Tonsillar Hypertrophy

The enlargement of the tonsils, but without a history of inflammation.

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Prognosis:

Obstructive tonsillar hypertrophy is currently the most common reason for tonsillectomy.

Manifestations

  • varying degrees of disturbed sleep which may include:
  • loud snoring
  • irregular breathing
  • nocturnal choking and coughing
  • frequent awakenings
  • sleep apnea
  • dysphagia

daytime hypersomnolence.

Tonsillar Hypertrophy Grading Scale

  • Grading Scale
    1. Tonsil 0: Tonsils fit within tonsillar fossa
    2. Tonsil 1+: Tonsils <25% of space between pillars
    3. Tonsil 2+: Tonsils <50% of space between pillars
    4. Tonsil 3+: Tonsils <75% of space between pillars
    5. Tonsil 4+: Tonsils >75% of space between pillars
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