Schroeder D, Waridel F, Cherpillod J
Service ORL, CHUV, Lausanne.
Rev Med Suisse. 2005 Oct 19;1(37):2376-9.
Tonsillectomy is one of the most frequent ENT operations but yet a very disputed one. The majority of children and adults are treated for recurrent angina, which is validated by several clinical trials. For an adult a peritonsillar abscess is best treated by immediate tonsillectomy. Incision and drainage is a validated method as well, as long as there is no indication to a delayed tonsillectomy. The tonsillectomy alone is not a validated treatment for adult upper airway obstruction. On the other hand it is a recommended procedure for children upper airway obstruction. Partial tonsillectomy (tonsillotomy) is also a validated procedure for this indication. Finally the peritonsillar abscess in a child should first be treated by one or two days of intravenous antibiotics.
扁桃体切除术是耳鼻喉科最常见的手术之一，但也是极具争议的手术。大多数儿童和成人因复发性扁桃体炎接受治疗，这已得到多项临床试验的验证。对于成年人，扁桃体周围脓肿最好通过立即进行扁桃体切除术来治疗。切开引流也是一种经过验证的方法，只要没有延迟扁桃体切除术的指征。单纯扁桃体切除术并非治疗成人上气道阻塞的有效方法。另一方面，它是治疗儿童上气道阻塞的推荐手术。部分扁桃体切除术（扁桃体切开术）也是针对该适应症的有效手术。最后，儿童扁桃体周围脓肿应首先通过一到两天的静脉抗生素治疗。
