title: A Pediatric Grading Scale for Lingual Tonsil Hypertrophy.
abstract: Lingual tonsil hypertrophy (LTH) is a common finding for children with residual obstructive sleep apnea (OSA) following an adenotonsillectomy. Secondary to the significant morbidity associated with OSA, identification and treatment of residual OSA are paramount. A dedicated LTH grading scale for children does not exist. The current adult LTH scale is impractical for children. Imaging is not routine for children, since it frequently requires sedation. We present a pediatric LTH grading scale with substantial interrater reliability to facilitate standardization of endoscopy findings and promote outcomes-based research for OSA surgery in children.
authors: Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colorado, USA Division of Pediatric Otolaryngology, Children's Hospital Colorado, Aurora, Colorado, USA Norman.Friedman@childrenscolorado.org.
authors: Norman R
authors: NR
authors: Friedman
authors: Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colorado, USA Division of Pediatric Otolaryngology, Children's Hospital Colorado, Aurora, Colorado, USA.
authors: Jeremy D
authors: JD
authors: Prager
authors: Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colorado, USA Division of Pediatric Otolaryngology, Children's Hospital Colorado, Aurora, Colorado, USA.
authors: Amanda G
authors: AG
authors: Ruiz
authors: Department of Otolaryngology Head and Neck Surgery, Keck School of Medicine of USC, Los Angeles, California, USA.
authors: Eric J
authors: EJ
authors: Kezirian
mesh_terms: D002648:Child; D006801:Humans; D006984:Hypertrophy / Q000473:pathology; D014066:Palatine Tonsil / Q000473:pathology*; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000209:etiology; D014059:Tongue
keywords: children; lingual tonsil hypertrophy; obstructive sleep apnea; outcomes research; pediatric; severity or grading