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Differences in clinical and histopathologic features between chronic adenotonsillitis and chronic adenotonsillar hypertrophy

Year 2003, Volume: 10 Issue: 2, 61 - 67, 10.04.2003

Ahmet Kutluhan Muzaffer Kırış Hakan Çankaya Ahmet Faruk Kıroğlu Veysel Yurttaş Serdar Uğraş

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.

Keywords

Adenoidectomy adenoids/pathology age factors diagnosis differential hypertrophy tonsil/pathology tonsillectomy tonsillitis/pathology

References

  • Kornblut A, Kornblut AD. Tonsillectomy and ade- n o i d e c t o m y. In: Paparella MM, Shumrick DA, Gluckman JL, Meyerhoff WL, editors. Otolaryngology. 3rd ed. Philadelphia: W.B. Saunders; 1991. p. 2149-65.
  • Eriflen L, Basut O, Çoflkun H, Tezel İ, Hızalan İ, Onart S. Adenotonsillektomi olgularımız ve endikasyonların değerlendirilmesi. KBB Klinikleri 1999;1:85-8.
  • Alvi A, Vartanian AJ. Microscopic examination of rou- tine tonsillectomy specimens: is it necessary? Otolaryngol Head Neck Surg 1998;119:361-3.
  • Ikram M, Khan MA, Ahmed M, Siddiqui T, Mian MY. The histopathology of routine tonsillectomy speci- mens: results of a study and review of literature. Ear Nose Throat J 2000;79:880-2.
  • Brodsky L, Moore L, Stanievich JF. A comparison of tonsillar size and oropharyngeal dimensions in chil- dren with obstructive adenotonsillar hypertrophy. Int J Pediatr Otorhinolaryngol 1987;13:149-56.
  • Kutluhan A, Uğrafl S, Kırıfl M, Akpolat N, İnalkaç E, Akkaya S. Relationship between history, clinical and histopathologic findings in chronic tonsillitis. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 1 9 9 8 ; 5 : 2 0 8 - 11 .
  • Kornblut AD. Non-neoplastic disease of the tonsils and adenoids. In: Paparella MM, Shumrick DA, Gluckman JL, Meyerhoff WL, editors. Otolaryngology. 3rd ed. Philadelphia: W.B. Saunders; 1991. p. 2129-47.
  • Bicknell PG. Role of adenotonsillectomy in the man- agement of pediatric ear, nose and throat infections. Pediatr Infect Dis J 1994;13(1 Suppl 1):S75-8.
  • Brodsky L, Koch RJ. Bacteriology and immunology of normal and diseased adenoids in children. Arc h Otolaryngol Head Neck Surg 1993;119:821-9.
  • Wiatrack BJ, Woolley AL. Pharyngitis and adenoton- sillar disease. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Richardson MA, Schuller DE, editors. Otolaryngology head & neck surg e r y (Pediatric). 3rd ed. St. Louis: Mosby; 1998. p. 188-215.
  • Bieluch VM, Martin ET, Chasin WD, Tally FP. Recurre n t tonsillitis: histologic and bacteriologic evaluation. Ann Otol Rhinol Laryngol 1989;98(5 Pt 1):332-5.
  • Friedmann I. The tonsils and oropharynx. In: Friedmann I, editor. Nose, throat and ears (systemic pathology). 3rd ed. New York: Churchill Livingstone; 1986. p. 161-71.
  • Richtsmeier WJ, Shikhani AH. The physiology and immunology of the pharyngeal lymphoid tissue. Otolaryngol Clin North Am 1987;2:219-28.
  • Özdemir I, Ercan MT, Kaya S. Measurement of tonsil- lar blood flow in normal and pathological conditions by the use of the 133Xe clearance technique. Arch Otorhinolaryngol 1985;242:53-6.

Kronik adenotonsillit ile kronik adenotonsiller hipertrofi arasındaki klinik ve histopatolojik farklılıklar

Year 2003, Volume: 10 Issue: 2, 61 - 67, 10.04.2003

Ahmet Kutluhan Muzaffer Kırış Hakan Çankaya Ahmet Faruk Kıroğlu Veysel Yurttaş Serdar Uğraş

Abstract

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

Keywords

Adenoidektomi adenoid/patoloji yaş faktörü tanı ayırıcı hipertrofi tonsil/patoloji tonsillektomi tonsillit/ patoloji

