Skip to main content
×
×
Home

Choroidal thickness evaluation in paediatric patients with adenotonsillar hypertrophy

  • A Yenigun (a1), A Elbay (a2), A M Hafiz (a1) and O Ozturan (a1)
Abstract
Objective:

To investigate choroidal thickness using enhanced-depth imaging optical coherence tomography in paediatric patients with adenotonsillar hypertrophy, with comparison to healthy children, three months after adenotonsillectomy.

Methods:

The patients were assigned to three groups: an adenotonsillar hypertrophy group, an adenotonsillectomy group and a healthy control group. In all groups, subfoveal, temporal and nasal choroidal thickness measurements were taken.

Results:

In the subfoveal, temporal and nasal regions, choroidal tissue was found to be significantly thinner in adenotonsillar hypertrophy children than healthy children (p = 0.012, p = 0.027 and p = 0.020). The subfoveal and temporal choroidal thickness measurements of adenotonsillar hypertrophy group cases were significantly decreased compared to those in the adenotonsillectomy group (p = 0.038 and p = 0.048).

Conclusion:

There was a significant association between decreased choroidal thickness and adenotonsillar hypertrophy. Adenotonsillar hypertrophy may play an important role in decreased choroidal thickness.

Copyright
Corresponding author
Address for correspondence: Dr Alper Yenigun, Department of Otorhinolaryngology, Faculty of Medicine, Bezmialem Vakif University, Adnan Menderes Bulvarı, Vatan Caddesi, 34093 Fatih, İstanbul Fax: +90 (212) 453 18 70 E-mail: alperyenigun@gmail.com
References
Hide All
1 Redline, S, Tishler, PV, Schluchter, M, Aylor, J, Clark, K, Graham, G. Risk factors for sleep-disordered breathing in children. Associations with obesity, race, and respiratory problems. Am J Respir Crit Care Med 1999;159:1527–32
2 Bower, CM, Gungor, A. Pediatric obstructive sleep apnea syndrome. Otolaryngol Clin North Am 2000;33:4975
3 Alexiou, VG, Salazar-Salvia, MS, Jervis, PN, Falagas, ME. Modern technology-assisted vs conventional tonsillectomy: a meta-analysis of randomized controlled trials. Arch Otolaryngol Head Neck Surg 2011;137:558–70
4 Zengin, MO, Oz, T, Baysak, A, Cinar, E, Kucukerdonmez, C. Changes in choroidal thickness in patients with obstructive sleep apnea syndrome. Ophthalmic Surg Lasers Imaging Retina 2014;45:298304
5 Nickla, DL, Wallman, J. The multifunctional choroid. Prog Retin Eye Res 2010;29:144–68
6 Wong, IY, Koizumi, H, Lai, WW. Enhanced depth imaging optical coherence tomography. Ophthalmic Surg Lasers Imaging 2011;42:7584
7 Spaide, RF, Koizumi, H, Pozzoni, MC. Enhanced depth imaging spectral-domain optical coherence tomography. Am J Ophthalmol 2008;146:496500
8 Fujiwara, T, Imamura, Y, Margolis, R, Slakter, JS, Spaide, RF. Enhanced depth imaging optical coherence tomography of the choroid in highly myopic eyes. Am J Ophthalmol 2009;148:445–50
9 Ikuno, Y, Tano, Y. Retinal and choroidal biometry in highly myopic eyes with spectral-domain optical coherence tomography. Invest Ophthalmol Vis Sci 2009;50:3876–80
10 Yeoh, J, Rahman, W, Chen, F, Hooper, C, Patel, P, Tufail, A et al. Choroidal imaging in inherited retinal disease using the technique of enhanced depth imaging optical coherence tomography. Graefes Arch Clin Exp Ophthalmol 2010;248:1719–28
11 Spaide, RF. Age-related choroidal atrophy. Am J Ophthalmol 2009;147:801–10
12 Xin, C, Wang, J, Zhang, W, Wang, L, Peng, X. Retinal and choroidal thickness evaluation by SD-OCT in adults with obstructive sleep apnea-hypopnea syndrome (OSAS). Eye 2014;28:415–21
13 Kara, S, Ozcimen, M, Bekci, TT, Sakarya, Y, Gencer, B, Tufan, HA et al. Evaluation of choroidal thickness in patients with obstructive sleep apnea/hypopnea syndrome. Arq Bras Oftalmol 2014;77:280–4
14 Karalezli, A, Eroglu, FC, Kivanc, T, Dogan, R. Evaluation of choroidal thickness using spectral-domain optical coherence tomography in patients with severe obstructive sleep apnea syndrome: a comparative study. Int J Ophthalmol 2014;7:1030–4
15 Brodsky, L, Moore, L, Stanievich, J. The role of Haemophilus influenzae in the pathogenesis of tonsillar hypertrophy in children. Laryngoscope 1988;98:1055–60
16 Richardson, MA. Sore throat, tonsillitis, and adenoiditis. Med Clin North Am 1999;83:7583
17 Yenigun, A. The efficacy of tonsillectomy in chronic tonsillitis patients as demonstrated by the neutrophil-to-lymphocyte ratio. J Laryngol Otol 2015;129:386–91
18 Parker, NP, Walner, DL. Trends in the indications for pediatric tonsillectomy or adenotonsillectomy. Int J Pediatr Otorhinolaryngol 2011;75:282–5
19 Jelic, S, Padeletti, M, Kawut, SM, Higgins, C, Canfield, SM, Onat, D et al. Inflammation, oxidative stress, and repair capacity of the vascular endothelium in obstructive sleep apnea. Circulation 2008;117:2270–8
20 Maruko, I, Iida, T, Sugano, Y, Ojima, A, Sekiryu, T. Subfoveal choroidal thickness in fellow eyes of patients with central serous chorioretinopathy. Retina 2011;31:1603–8
21 Nakayama, M, Keino, H, Okada, AA, Watanabe, T, Taki, W, Inoue, M et al. Enhanced depth imaging optical coherence tomography of the choroid in Vogt-Koyanagi-Harada disease. Retina 2012;32:2061–9
22 Delaey, C, Van De Voorde, J. Regulatory mechanisms in the retinal and choroidal circulation. Ophthalmic Res 2000;32:249–56
23 He, M, Han, X, Wu, H, Huang, W. Choroidal thickness changes in obstructive sleep apnea syndrome: a systematic review and meta-analysis. Sleep Breath 2016;20:369–78
24 Chung, SE, Kang, SW, Lee, JH, Kim, YT. Choroidal thickness in polypoidal choroidal vasculopathy and exudative age-related macular degeneration. Ophthalmology 2011;118:840–5
25 Kubota, T, Jonas, JB, Naumann, GO. Decreased choroidal thickness in eyes with secondary angle closure glaucoma. An aetiological factor for deep retinal changes in glaucoma? Br J Ophthalmol 1993;77:430–2
26 Esmaeelpour, M, Považay, B, Hermann, B, Hofer, B, Kajic, V, Hale, SL et al. Mapping choroidal and retinal thickness variation in type 2 diabetes using three-dimensional 1060-nm optical coherence tomography. Invest Ophthalmol Vis Sci 2011;52:5311–16
27 He, M, Huang, W. The role of choroidal thickness in diabetic retinopathy and obstructive sleep apnea syndrome. Sleep Breath 2016;20:1009–10
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Metrics

Altmetric attention score