a 0 to 4 scale: 0 = complete absence of lymphoid tissue, 1 = lymphoid tissue scattered over tongue base, 2 = lymphoid tissue covers entirety of tongue base with limited thickness, 3 = lymphoid tissue 5 to 10 mm in thickness, 4 = lymphoid tissue >1 cm in thickness (rising above the tip of epiglottis). Reflux symptom index (RSI collected during patient intake), presence of obstructive sleep apnea hypopnea syndrome (OSAHS; confirmed by polysomnogram), smoking habits, and basic demographics were gathered. Chi-square and linear multivariate regression analyses were used to identify significant relationships with LTH levels. Results Overall, 59.8% were male with a mean age of 50.2 ± 16.5 years and BMI of 30.1 ± 18.0. Chi-square analysis revealed no significant relationship between OSAHS and LTH (P = .059). When RSI was stratified to ≥10 or
ISSN:0194-5998
1097-6817
DOI:10.1177/0194599815573224