E-ISSN 2146-8133
 

Original Research (Original Article) 


Central corneal thickness in children with adenotonsillary hypertrophy

Emine Cinici.

Abstract
Aim: We aimed to detect whether the central corneal thickness value in children with advanced phase ATH (it is indicated with OSAS at large extent ) becomes different from that of children of the same age.
Materials and Method: Prepubertal, nonobese, 6-12 years of age children were included in the study. The first group con- sisted of 15 patients (mean age, 8.13 1.6 years; body index, 19.43 2.11), and the second group consisted of 42 patients (mean age, 8.65 2.7 years; body mass index 20.93 5.71). The control group consisted of 31 subjects. Comprehensive otolaryngologic examinations of all children were done by an otolaryngologist. Following tonasal endoscopy, the levels of adenoid hypertrophy were graded from 1 towards 4 according to the criteria of Cassano et al., i.e., grade 1 as 25%, grade 2 as 25-50 %, grade 3 50-75%, and grade 4 over 75% were evaluated as adenoid hypertrophy making airway ob- struction. Tonsillary hypertrophy was graded using the Brodsky scale. Tonsillar size was graded as follows: grade 1, small tonsils confined to the tonsillar pillors; grade 2, tonsils extended just outside the pillors; grade 3, tonsils extended outside the pillors but did not meet at the midline; grade 4, large tonsils met at the midline. The patients whose adenoid and tonsil hypertrophies became grade 3 and 4 were evaluated as advanced level ATH, and they were included in the study. After the complications of all the patients were evaluated, visual acuity, measurement of intra eye-pressure and biomicroscopyand fundus treatment were performed. Central corneal thickness (CCT) of the patients was measured under topical anesthesia using an ultrasonic packmetry device.
Results: There was no statistically significant distinction among all groups according to the results obtained by Duncans multiple comparison procedure ( p>0.01 ).
Conclusions: We could not find a statistically significant distinction between the corneal thickness and ATH. Further stud- ies in more advanced age groups or using a wider range of patients series will test whether this result is also observed in the children who have been exposed to the disease for longer periods of time.

Key words: Adenoid hypertrophy, cornea, children, packmetry


 
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How to Cite this Article
Pubmed Style

Emine Cinici. Central corneal thickness in children with adenotonsillary hypertrophy. Arch Clin Exp Surg. 2015; 4(4): 208-214. doi:10.5455/aces.20141127032323


Web Style

Emine Cinici. Central corneal thickness in children with adenotonsillary hypertrophy. http://www.ejmaces.com/?mno=173118 [Access: May 27, 2018]. doi:10.5455/aces.20141127032323


AMA (American Medical Association) Style

Emine Cinici. Central corneal thickness in children with adenotonsillary hypertrophy. Arch Clin Exp Surg. 2015; 4(4): 208-214. doi:10.5455/aces.20141127032323



Vancouver/ICMJE Style

Emine Cinici. Central corneal thickness in children with adenotonsillary hypertrophy. Arch Clin Exp Surg. (2015), [cited May 27, 2018]; 4(4): 208-214. doi:10.5455/aces.20141127032323



Harvard Style

Emine Cinici (2015) Central corneal thickness in children with adenotonsillary hypertrophy. Arch Clin Exp Surg, 4 (4), 208-214. doi:10.5455/aces.20141127032323



Turabian Style

Emine Cinici. 2015. Central corneal thickness in children with adenotonsillary hypertrophy. Archives of Clinical and Experimental Surgery (ACES), 4 (4), 208-214. doi:10.5455/aces.20141127032323



Chicago Style

Emine Cinici. "Central corneal thickness in children with adenotonsillary hypertrophy." Archives of Clinical and Experimental Surgery (ACES) 4 (2015), 208-214. doi:10.5455/aces.20141127032323



MLA (The Modern Language Association) Style

Emine Cinici. "Central corneal thickness in children with adenotonsillary hypertrophy." Archives of Clinical and Experimental Surgery (ACES) 4.4 (2015), 208-214. Print. doi:10.5455/aces.20141127032323



APA (American Psychological Association) Style

Emine Cinici (2015) Central corneal thickness in children with adenotonsillary hypertrophy. Archives of Clinical and Experimental Surgery (ACES), 4 (4), 208-214. doi:10.5455/aces.20141127032323





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