References

  • Kornblut A, Kornblut AD. Tonsillectomy and ade- n o i d e c t o m y. In: Paparella MM, Shumrick DA, Gluckman JL, Meyerhoff WL, editors. Otolaryngology. 3rd ed. Philadelphia: W.B. Saunders; 1991. p. 2149-65.
  • Eriflen L, Basut O, Çoflkun H, Tezel İ, Hızalan İ, Onart S. Adenotonsillektomi olgularımız ve endikasyonların değerlendirilmesi. KBB Klinikleri 1999;1:85-8.
  • Alvi A, Vartanian AJ. Microscopic examination of rou- tine tonsillectomy specimens: is it necessary? Otolaryngol Head Neck Surg 1998;119:361-3.
  • Ikram M, Khan MA, Ahmed M, Siddiqui T, Mian MY. The histopathology of routine tonsillectomy speci- mens: results of a study and review of literature. Ear Nose Throat J 2000;79:880-2.
  • Brodsky L, Moore L, Stanievich JF. A comparison of tonsillar size and oropharyngeal dimensions in chil- dren with obstructive adenotonsillar hypertrophy. Int J Pediatr Otorhinolaryngol 1987;13:149-56.
  • Kutluhan A, Uğrafl S, Kırıfl M, Akpolat N, İnalkaç E, Akkaya S. Relationship between history, clinical and histopathologic findings in chronic tonsillitis. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 1 9 9 8 ; 5 : 2 0 8 - 11 .
  • Kornblut AD. Non-neoplastic disease of the tonsils and adenoids. In: Paparella MM, Shumrick DA, Gluckman JL, Meyerhoff WL, editors. Otolaryngology. 3rd ed. Philadelphia: W.B. Saunders; 1991. p. 2129-47.
  • Bicknell PG. Role of adenotonsillectomy in the man- agement of pediatric ear, nose and throat infections. Pediatr Infect Dis J 1994;13(1 Suppl 1):S75-8.
  • Brodsky L, Koch RJ. Bacteriology and immunology of normal and diseased adenoids in children. Arc h Otolaryngol Head Neck Surg 1993;119:821-9.
  • Wiatrack BJ, Woolley AL. Pharyngitis and adenoton- sillar disease. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Richardson MA, Schuller DE, editors. Otolaryngology head & neck surg e r y (Pediatric). 3rd ed. St. Louis: Mosby; 1998. p. 188-215.
  • Bieluch VM, Martin ET, Chasin WD, Tally FP. Recurre n t tonsillitis: histologic and bacteriologic evaluation. Ann Otol Rhinol Laryngol 1989;98(5 Pt 1):332-5.
  • Friedmann I. The tonsils and oropharynx. In: Friedmann I, editor. Nose, throat and ears (systemic pathology). 3rd ed. New York: Churchill Livingstone; 1986. p. 161-71.
  • Richtsmeier WJ, Shikhani AH. The physiology and immunology of the pharyngeal lymphoid tissue. Otolaryngol Clin North Am 1987;2:219-28.
  • Özdemir I, Ercan MT, Kaya S. Measurement of tonsil- lar blood flow in normal and pathological conditions by the use of the 133Xe clearance technique. Arch Otorhinolaryngol 1985;242:53-6.
There are 14 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Ahmet Kutluhan This is me

Muzaffer Kırış This is me

Hakan Çankaya This is me

Ahmet Faruk Kıroğlu This is me

Veysel Yurttaş This is me

Serdar Uğraş This is me

Publication Date April 10, 2003
Published in Issue Year 2003 Volume: 10 Issue: 2

Cite

APA Kutluhan, A., Kırış, M., Çankaya, H., Kıroğlu, A. F., et al. (2003). Kronik adenotonsillit ile kronik adenotonsiller hipertrofi arasındaki klinik ve histopatolojik farklılıklar. The Turkish Journal of Ear Nose and Throat, 10(2), 61-67.
AMA Kutluhan A, Kırış M, Çankaya H, Kıroğlu AF, Yurttaş V, Uğraş S. Kronik adenotonsillit ile kronik adenotonsiller hipertrofi arasındaki klinik ve histopatolojik farklılıklar. Tr-ENT. April 2003;10(2):61-67.
Chicago Kutluhan, Ahmet, Muzaffer Kırış, Hakan Çankaya, Ahmet Faruk Kıroğlu, Veysel Yurttaş, and Serdar Uğraş. “Kronik Adenotonsillit Ile Kronik Adenotonsiller Hipertrofi arasındaki Klinik Ve Histopatolojik farklılıklar”. The Turkish Journal of Ear Nose and Throat 10, no. 2 (April 2003): 61-67.
EndNote Kutluhan A, Kırış M, Çankaya H, Kıroğlu AF, Yurttaş V, Uğraş S (April 1, 2003) Kronik adenotonsillit ile kronik adenotonsiller hipertrofi arasındaki klinik ve histopatolojik farklılıklar. The Turkish Journal of Ear Nose and Throat 10 2 61–67.
IEEE A. Kutluhan, M. Kırış, H. Çankaya, A. F. Kıroğlu, V. Yurttaş, and S. Uğraş, “Kronik adenotonsillit ile kronik adenotonsiller hipertrofi arasındaki klinik ve histopatolojik farklılıklar”, Tr-ENT, vol. 10, no. 2, pp. 61–67, 2003.
ISNAD Kutluhan, Ahmet et al. “Kronik Adenotonsillit Ile Kronik Adenotonsiller Hipertrofi arasındaki Klinik Ve Histopatolojik farklılıklar”. The Turkish Journal of Ear Nose and Throat 10/2 (April 2003), 61-67.
JAMA Kutluhan A, Kırış M, Çankaya H, Kıroğlu AF, Yurttaş V, Uğraş S. Kronik adenotonsillit ile kronik adenotonsiller hipertrofi arasındaki klinik ve histopatolojik farklılıklar. Tr-ENT. 2003;10:61–67.
MLA Kutluhan, Ahmet et al. “Kronik Adenotonsillit Ile Kronik Adenotonsiller Hipertrofi arasındaki Klinik Ve Histopatolojik farklılıklar”. The Turkish Journal of Ear Nose and Throat, vol. 10, no. 2, 2003, pp. 61-67.
Vancouver Kutluhan A, Kırış M, Çankaya H, Kıroğlu AF, Yurttaş V, Uğraş S. Kronik adenotonsillit ile kronik adenotonsiller hipertrofi arasındaki klinik ve histopatolojik farklılıklar. Tr-ENT. 2003;10(2):61-7.