MRI evaluation of distance between tonsillary fossa and internal carotid artery in children

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dc.contributor.authorSahan, Mehmet Hamdi
dc.contributor.authorMuluk, Nuray Bayar
dc.date.accessioned2021-01-14T18:10:23Z
dc.date.available2021-01-14T18:10:23Z
dc.date.issued2020
dc.departmentKKÜ
dc.descriptionSahan, Mehmet Hamdi/0000-0001-8976-6157
dc.description.abstractObjectives: The presence of the internal carotid artery (ICA) near tonsils can also cause severe bleeding during a tonsillectomy. We investigated the relationship between tonsil width and volume; and superior, middle and inferior tonsil-ICA distances in 5-9 and 10-15 years of age children. Methods: Cranial MRI images of 200 children between 5 and 15 years of age were evaluated retrospectively. There were 100 children in group 1 (5-9 years of age) and 100 children in group 2 (10-15 years of age). Palatine tonsil width and volume; and superior, middle and inferior tonsil-internal carotid artery (ICA) measurements were performed bilaterally. Results: Our results showed that bilateral tonsil width and volume; and left superior, middle and inferior tonsilICA distance of 5-9 years of age group were lower than those of the 10-15 year-of age group (p < 0.05). The nearest distance between ICA and palatine tonsil is at the inferior tonsil-ICA distance side in both age groups. Especially mean inferior and middle tonsil-ICA distances were lower than 8 mm in 5-9 years of age group and lower than 9 mm in 10-15 years of age group. Minimum middle tonsil-ICA distances were 2.0-2.50 mm in smaller children and 2.0-3.50 mm in older children. Similarly, the minimum inferior tonsil-ICA distances were 2.00 mm in smaller children and 2.20-3.00 mm in older children. There were positive correlations between tonsil width, volume, and superior tonsil-ICA distance; and middle and inferior tonsil-ICA distances (p < 0.05). Conclusion: In younger children, lower tonsil width; and in all children, lower tonsil volume can be a warning sign in terms of lower tonsil superior-ICA distance. During tonsillectomies, working at the middle and inferior tonsillary fossa, maximum attention must be performed for the possibility of the ICA being very closer to the tonsil to avoid unwanted bleedings.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1016/j.ijporl.2020.110209
dc.identifier.issn0165-5876
dc.identifier.issn1872-8464
dc.identifier.pmid32896339
dc.identifier.scopus2-s2.0-85087892656
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1016/j.ijporl.2020.110209
dc.identifier.urihttps://hdl.handle.net/20.500.12587/12561
dc.identifier.volume137en_US
dc.identifier.wosWOS:000571195500018
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherELSEVIER IRELAND LTDen_US
dc.relation.ispartofINTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTonsillectomyen_US
dc.subjectBleedingen_US
dc.subjectInternal carotid arteryen_US
dc.titleMRI evaluation of distance between tonsillary fossa and internal carotid artery in childrenen_US
dc.typeArticle

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