Document Detail


Tonsillar size is an important indicator of recurrent acute tonsillitis.
MedLine Citation:
PMID:  15270824     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This prospective study was designed to identify important clinical features in patients with recurrent acute tonsillitis. A total of 195 consecutive children aged from 1 to 16 years were examined and a history of recurrent acute tonsillitis recorded. Patients with obstructive sleep apnoea or recent acute tonsillitis were excluded. Tonsil size was measured on the Brodsky scale [Brodsky L. (1989) Paediatr Clin N Am 36, 1551], tonsil symmetry, cervical lymphadenopathy, and hyperaemia of the anterior pillars was recorded. Patients with a history of recurrent tonsillitis had larger tonsils than those without tonsillitis (P < 0.001). Tonsil asymmetry and cervical lymphadenopathy were more common in patients with recurrent tonsillitis (P < 0.001). Anterior pillar hyperaemia was also more frequent in recurrent tonsillitis (P < 0.01). In addition to the frequency and severity of tonsillitis it is suggested that the size and symmetry of the tonsils, plus cervical lymphadenopathy and anterior pillar hyperaemia should be taken into account when deciding which patients would benefit from tonsillectomy.
Authors:
C J Webb; E Osman; S K Ghosh; S Hone
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical otolaryngology and allied sciences     Volume:  29     ISSN:  0307-7772     ISO Abbreviation:  Clin Otolaryngol Allied Sci     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-07-23     Completed Date:  2005-03-17     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7701793     Medline TA:  Clin Otolaryngol Allied Sci     Country:  England    
Other Details:
Languages:  eng     Pagination:  369-71     Citation Subset:  IM    
Affiliation:
Department of Paediatric Otolaryngology, Royal Liverpool Childrens Hospital, Alder Hey Hospital, Liverpool, UK. cj.webb@ntlworld.com
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Airway Obstruction
Child
Child, Preschool
Female
Humans
Infant
Male
Palatine Tonsil / pathology*
Prospective Studies
Recurrence
Tonsillitis / pathology*
Comments/Corrections
Comment In:
Clin Otolaryngol. 2005 Apr;30(2):211-2; author reply 212   [PMID:  15839886 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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