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Factors associated with lingual tonsil hypertrophy in Canadian adults

Overview of attention for article published in Journal of Otolaryngology -- Head & Neck Surgery, April 2017
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Title
Factors associated with lingual tonsil hypertrophy in Canadian adults
Published in
Journal of Otolaryngology -- Head & Neck Surgery, April 2017
DOI 10.1186/s40463-017-0209-z
Pubmed ID
Authors

Matthew S. Harris, Brian W. Rotenberg, Kathryn Roth, Leigh J. Sowerby

Abstract

Hypertrophy of the lingual tonsil tissue in the adult patient is thought to contribute to the pathophysiology of obstructive sleep apnea. The underlying etiology of lingual tonsil hypertrophy (LTH) in the adult patient is unclear and likely multifactorial. Previous studies have suggested that the lingual tonsils may undergo compensatory hyperplasia post-tonsillectomy in children, although it is unknown if this occurs or persists into adulthood. The purpose of this study was to determine what factors are associated with LTH in a population of Canadian adults. Adult patients presenting for consultation to an academic Rhinology/General Otolaryngology practice were eligible for enrollment. Demographic data including age, body mass index (BMI), Reflux Symptom Index (RSI), history of allergy, and history of tonsillectomy was collected via questionnaire. Endoscopic photographs of the base of tongue and larynx were captured. These were graded for LTH and Reflux Finding Scale (RFS) by blinded examiners. Statistical analysis was performed by comparing the mean LTH value to the variables of interest using two-tailed T-test. P < .05 was considered significant. One hundred two subjects were enrolled. Age ranged from 18 to 78. 28 patients had previous tonsillectomy. This was not associated with a significant increase in lingual tonsil tissue (r = -0.05, p = 0.61). RFS >7 or RSI >13 was considered positive for laryngopharyngeal reflux. There was no difference in LTH based on RSI positivity (p = 0.44). RFS positivity correlated with increased lingual tonsil tissue (p < 0.05). BMI >30 was associated with increased lingual tonsil hypertrophy (p < 0.05). An elevated body mass index and positive Reflux Finding Score are associated with lingual tonsil hypertrophy in adults. Reflux symptom index, history of allergy and history of childhood tonsillectomy are not associated with LTH.

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Mendeley readers

The data shown below were compiled from readership statistics for 35 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 35 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 14%
Student > Postgraduate 5 14%
Student > Bachelor 5 14%
Student > Master 4 11%
Professor > Associate Professor 2 6%
Other 6 17%
Unknown 8 23%
Readers by discipline Count As %
Medicine and Dentistry 20 57%
Biochemistry, Genetics and Molecular Biology 2 6%
Nursing and Health Professions 1 3%
Unspecified 1 3%
Agricultural and Biological Sciences 1 3%
Other 1 3%
Unknown 9 26%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 April 2017.
All research outputs
#8,467,112
of 9,705,997 outputs
Outputs from Journal of Otolaryngology -- Head & Neck Surgery
#187
of 231 outputs
Outputs of similar age
#219,290
of 261,966 outputs
Outputs of similar age from Journal of Otolaryngology -- Head & Neck Surgery
#4
of 4 outputs
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So far Altmetric has tracked 231 research outputs from this source. They receive a mean Attention Score of 2.6. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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