[Long-term effect observation after 10 years of tonsillotomy ï¼Histological analysis of one case of secondary operationï¼].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
; 38(9): 843-848, 2024 Sep.
Article
in Zh
| MEDLINE
| ID: mdl-39193744
ABSTRACT
Objective:
To investigate the long-term effect of partial tonsillectomy in children with tonsil hypertrophy.Methods:
A total of 146 children with obstructive sleep apneaï¼OSAï¼ who received surgical treatment for tonsil hyperplasia from January 2010 to January 2013 were selected and divided into the observation groupï¼n=69ï¼ and the control groupï¼n=77ï¼. The observation group was received tonsillotomyï¼TTï¼, and the control group was received total tonsillectomyï¼TEï¼. Parental satisfaction and OSA quality of life questionnaire for childrenï¼OSA-18ï¼ were surveyed. Residual tonsil size was measured, and polysomnographyï¼PSGï¼ was monitored after 10 years. HE and immunohistochemical analysis were performed on tonsil tissues of one patient who performed a second operation after TT in 2017 year.Results:
The results of questionnaire survey showed that the symptoms of respiratory obstruction were significantly improved in both groups, and the satisfaction of TT group was higher than that in the TE group. No increase in the number of respiratory tract infections was observed in all patients. In the TT group, nine casesï¼13.04%ï¼ had tonsil hyperplasia toâ ¡°, and the remaining patients had tonsil hyperplasia to â °. In addition, one case hadtonsil suppurative infection at the 14th month after surgery, and no recurrence or reoperation was found after treatment. There were seven cases in the TT group and eight cases in the TE group with occasional snoring and mouth breathing after surgery, but the PSG examination of the patients did not meet the diagnosis of OSA. The main causes were obesity and allergic rhinitis. Compared with the first operation, the cicatricial obstruction and infection of tonsil tissue in the second operation were not significantly changed, and the immunohistochemical results also demonstrated that the expression of CD20 was not changed, and the expression of CD3 was decreased.Conclusion:
Both TT and TE can effectively improve the symptoms of OSA obstruction in children. TT has less trauma, less postoperative pain, faster recovery and lower rate of hyperplasia, which can be used as one of the main methods for the treatment of tonsil hypertrophy in children.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Palatine Tonsil
/
Tonsillectomy
/
Sleep Apnea, Obstructive
/
Hyperplasia
/
Hypertrophy
Limits:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
Zh
Journal:
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
Year:
2024
Document type:
Article
Country of publication:
China