2005, Number 2
<< Back Next >>
Rev Med Inst Mex Seguro Soc 2005; 43 (2)
Coexistent morbidity in chronic and hypertrophic adenotonsillitis: a case study in 3600 subjects
Chávez DME, Castro CS, Celis RA, Jiménez CAA
Language: Spanish
References: 35
Page: 103-116
PDF size: 153.54 Kb.
ABSTRACT
Objective: To know the frequency of chronic and hypertrophic adenotonsillitis, affected population, coexisting morbidity and surgical procedures in a population of Zone 89, IMSS at Guadalajara, Jalisco.
Materials and Methods: Descriptive, transversal and prospective study of patients with diagnosis of chronic and hypertrophic adenotonsillitis treated between January 2000 and October 2001 were studied. Through age groups were analyzed coexisting morbidity and surgical procedures.
Results: Of the 3600 patients with chronic and hypertrophic adenotonsillitis evaluated, they were distinguished 3 age groups that are characterized by coexisting morbidity, the average age group (45%) was between 6 to 10 years and characterized by the presence of chronic sinusitis, otitis media with effusion and recurrent otitis media; while the children younger than 5 years (30.3%) prevailed the obstruction of the upper respiratory tract, chronic sinusitis, bronchitis and otitis media with effusion; however, all individuals aged from 16 to 49 years (9.4%) was notary the presence of chronic otitis media and peritonsillar abscess.
Conclusions: The present study represented the first step for future studies and permitted us to understand the frequency and coexisting morbidity of this pathology in our medium. The usefulness of this study will contribute to the promotion of prevention measures, opportune detection of complications, acquire new methods of bacteriologies diagnostics and therapeutic strategies. It is possible that new prevention measures will chain react a new series of events that will translate into a reduction of this pathology, surgeries and complications.
REFERENCES
1. Hellings P, Jorissen M, Ceuppens JL. The Waldeyer’s ring. Acta Otorhinolaringol Belg 2000;54(3):237-241.
2. Paulussen C, Claes J, Claes G, Jorissen M. Adenoids and tonsils, indications for surgery and immunological consequences of surgery. Acta Otorhinolaringol Belg 2000;54(3):403-408.
3. Agren K, Lindberg K, Samulesson A, Blomberg S, Forsgren J, Rynnel-Dagoo B. What is wrong in chronic adenoiditis/tonsillitis immunological factor. Int J Pediatr Otorhinolaryngol 1999;49(Suppl 1):S137-S139.
4. Casselbrant ML. What is wrong in chronic adenoiditis/tonsillitis anatomical considerations. Int J Pediatr Otorhinolaryngol 1999;49(Suppl 1):S133-S135.
5. Abd Alhady R, el Sharnoubi M. Tympanometric findings in patients with adenoid hyperplasia, chronic sinusitis and tonsillitis. J Laryngol Otol 1984;98(7):671-676.
6. Chopo GR, Lazaro MA, Ucles P. Obstructive sleep apnea syndrome in childhood. Rev Neurol 2001; 32(1):86-91.
7. López-González MA, Alonso-Rosa D, Mata-Maderuelo F, Delgado-Moreno F. Basófilos de amígdalas palatinas y adenoides en adenoamigdalitis aguda recurrente e hipertrofia adenoamigdalar en niños. Acta Otorrino-laringol Esp 2001;52:364-366.
8. Brook I, Shah K. Bacteriology of adenoids and tonsils in children with recurrent adenotonsillitis. Ann Otol Rhinol Laryngol 2001;110(9):844-888.
9. Lindroos R. Bacteriology of the tonsil core in recurrent tonsillitis and tonsillar hyperplasia-a short review. Acta Otolaryngol Suppl 2000;543:206-208.
Yoda K, Sata T, Kurata T, Aramaki H. Oropharyn-gotonsillitis associated with nonprimary Epstein-Barr virus infections Arch Otolaryngol Head Neck Surg 2002;126(2):185-193.
Brook I. Failure of penicillin to eradicate group A beta-hemolytic streptococci tonsillitis. Causes and management. J Otolaryngol 2001;30:324-328.
Stewart MG, Friedman EM, Sulek M, Hulka GF, Kuppersmith RB, Harrill WC, et al. Quality of life and Health Status in pediatric tonsil an adenoid disease. Arch Otolaryngol Head Neck Surg 2000;126(1):45-48.
