Dergiler / The Turkish Journal of Ear Nose and Throat / 2003 / Cilt: 10 Sayı: 2
Kronik adenotonsillit ile kronik adenotonsiller hipertrofi arasındaki klinik ve histopatolojik farklılıklar
- Sayfa
- 61–67
- DOI
- —
Özet
Amaç: Kronik adenotonsillit ile adenotonsiller hipertrofiarasındaki klinik ve histopatolojik farkları ortaya koymayıamaçladık.Hastalar ve Yöntemler: Kronik adenotonsillitli 286 ve adenotonsiller hipertrofili 197 hasta prospektif olarak değerlendirildi. Her ikigrubun klinik özellikleri ve tonsillektomi materyallerindekihistopatolojik bulgular karflılafltırıldı. Bulgular: Kronik adenotonsillitli hastaların yafl ortalaması daha yüksek bulundu p
Abstract
Objectives: This study sought to determine the clinical and histopathological differences between chronic adenotonsilli tis and chronic adenotonsillar hypertrophy.Patients and Methods: This prospective study included 286 patients 147 males, 139 females; mean age 16.6 years; range 3 to 45 years with chronic adenotonsillitis and 197 patients 98 males, 99 females; mean age 9.5 years; range 2 to 18 years with adenotonsillar hypertrophy.Clinical and histopathological findings were compared.Results: The mean age was significantly higher p<0.001 and acute attacks of fever, dysphagia, and sore throat were more frequent in chronic adenotonsillitis. Patients with ade notonsillar hypertrophy more commonly manifested snoring, mouth breathing, and dispnea. Physical examination showed hyperemia of the anterior plica in 93% and 15% in chronic adenotonsillitis and adenotonsillar hypertrophy, respectively.Histopathologically, the former was more commonly associat- ed with severe lymphocyte infiltration to surface epithelium, surface epithelial defects, plasma cells, atrophy, and fibrosis.The sole outvveighing difference in favor of chronic adenoton sillar hypertrophy was increased germinal centers.Conclusion: Clinical and histopathologic findings suggest that chronic adenotonsillitis and chronic adenoton sillar hypertrophy may be diverse diseases requiring different approaches in treatment.