Correlation between throat-related symptoms and histological examination in adults with chronic tonsillitis
| Autor: | Virgilijus Uloza, Rūta Pribuišienė, Valdas Šarauskas, Alina Kuzminienė |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Medicine (General) medicine.medical_specialty Pathology Histology Adolescent medicine.medical_treatment Tonsillitis Palatine Tonsil diagnosis anatomy&histology Chronic disease Gastroenterology Palatine tonsil Cohort Studies Young Adult R5-920 stomatognathic system Internal medicine Throat otorhinolaryngologic diseases medicine Adults Chronic tonsillitis Humans Prospective Studies Prospective cohort study Tonsillectomy Medicine(all) 616.322-002.2 [udc] Hyperplasia Throat-related symptoms business.industry Pharynx Histological Techniques respiratory system Middle Aged medicine.disease stomatognathic diseases medicine.anatomical_structure Automotive Engineering Chronic Disease Female business |
| Zdroj: | Medicina, Wrocław : Elsevier, 2015, vol. 51, no. 5, p. 286-290 Medicina Volume 51 Issue 5 Pages 286-290 Medicina, Vol 51, Iss 5, Pp 286-290 (2015) Medicina; Volume 51; Issue 5; Pages: 286-290 |
| ISSN: | 1648-9144 1010-660X |
| Popis: | Objective: The aim of the study was to evaluate correlations between throat-related symptoms and histological findings in adults with chronic tonsillitis. Materials and methods: A prospective cohort study was carried out. Throat-related symptoms (complaints, tonsillitis rate, and pharyngeal findings) of 81 adults with histologically proven chronic tonsillitis followed by tonsillectomy were analyzed. Four types of histological changes in removed tonsils were determined: (1) pure hyperplasia, (2) chronic inflammation, (3) chronic inflammation with hyperplasia, (4) chronic inflammation with scarring/fibrosis. The power of correlation was tested using the Pearson contingency coefficient (CC). Results: Recurrent throat infections were the most common complaint (74.1%). The mean tonsillitis rate was 3.6 (SD 1.9) episodes per year. Tonsillar cryptic debris (61.7%) and hyperemia of the anterior pillars (59.3%) were the most common pharyngeal findings. Chronic inflammation with hyperplasia was predominant (38.3%) histological type of chronic tonsillitis. The statistically significant correlations between histological type and combination of tonsillitis rate ≥3 times per year with cryptic debris (CC = 0.346 P = 0.010) and cryptic debris alone (CC = 0.294 P = 0.051) were detected. Conclusions: Assessment of throat-related symptoms is complementary to histological examination in adults with chronic tonsillitis. |
| Databáze: | OpenAIRE |
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