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PubMed · 6922567

Tonsils and adenoids. When is surgery indicated?

L D Rowe
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Abstract

The efficacy of tonsillectomy and/or adenoidectomy in the management of urgent problems such as cor pulmonale, acute airway obstruction, or functional impairment of nasal respiration, speech, or swallowing is unquestioned. However, relative indications for surgery such as odynophagia, otalgia, or otitis media with effusion are more controversial. The limitations and risks of tonsillectomy and adenoidectomy in these patients are explored.

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AdenoidectomyAdenoidsChildDeglutition DisordersEar DiseasesFemaleHumansMaleOtitis MediaPainPalatine TonsilPatient Education as TopicPostoperative ComplicationsRadiographyRiskTonsillectomyTonsillitisCase ReportsJournal Article

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L D Rowe. 1982. Tonsils and adenoids. When is surgery indicated?. https://pubmed.ncbi.nlm.nih.gov/6922567/

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Extramedullary plasmacytoma of the adenoids.

Extramedullary plasmacytomas are extremely rarely diagnosed in children. We report two cases of extramedullary plasmacytoma detected coincidentally in the adenoidectomy specimens of children younger than 4 years. We show that these children are disease-free after local excision as the only treatment. Surgical treatment without anti-neoplastic therapy in pediatric plasma cell dyscrasias of the pharyngeal lymphoid tissue may be a sufficient curative therapy.

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PubMed2007

[Histology after adenoidectomy/tonsillectomy? No conformity in Germany concerning the histopathological examination of adenoids or tonsils in children up to the age of 10 years].

BACKGROUND: It is more and more doubted that adenoids or tonsils have to be examined histologically in pediatric cases, in which history and clinical signs and symptoms are conclusive for chronic inflammation or hyperplasia. It is unknown whether there is any conformity about this question in Germany. METHOD: The heads of all clinical departments of otorhinolaryngology (n=149) and a similar number of ENT specialists from the Berufsverband Deutscher HNO-Arzte (n=150) were surveyed by a simple questionnaire. They were asked if they would routinely send resected tissue for histopathological examination in the case of a child, up to 10 years old, presenting with a history and a status of chronic inflammation or hyperplasia and undergoing adenoidectomy or tonsillectomy. Furthermore they were asked whether they remembered any unusual or surprising report in this group of patients. RESULTS: Feedback was 79%. All tissue was sent for examination by 59% of the colleagues answering this evaluation; palatine tonsils only were sent for examination by 14%, and 27% of the physicians did not send any tissue for histological work-up. During their professional career 17% of the responding ENT specialists had received a surprising result from the histopathological examination. CONCLUSION: We do not have any consensus practiced in Germany concerning the necessity to send tissue for histopathological examination following adenoidectomy or tonsillectomy in children. It seems helpful to seek such consensus of opinion for medicolegal and socioeconomic reasons.

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