Section: 
Science articles
Science articlesDiagnosis of tonsil hypertrophy
N. A. Daikhes (1), (3), A. I. Kryukov (2), I. A. Kim (1), (3), D. V. Trukhin (1), (3), E. V. Nosulya (2), N. L. Kunel’skaya (2), (3), O. V. Karneeva (1), (3), I. V. Rychkova (3), A. M. Orekhova (3)
(1) National Medical Research Center for Otorhinolaryngology of the Federal Medico-Biological Agency of Russia, Moscow, 123182, Russia
(2) Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, 117152, Russia
(3) Pirogov Russian National Research Medical University, Moscow, 117997, Russia
UDK: 616.322-007.61-073.4-8:616.322-002.2
DOI: https://doi.org/10.18692/1810-4800-2020-2-14-20
ABSTRACT
Diagnosis of hypertrophy of the tonsils is traditionally based on data from mesopharyngoscopy. However, there are conflicting views on the possibility of determining the degree of hypertrophy of the tonsils during a routine examination of the pharynx. To date, several methods have been proposed for the diagnosis of tonsil hypertrophy, which have several disadvantages: the complexity of the studies, poor reproducibility in clinical practice, the need to have non-serial equipment, the effect on the testing results of other pathological conditions (laryngopharyngeal reflux, post-nasal drip syndrome, etc.) and anatomical features of the oropharynx. The purpose of the study is to develop an effective method for the diagnosis of tonsil hypertrophy based on the results of transcervical ultrasound examination of the tonsils. Patients and methods. 132 patients with chronic tonsillitis were examined. To diagnose hypertrophy of the tonsils, ultrasound imaging of the tonsils was used, determining the transverse size of the tonsils and the degree of its vascularization. Results. In tonsils with a transverse diameter of 16–20 and 21–30 mm or more, an increase in blood flow is observed, in contrast to tonsils with a transverse smaller, up to 15 mm, diameter. At the same time, the threshold value of hypertrophy of the tonsils is increased vascularization (peri-, intratonsillar and mixed type) of tonsils with a transverse diameter of 21 mm or more.
Publication date:
13.04.2020
Keywords:
tonsillar hypertrophy, diagnosis, ultrasound, chronic tonsillitis
For citation:
Daikhes N. A., Kryukov A. I., Kim I. A., Trukhin D. V., Nosulya E. V., Kunel’skaya N. L., Karneeva O. V., Rychkova I. V., Orekhova A. M. Diagnosis of tonsil hypertrophy. Rossiiskaya otorinolaringologiya. 2020;19(2):14–20. https://doi.org/10.18692/1810-4800-2020-2-14-20