Tonsils Increase in Weight during Growth


Purpose: During my 40 years of performing tonsillectomy, I have noticed that tonsils seem to increase in size with aging. The purpose was to study the relationship between the weight of tonsils and patients’ age. Subjects and Methods: Tonsillectomies were performed in 1246 patients diagnosed with sleep disorders with hypertrophied tonsils. The excised tonsils were weighed. Results: 1) The number of male tonsillectomy cases was 2.3 times higher than the number of female cases; 2) Most tonsillectomies were performed in children three to six years of age, and in adults who were around 30 years old; 3) The maximum age of the male patients was 57 years and that of the female patients was 63 years; 4) The weight of tonsils increased with age in the males, but the maximum weight of female tonsils was reached at around nine years of age; 5) Tonsils of males were heavier and larger than those of females of the same age; 6) A high degree of correlation was observed between the weights of the right and left tonsils of a subject. Conclusions: 1) The weight of tonsils increased with growth; 2) Tonsils in males were more hypertrophic than those in females; 3) The age distribution of the cases suggested that the lifespan of these patients is shorter than the norm; 4) The ideal age at which to perform tonsillectomy is thought in two to three years; 5) A high degree of corelation eixists between the weight of the right and left tonsils of a subject.

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S. Mukai, "Tonsils Increase in Weight during Growth," International Journal of Clinical Medicine, Vol. 4 No. 4, 2013, pp. 222-227. doi: 10.4236/ijcm.2013.44039.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] M. Makenzie, “Tonsile Disease of the Throat, Nose and Ear,” C. V. Mosby Co., St Louis, 1920, pp. 24-51.
[2] M. Makenzie, “Chronic Hypertrophy of the Tonsils,” In: M. Makenzie, Ed., Diseases of the Throat, Nose and Ear, William Heinemann, London, 1927, pp. 50-62.
[3] M. Sasaki, “Tonsillectomy and Its Indications,” J ORL Soc Jpn, Vol. 47, 1941, pp. 1626-1648 (in Japanese).
[4] H. Toyota, “View from Tonsil Hypertrophy (On the Base of Tonsil Weight),” Jyuzen, Vol. 48, 1943, pp. 2236-2240 (in Japanese).
[5] E. Miwa, “Changes of Tonsils by Aging,” Nagoya Medical Journal, Vol. 11, 1961, pp. 962-986 (in Japanese).
[6] N. F. Weir, “Clinical Interpretation of Tonsillar Size,” Journal of Laryngology and Otology, Vol. 86, No. 11, 1972, pp. 1137-1144. doi:10.1017/S0022215100076325
[7] S. Mukai, M. Nagano, H. Fukuda, N. Shishikura and T. Tabata, “Use of Epinephrine-Added Local Anesthetic with Halothane Anesthesia in Tonsillectomy,” J Otorhinolaryngol Japan (Igakushoin), Vol. 51, 1979, pp. 365-369.
[8] H. Kitayane, “Clinical and Experimental Study on Tonsil Weight and Diameter Related to the Age, 2,” Chuo-Igaku, Vol. 10, 1941, pp. 693-711 (in Japanese).
[9] S. Yamamoto, “Tonsil Weight and Relationship with It’s Embedding Part,” Pract ORL Kyoto, Vol. 49, 1956, pp. 774-777.
[10] M. M. Beaty, G. F. Funk, et al., “Risk Factors for Malignancy in Adult Tonsils,” Head & Neck, Vol. 20, 1998, pp. 399-403.
[11] S. Mukai, N. Nitta, J. Hirano, et al., “Relationship between ADEL and Tonsillar Hypertrophy—Main Cause of Tonsillar Hypertrophy Is Depression of Respiration in Infancy,” Zetuyuchakusho Kenkyuukai Kaiho, Vol. 10, 2000, pp. 45-50 (in Japanese).
[12] Y. Honda, “Editorial: Consider about Tonsil Problems of the Elementary School Children,” Pract ORL Kyoto, Vol. 32, 1937, pp. 739-744 (in Japanese).
[13] S. Sakurai, “Prognosis of Obstructive Sleep Apnea Syndrome—Evidences of Cardiovascular and Life Span,” Journal of Clinical and Experimental Medicine, Vol. 216, 2005, pp. 629-632.

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