Lingual Tonsil Hypertrophy in OSA: The Role of Prior Tonsillectomy and Associated Clinical Risk Factors

A prior history of tonsillectomy is significantly associated with greater lingual tonsil hypertrophy in adult OSA patients, independent of obesity or craniofacial structure. These findings suggest a compensatory or immunological mechanism and support individualized evaluation in anatomically driven OSA phenotypes. LTH assessment should be considered in surgical and anesthetic planning, especially in non-obese patients with prior tonsillectomy or positional OSA.

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Journal
Annals of Otology Rhinology & Laryngology
Published
2025-09-25
DOI
https://doi.org/10.1177/00034894251375867
Primary Topic
Obstructive Sleep Apnea Research
Type
article
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article

Lingual Tonsil Hypertrophy in OSA: The Role of Prior Tonsillectomy and Associated Clinical Risk Factors

Araceli Abad Fernández, Eduardo Martín-Sanz, Carolina Sánchez‐Rodríguez, Cristina Vaduva et al.
Annals of Otology Rhinology & Laryngology
Obstructive Sleep Apnea Research
article

Lingual Tonsil Hypertrophy in OSA: The Role of Prior Tonsillectomy and Associated Clinical Risk Factors

Araceli Abad Fernández, Eduardo Martín-Sanz, Carolina Sánchez‐Rodríguez, Cristina Vaduva, Juan Riestra‐Ayora, María Isabel Conejo Garrote, Carlos Fernández-Navarro, Cristina López-Riolobos
article en

Abstract

A prior history of tonsillectomy is significantly associated with greater lingual tonsil hypertrophy in adult OSA patients, independent of obesity or craniofacial structure. These findings suggest a compensatory or immunological mechanism and support individualized evaluation in anatomically driven OSA phenotypes. LTH assessment should be considered in surgical and anesthetic planning, especially in non-obese patients with prior tonsillectomy or positional OSA.

Annals of Otology Rhinology & LaryngologyVol. 135(2)
Hospital Universitario de Getafe (ES), Universidad Europea de Madrid (ES)
Openalex Percentile: Top 67%
Obstructive Sleep Apnea Research
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Lingual Tonsil Hypertrophy in OSA: The Role of Prior Tonsillectomy and Associated Clinical Risk Factors — Araceli Abad Fernández, Eduardo Martín-Sanz, et al. · Annals of Otology Rhinology & Laryngology (2025) | TGRS Research Map | TGRS