Comparison of reliability of 5 evaluation methods for intraoral tonsil hypertrophy in awake and anesthetized individuals

doi:10.19438/j.cjoms.2022.05.008

China Journal of Oral and Maxillofacial Surgery ›› 2022, Vol. 20 ›› Issue (5): 461-465.doi: 10.19438/j.cjoms.2022.05.008

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Comparison of reliability of 5 evaluation methods for intraoral tonsil hypertrophy in awake and anesthetized individuals

YAO Kan¹, XIE Yi-lun², YU Wen-wen¹, WEI Si-long¹, XIA Liang¹, ZHENG Tong¹, LU Xiao-feng¹

1. Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology. Shanghai 200011;
2. Department of Stomatology, Renji Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200127, China

Received:2022-03-02 Revised:2022-05-25 Online:2022-09-20 Published:2022-09-20

Abstract

Abstract: PURPOSE: To determine the reliability of the 5 clinical grading scales of tonsillar size in reporting the size of tonsils in awake and anesthetized individuals. METHODS: Awake and anesthetized tonsillar images of 218 patients aged 3 to 14 years with no severe craniofacial abnormalities were retrospectively collected. For each patient, five separate tonsil assessments were conducted by 3 experienced experts. Intraclass correlation coefficients(ICC) and Cronbach's α were used to determine the reliability of tonsil size in awake and anesthetized state. Statistical analysis was performed with R language (version 3.6.3). RESULTS: The reliability was highest for traditional 3-grade scale (ICC, 0.58; Cronbach's α, 0.74), followed by Friedman grading scale (ICC, 0.57; Cronbach's α, 0.73), modified 3-grade scale (ICC, 0.57; Cronbach's α, 0.72), modified 5-grade scale(ICC, 0.42; Cronbach's α, 0.59) and Brodsky grading scale(ICC, 0.30; Cronbach's α, 0.46). CONCLUSIONS: The tonsils tended to be underestimated when the individuals were awake, while the 5 tonsil assessments were able to figure out the real volume of tonsils respectively.

Key words: Obstructive sleep-disordered breathing, Pediatric, Tonsillar hypertrophy, Tonsillar size grading scale

CLC Number:

YAO Kan, XIE Yi-lun, YU Wen-wen, WEI Si-long, XIA Liang, ZHENG Tong, LU Xiao-feng. Comparison of reliability of 5 evaluation methods for intraoral tonsil hypertrophy in awake and anesthetized individuals[J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(5): 461-465.

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Comparison of reliability of 5 evaluation methods for intraoral tonsil hypertrophy in awake and anesthetized individuals

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