Clinical Grading of Tonsillar Size and Tongue Position
Tonsillar Size Scoring System
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| Tonsillar hypertrophy grading scale / Image source: sleepmedicineboardreview |
Tonsils can be scored according to their size. Especially in patients with sleep apnea syndrome, disease severity increases as tonsil scores increase. The tonsil size scoring system, which is described in the photograph and defined at scores ranging from zero to four, is used in patients with sleep apnea and for pre-anesthetic evaluation. Tonsillectomy in patients with very big (hypertrophic) tonsils has important health benefits.
As the tonsil size increases, sleep apnea may become more severe!
As the size of the tonsils increases, the cross-sectional area of the upper airway decreases, so symptoms of sleep apnea may occur or the number of existing sleep apnea attacks may increase. Abnormal increase in sleep apnea symptoms may occur, especially in patients with airway obstruction at the tongue base area.The Friedman Tongue Position (FTP) Grading System
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| Friedman Tongue Position (FTP) Scoring System / Image source: Pocket Dentistry - Surgical treatment for sleep-related breathing disorders |
According to the Friedman Tongue Position (FTP) Scoring System, the patient opens their mouth without removing the tongue and evaluates the soft palate, uvula and tonsils with the tongue. Depending on the appearance of the soft palate, the patient is given a score of 1-4.
In the photographs, it is seen that the air vents are arranged from big to small. In other words, in patients with both tonsil and tongue position scores, the number of apneas may be high and the risk of sleep apnea may be higher in terms of health. The most objective diagnostic and assessment tool in sleep apnea is sleep test. There are also assessment tools such as "Epworth Sleepiness Scale (ESS)" and sleep endoscopy. It is difficult to describe such a detailed and complex disease in a few sentences and to define it with a few scoring systems.
Click here for more information and tonsillectomy videos >> Tonsillectomy in Istanbul
Source links >>
- Oropharyngeal Exam Predicts Severity of Sleep Apnea
- Mallampati score
- Clinical staging for sleep-disordered breathing
- Objective versus subjective measurements of palatine tonsil size in adult patients with obstructive sleep apnea/hypopnea syndrome
Source links >>
- Oropharyngeal Exam Predicts Severity of Sleep Apnea
- Mallampati score
- Clinical staging for sleep-disordered breathing
- Objective versus subjective measurements of palatine tonsil size in adult patients with obstructive sleep apnea/hypopnea syndrome
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
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Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
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Appointment Phone: +90 212 561 00 52
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