The role of the actinomyces in obstructive tonsillar hypertrophy and recurrent tonsillitis in pediatric population
The role of the actinomyces in obstructive tonsillar hypertrophy and recurrent tonsillitis in pediatric population
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DOI：
10.1016/j.ijporl.2010.12.014
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发表时间：
2011-03-01
影响因子：
1.5
通讯作者：
Yesil, Cemile
中科院分区：
文献类型：
--
作者：
Kutluhan, Ahmet;Salviz, Mehti;Yesil, Cemile
目的：要确定扁桃体放线菌的患病率与复发性扁桃体炎和阻塞性扁桃体肥大的受试者，并确定放线菌和扁桃体体积的存在之间的关联，和crypt abysit.Subjects和方法：前瞻性设计的横断面研究包括90名儿童受试者谁接受扁桃体切除术或adenotonsipectomy复发性扁桃体炎和阻塞性扁桃体肥大。将复发性扁桃体炎（A组）和阻塞性扁桃体肥大（B组）的受试者与放线菌的存在进行比较。结果：阻塞性扁桃体肥大组放线菌阳性率（61.5%）明显高于复发性扁桃体炎组（26.6%）（P < 0.001）;此外，有放线菌的扁桃体的平均扁桃体体积显著高于无放线菌的扁桃体（p < 0.001）。组织病理学检查显示，放线菌的存在没有引起明显的炎症反应。与复发性扁桃体炎患者相比，阻塞性扁桃体肥大患者的放线菌感染更为突出。此外，放线菌对扁桃体大小有病理影响。本研究表明扁桃体肥大与放线菌感染有密切关系。然而，扁桃体肥大是如何引起扁桃体疾病的，目前尚不清楚。(C)2010爱思唯尔爱尔兰有限公司版权所有。
Objective: To determine the prevalence of tonsillar Actinomyces in subjects with recurrent tonsillitis and those with obstructive tonsillar hypertrophy, and to determine the association between the presence of Actinomyces and tonsillar volume, and crypt abscess.Subjects and methods: A prospective designed cross-sectional study consisted of 90 children subjects who underwent tonsillectomy or adenotonsillectomy for recurrent tonsillitis and obstructive tonsillar hypertrophy. The subjects of recurrent tonsillitis (Group A) and obstructive tonsillar hypertrophy (Group B) were compared to the presence of Actinomyces. The relationship between the presence of Actinomyces and the presence of crypt abscess, and tonsillar volume were also compared.Results: Actinomyces was found to be significantly more prominent in obstructive tonsillar hypertrophy group (61.5%) compared to recurrent tonsillitis group (26.6%) (p < 0.001). Additionally, the mean tonsillar volume was significantly higher in tonsils with Actinomyces than those without (p < 0.001). The histopathological study revealed that there was no significant inflammatory response to the existence of Actinomyces.Conclusion: According to the presented study. Actinomyces was seen more prominent in subjects with obstructive tonsillar hypertrophy compared those with recurrent tonsillitis. Furthermore Actinomyces had a pathological influence on tonsil size. This study showed there was a significant relation between Actinomyces and enlargement of tonsillar tissue. However, how causes tonsillar hypertrophy is not understood yet in tonsillar disease. (C) 2010 Elsevier Ireland Ltd. All rights reserved.