{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T09:06:08Z","timestamp":1771232768322,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T00:00:00Z","timestamp":1654560000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To develop a novel ultrasound (US) plane to diagnose palatine tonsillar hypertrophy objectively in children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Tonsillar ultrasonography of children (age 2\u201314\u2009years) who had a clinical diagnosis of tonsillar hypertrophy or not were analyzed retrospectively. Clinical data (including gender, age, body mass index (BMI)), and volume (<jats:italic>V<\/jats:italic>) of tonsils measured by the US, were recorded. Furthermore, we found a new US plane to diagnose tonsillar hypertrophy and named it the submental oblique cross\u2010section. In this plane, diameters of the left tonsil, right tonsil, and central oropharynx were designated as <jats:italic>T<\/jats:italic>1, <jats:italic>T<\/jats:italic>2, and <jats:italic>O<\/jats:italic>. Then, we calculated the ratio by the formula (<jats:italic>T<\/jats:italic>1\u2009+\u2009<jats:italic>T<\/jats:italic>2)\/<jats:italic>O<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 172 cases (85 hypertrophy and 87 non\u2010hypertrophy) were included in this study. There were no significant differences in gender (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.844), age (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.666), and BMI (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.089) between the groups. In the non\u2010hypertrophy group, the <jats:italic>V<\/jats:italic> of both sides had a positive linear correlation with age or BMI. In contrast, there was no linear correlation between ratio and age or BMI. The area under the curve (AUC) of ratio and <jats:italic>V<\/jats:italic> was 0.970 (95%CI: 0.947\u20130.993) and 0.835 (95%CI: 0.778\u20130.893) by receiver operating characteristic (ROC) analysis, respectively. The optimal cutoff value of ratio for diagnosis of tonsillar hypertrophy was 2.293 (sensitivity\u00a0=\u00a088.2%, specificity\u00a0=\u00a095.4%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We established a new US section to evaluate tonsillar hypertrophy. This approach could be easily acquired and provide a reference value to guide clinical practice.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.16030","type":"journal-article","created":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T08:25:44Z","timestamp":1654590344000},"page":"3023-3029","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A New Approach for Evaluating Palatine Tonsillar Hypertrophy in Children Based on Ultrasound: A Pilot Study"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7495-9068","authenticated-orcid":false,"given":"Chenchen","family":"Geng","sequence":"first","affiliation":[{"name":"Department of Ultrasound, Qilu Hospital (Qingdao), Cheeloo College of Medicine Shandong University  Qingdao China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuxu","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Qingdao Women and Children's Hospital Qingdao University  Qingdao China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qian","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Ultrasound, Qilu Hospital (Qingdao), Cheeloo College of Medicine Shandong University  Qingdao China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liu","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Ultrasound, Qilu Hospital (Qingdao), Cheeloo College of Medicine Shandong University  Qingdao China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ye","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Radiology, Qilu Hospital (Qingdao), Cheeloo College of Medicine Shandong University  Qingdao China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huihui","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Ultrasound, Qilu Hospital (Qingdao), Cheeloo College of Medicine Shandong University  Qingdao China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xueping","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Qilu Hospital (Qingdao), Cheeloo College of Medicine Shandong University  Qingdao China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ling","family":"Ge","sequence":"additional","affiliation":[{"name":"Department of Ultrasound, Qilu Hospital (Qingdao), Cheeloo College of Medicine Shandong University  Qingdao 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