Younis RT, Lazar RH. History and current practice of tonsillectomy. Laryngoscope 2002;112 (8 Pt 2)Suppl:3-5.
Battistini A, Siepe F, Marvasi R. The tonsils and adenoids as a site of infection and the cause of obstruction. Pediatr Med Chir 1998:20(4):237-247.
Kutluhan A, Ugras S, Kiris M, Cankaya H, Kiroglu AF, Yurttas V. Differences in clinical and histopathologic features between chronic adenotonsillitis and chronic adenotonsillar hypertrophy. Kulak Burun Bogaz Ihtis Derg 2003;10(2):61-67.
Zhang PC, Pang YT, Loh KS, Wang DY. Comparison of histology between recurrent tonsillitis and tonsillar hypertrophy. Clin Otolaryngol 2003;28:235-239.
Vandenberg SJ, Heatley DG. Efficacy of adenoidectomy in relieving symptoms of chronic sinusitis in children. Arch Otolaryngol Head Neck Surg 1997;123(7):675-678.
Bernstein JM, Dryja D, Murphy TF. Molecular typing of paired bacterial isolates from the adenoid and lateral wall of the nose in children undergoing adenoidectomy: implications in acute rhinosinusitis. Otolaryngol Head Neck Surg 2001;125(6):593-597.
Li AM, Wong E, Kew J, Hui S, Fok TF. Use of tonsil size in the evaluation of obstructive sleep apnea. Arch Dis Child 2002;87(2):156-159.
Bernstein JM. Waldeyer’s ring and otitis media: the nasopharyngeal tonsil and otitis media. Int J Pediatr Otorhinolaryngol 1999;49(Suppl 1):S127-S132.
Baik UB, Suzuki M, Ikeda K, Sugawara J, Mitani H. Relationship between cephalometric characteristics and obstructive sites in obstructive sleep apnea syndrome. Angle Orthod 2002;72(2):124-134.
Verse T, Kroker BA, Pirsig W, Brosch S. Tonsillectomy as a treatment of obstructive sleep apnea in adults with tonsillar hypertrophy. Laryngoscope 2000; 110:1556-1559.
Benito-Bartolomé M, Hernández-Sampelayo M. Evaluación radiológica de la nasofaringe en niños sanos de nuestro medio. An Esp Pediatr 1998;49:571-576.
Takahashi H, Fujita A, Honjo I. Effect of adenoidectomy on otitis media with effusion, tubal function, and sinusitis. Am J Otolaryngol 1989;10:208-213.
Villaseñor-Sierra A. Ignacio J, Preciado S. Otitis media today: a challenge for physicians and the community. Curr Opin Infect Dis 1999;12205-12212.
Khader JA, Farouk MS, Qasim AK. Use of adenoidectomy and adenotonsillectomy in children with otitis media with effusion. Ear Nose Throat J 2001;80: 647-650.
Steyer TE. Peritonsillar abscess: Diagnosis and treatment. Am Fam Physician 2002;65:93-96.
Martínez-Novoa MD, Mas Mercant S, Bonilla-Pérez A, Arbona-Amer A, Mas Bonet A. Deep infections of neck. An Otorrinolaringol Ibero Am 1998:25:271-277.
Weir NF. Clinical interpretation of tonsillar size. J Laryngol Otol 1972;86:1137-1144.
Mattila PS, Tahkokallio O, Tarkkanen J, Pitkaniemi J, Karvonen M, Tuomilehto J. Causes of tonsillar disease and frequency of tonsillectomy operations. Arch Otolaryngol Head Neck Surg 2001;127(1):37-44.
Darrow DH, Siemens CH. Indications for tonsillec-tomy and adenoidectomy. Laryngoscope 2002;112(8 Pt 2):6-10.
Lee D, Rosenfeld RM. Adenoid bacteriology and sinonasal symptoms in children. Otolaryngol Head Neck Surg 1997;116:301-307.
Elsherif I, Kareemullah C. Tonsil and adenoid surgery for upper airway obstruction in children. Ear Nose Throat J 1999;78:617-620.
Loesel LS. Detection of allergic disease in adenoid tissue. Am J Clin Pathol 1984;81:170-175.
Endo LH, Altemani A, Chone C, Idagawa E, Sakano E. Histopathological comparison between tonsil and adenoid responses to allergy. Acta Otolaryngol Suppl 1996; 523:17-19.