RESUMO
Hypertrophy of the pharyngeal tonsil affects functions of some organs and systems producing negative effects on physical and mental development of the child. The existing classification based of the tonsil size does not reflect the complexity of the pathological process. "Adenoid disease" is thought to be a more adequate term. A new classification of adenoid disease is proposed. Indications for conservative and surgical treatments can be well formulated with the new classification. The authors prefer adenotomy as, in their opinion, adenectomy is not safe for health.
Assuntos
Tonsila Faríngea/patologia , Adenoidectomia , Tonsila Faríngea/cirurgia , Adolescente , Adulto , Fatores Etários , Criança , Doença Crônica , Tuba Auditiva , Humanos , Hipertrofia , Terminologia como Assunto , Fatores de TempoRESUMO
The analysis of 1247 case histories of chronic tonsillitis and peritonsillar abscesses of tonsillogenic origin has shown that annual number of tonsillectomies for chronic tonsillitis is decreasing while the number of patients with peritonsillar abscesses is going up. The tendency is explained by several factors, among them overestimation of the efficacy reached with conservative therapy of chronic tonsillitis. The authors promote wider use of tonsillectomy as an effective preventive tool for peritonsillar abscesses. The latter should be more frequently managed with abscess tonsillectomy.