Evidence map›Paper›PMID 27729119›Full record

ArticleInternational journal of pediatric otorhinolaryngology2016

The ubiquity of asymptomatic respiratory viral infections in the tonsils and adenoids of children and their impact on airway obstruction.

Howard Faden, Vincent Callanan, Michael Pizzuto, Mark Nagy, Mark Wilby, Daryl Lamson, Brian Wrotniak, Stefan Juretschko, Kirsten St George

Open access · greenAbstract read
In one paragraph

Article in International journal of pediatric otorhinolaryngology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Assessment of the quality and reliability of youtube videos on adenoid hypertrophy.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Genes · 2024
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. [Research status of Epstein Barr virus in children with adenotonsillar hypertrophy].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2021
    Review
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Howard FadenState University of New York, School of Medicine, Buffalo, NY, USA; Women & Children's Hospital of Buffalo/Kaleida Health, 219 Bryant St., Buffalo, NY 14222, USA. Electronic address: hfaden@upa.chob.edu.
Vincent CallananWomen & Children's Hospital of Buffalo/Kaleida Health, 219 Bryant St., Buffalo, NY 14222, USA. Electronic address: vcallanan@kaleidahealth.org.
Michael PizzutoWomen & Children's Hospital of Buffalo/Kaleida Health, 219 Bryant St., Buffalo, NY 14222, USA. Electronic address: mikepizzuto@roadrunner.com.
Mark NagyWomen & Children's Hospital of Buffalo/Kaleida Health, 219 Bryant St., Buffalo, NY 14222, USA. Electronic address: nagys6@verizon.net.
Mark WilbyWomen & Children's Hospital of Buffalo/Kaleida Health, 219 Bryant St., Buffalo, NY 14222, USA. Electronic address: mwilby@kaleidahealth.org.
Daryl LamsonLaboratory of Viral Diseases, Wadsworth Center, New York State Department of Health, 120 New Scotland Avenue, Albany, NY 12208, USA. Electronic address: daryl.lamson@health.ny.gov.
Brian WrotniakWomen & Children's Hospital of Buffalo/Kaleida Health, 219 Bryant St., Buffalo, NY 14222, USA; D'Youville College, 320 Porter Ave., Buffalo, NY 14201, USA. Electronic address: wrotniak@dyc.edu.
Stefan JuretschkoNorth Shore-LIJ Health Systems and Hofstra University School of Medicine, 500 Hofstra University, Hempstead, NY 11549, USA. Electronic address: sjuretschko@nshs.edu.
Kirsten St GeorgeLaboratory of Viral Diseases, Wadsworth Center, New York State Department of Health, 120 New Scotland Avenue, Albany, NY 12208, USA. Electronic address: kirsten.st.george@health.ny.gov.
Women & Children's Hospital of Buffalo · USHofstra University · USKaleida Health · USNew York State Department of Health · USWadsworth Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAirway obstruction due to enlargement of tonsils and adenoids is a common pediatric problem resulting in sleep disordered breathing. The cause for the relatively abnormal growth of tonsils and adenoids is poorly understood.

methodsNon-acutely ill children undergoing tonsillectomy and adenoidectomy (T&A) for various reasons were enrolled prospectively in a study to determine the frequency of asymptomatic respiratory viral infections in each lymphoid tissue and to relate the number and types of virus to the degree of airway obstruction. Molecular techniques were used to detect 9 respiratory viruses while Brodsky scores and measurements of percentages airway obstruction were used to estimate the degree of airway compromise due to the tonsil and adenoid, respectively.

resultsViruses were detected in 70.9% of tonsils and 94.7% of adenoids, p < 0.001. Adenovirus was the most common virus detected at 71.1%. Adenoids had an average of 2.4 viruses compared to 0.92 for tonsils, p < 0.001. Higher Brodsky scores were only associated with EBV in tonsils, p = 0.03, while greater percentages of airway obstruction in the adenoids were associated with adenovirus, EBV, corona virus, parainfluenza virus and rhinovirus, p ≤ 0.005.

conclusionsAsymptomatic viral infections are common and directly related to the degree of airway obstruction significantly more often in adenoids than tonsils.

Indexed as

AdenoidectomyTonsillectomyAdenoidsAdenovirus Infections, HumanAdolescentAirway ObstructionAsymptomatic InfectionsChildChild, PreschoolCoronavirus InfectionsEnterovirus InfectionsEpstein-Barr Virus InfectionsFemaleHumansHypertrophyInfantAdenoidAirway obstructionObstructive sleep apneaRecombinant adenovirusRespiratory virusSleep-disordered breathingTonsilTonsil and adenoid hypertrophy

Identifiers

PMID27729119
PMCPMC7132388
OpenAlexW2518920851

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.