Evaluation of Clinical Results and Pathological Findings of Tonsillectomy Samples in People ۱۶ Years and Younger

The main indications for tonsillectomy are recurrent infection, pre-tonsillar abscess, and obstructive sleep apnea and suspected malignancy. Incisional biopsy or Excisional biopsy is needed when a tonsillectomy is examined for suspected malignancy. According to the above, the purpose of this study is to evaluate the clinical results and pathological findings of tonsillectomy samples in people ۱۶ years and younger. This case control study was performed with the participation of ۳۰۵ patients under ۱۸ years of age who were candidates for tonsillectomy surgery; Samples obtained after surgery were measured using Brodsky criteria and their results were evaluated and compared with pathology results. Surgical indications for ۱۰۲ patients with symmetrical tonsils, including ۴۶ cases with chronic tonsillitis (۱.۴۵%), hypertrophy of the tonsils with obstruction in ۲۴ cases (۲۳.۵%), and recurrent infections of the tonsils with hypertrophic palate in ۳۲ patients (۴.۳۱). %) Was. Pathologically studied samples in the control group were reactivemphoid hyperplasia in ۵۶ cases (۹.۵۴%), lymphoidhyperplasia with fibrosis in ۲۴ cases (۲۳.۵%) and chronic tonsillitis in ۲۲ cases (۲۱.۵%). Tonsillectomy with indication of chronic tonsillitis and recurrent tonsillitis in patients who are otherwise normal examination is secondary to benign hyperplasia or anatomical factors. Therefore, the presence of asymmetry without suspicious appearance factors and significant signs and symptoms and progressive enlargement of the tonsils and concomitant adenopathy and a history of malignancy or immunodeficiency do not suggest malignancy and have no diagnostic value.

Keywords:

tonsillectomy , tonsillitis , Concomitant Adenopathy , Anatomical factors