Choroidal thickness evaluation in paediatric patients with adenotonsillar hypertrophy

J Laryngol Otol. 2017 Sep;131(9):768-772. doi: 10.1017/S0022215117001128. Epub 2017 May 24.

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.

Keywords: Adenoids; Children; Choroid; Optical Coherence Tomography; Palatine Tonsil; Tonsillectomy.

MeSH terms

  • Adenoids / pathology
  • Adenoids / surgery*
  • Adolescent
  • Child
  • Child, Preschool
  • Choroid / diagnostic imaging*
  • Female
  • Humans
  • Hypertrophy / surgery
  • Male
  • Palatine Tonsil / pathology
  • Palatine Tonsil / surgery*
  • Prospective Studies
  • Tomography, Optical Coherence / methods*