Foki Elisabeth, Seemann Rudolf, Stelter Klaus, Lill Claudia
a Department of Otorhinolaryngology, Head and Neck Surgery , Medical University of Vienna , Vienna , Austria.
b Department of Oral and Maxillofacial Surgery , Medical University of Vienna , Vienna , Austria.
Acta Otolaryngol. 2017 Sep;137(9):992-996. doi: 10.1080/00016489.2017.1322712. Epub 2017 May 4.
The objective of this study is to determine whether partial tonsillectomy (tonsillotomy) impacts the occurrence of acute or recurrent tonsillitis in children.
One hundred and eighty patients (1-14 years) were retrospectively surveyed by a questionnaire or by data analysis of a regional database. Subjects who suffered from severe systemic diseases or immunodeficiency syndromes were excluded. Episodes of acute tonsillitis before and after surgery, rate of antibiotic treatment, postoperative hemorrhage, and re-operation were obtained.
Fifty-one patients suffered from preoperative tonsillitis. The rate of reinfection was 9.8%. The frequency of tonsillitis was significantly reduced in children after tonsillotomy (p < .001). Further, tonsillotomy led to a significant reduction of antibiotic treatment (p < .001). The rate of definitive tonsillectomy was 1.1% and thus effectiveness was very high. About 1.7% of all children suffered from postoperative bleeding, of which one (0.6%) required surgical revision. None of the bleedings was life threatening.
Tonsillotomy is beneficial for patients with recurrent tonsillitis and carries less risk of postoperative complications than tonsillectomy.
本研究的目的是确定部分扁桃体切除术（扁桃体切开术）是否会影响儿童急性或复发性扁桃体炎的发生。
通过问卷调查或对区域数据库进行数据分析，对180例年龄在1至14岁的患者进行回顾性调查。排除患有严重全身性疾病或免疫缺陷综合征的受试者。获取手术前后急性扁桃体炎的发作情况、抗生素治疗率、术后出血情况及再次手术情况。
51例患者术前患有扁桃体炎。再感染率为9.8%。扁桃体切开术后儿童扁桃体炎的发作频率显著降低（p < 0.001）。此外，扁桃体切开术使抗生素治疗显著减少（p < 0.001）。根治性扁桃体切除术的发生率为1.1%，因此有效性非常高。所有儿童中约1.7%发生术后出血，其中1例（0.6%）需要手术修复。所有出血均无生命危险。
扁桃体切开术对复发性扁桃体炎患者有益，且与扁桃体切除术相比，术后并发症风险更低。
