Godballe C, Sørensen J A, Andersen N H, Jørgensen K E
Ore-, naese- og halsafdeling F., Odense Sygehus.
Ugeskr Laeger. 1991 Sep 23;153(39):2745-7.
The occurrence of disease requiring surgery of the remaining tonsil after unilateral tonsillectomy à chaud in the treatment of peritonsillar abscess was studied in 536 patients. None of the patients histories of previous severe tonsillitis at the time of the unilateral had tonsillectomy. 9.3% of the patients under 30 years of age were readmitted for surgery on the remaining tonsil during the follow up period. Only 0.5% of the patients over 30 years were readmitted. Previous investigations have shown increasing frequency of pharyngitis after bilateral tonsillectomy. The present authors suggest bilateral tonsillectomy in all patients under 30 years of age who suffer from peritonsillar abscess irrespectively of previous tonsillar disease. In patients over 30 years, unilateral ablation is recommended unless clear indication for bilateral tonsillectomy are present.
对536例因扁桃体周围脓肿行单侧热扁桃体切除术后需对残余扁桃体进行手术的疾病发生情况进行了研究。所有患者在进行单侧扁桃体切除术时均无既往严重扁桃体炎病史。在随访期间，9.3%的30岁以下患者因残余扁桃体手术再次入院。30岁以上患者中只有0.5%再次入院。先前的研究表明双侧扁桃体切除术后咽炎的发生率增加。本文作者建议，所有30岁以下患有扁桃体周围脓肿的患者，无论既往有无扁桃体疾病，均应行双侧扁桃体切除术。对于30岁以上的患者，除非有明确的双侧扁桃体切除指征，否则建议行单侧切除。
