Tonsillectomy vs. partial tonsillectomy for OSAS in children-10 years post-surgery follow-up
Tonsillectomy vs. partial tonsillectomy for OSAS in children-10 years post-surgery follow-up
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DOI：
10.1016/j.ijporl.2008.12.012
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发表时间：
2009-05-01
影响因子：
1.5
通讯作者：
Gavriel, Haim
中科院分区：
文献类型：
--
作者：
Eviatar, Ephraim;Kessler, Alexander;Gavriel, Haim
背景：今天，阻塞性肥大扁桃体被完全切除以清除阻塞。由于扁桃体组织具有重要的保护特性，因此，仅切除阻塞性扁桃体组织并在扁桃体床中留下残留物更符合逻辑，从而假定保留扁桃体组织的免疫功能。然而，目前尚不清楚是否再肥大的这种残余的扁桃体和/或扁桃体炎复发的长期。目的：评估扁桃体切除术后10-14年因阻塞性扁桃体而患阻塞性睡眠呼吸暂停综合征（OSAS）的儿童的扁桃体残留情况。本文对33例阻塞性肥大扁桃体患儿进行回顾性研究、电话调查和选择性体格检查（患有阻塞性睡眠呼吸暂停综合征由于肥大的扁桃体），并接受扁桃体切开术（TT）在阿萨夫Harofeh医疗中心1990年7月和199年4月，结果：扁桃体切除术组与扁桃体切除术组的各项指标无显著性差异：非阻塞性扁桃体复发率（95.7%）高于非阻塞性扁桃体切除术组（16.7%），差异有显著性（P < 0.05（97%对87%）：打鼾（3%对12.5%）;复发性扁桃体炎（6%对6.25%）;以及复发性阻塞和单侧增大（3%对12.5%）。结论：对于因扁桃体肥大而患有OSAS的儿童的长期治疗，TT与TE一样有效。(c)2008爱思唯尔爱尔兰有限公司保留所有权利。
Background: Today, obstructive hypertrophic tonsils are completely resected to remove the obstruction. Since tonsillar tissue has important protective characteristics, it is more logical to resect only the obstructive tonsillar tissue and leave remnants in the tonsillar beds, thereby presuming to preserve the immunological function of the tonsillar tissue. However, it is as yet unclear whether or not rehypertrophy of this remnant of the tonsils and/or tonsillitis reoccur in the long-term. Objectives: To evaluate the remnants of the tonsils 10-14 years post-tonsillotomy in children who suffered from obstructive sleep apnea syndrome (OSAS) due to obstructive tonsils.Methods: We conducted a retrospective study, telephone Survey and selective physical examination of 33 children who had obstructive hypertrophic tonsils (suffered from OSAS due to hypertrophic tonsils), and underwent tonsillotomy (TT) at Assaf Harofeh Medical Center between July 1990 and April 199, and compared them with a group of 16 children treated by tonsillectomy (TE) for the same diagnosis.Results: No statistically significant difference was found between the TT and TE groups in all parameters compared: non-obstructing tonsils recurred (97% vs. 87%): snoring (3% vs. 12.5%); recurrent tonsillitis (6% vs. 6.25%); and recurrent obstruction and unilateral enlargement (3% vs. 12.5%).Conclusions: TT is as effective as TE for the long-term treatment of children suffering from OSAS due to hypertrophic tonsils. (c) 2008 Elsevier Ireland Ltd. All rights reserved.