Lippera R, Gradoni G, Lombardini S, Migliori G, Gualazzi R
Divisione ORL - Ospedale Civile di Fano PS, Italia.
Pediatr Med Chir. 1988 Jul-Aug;10(4):429-31.
The hyperplasia of the palatine tonsils, which can be often found in children suffering from the so-called "lymphatism", cannot be considered a pathological state; it simply indicates the attempt of the organism to restore a functional balance between the antigenic shock on one hand and the unitary inadequacy of the lymphatic cells to performs their tasks on the other hand. However, this hyperplasia is sometimes so serious to cause respiratory ailments and predispose several pathologies: in these cases, a surgical operation becomes necessary. Since the tonsillectomy deprives these children of the important defensive barrier represented by the palatine tonsils and the results given by the monotonsillectomy have proved to be not completely satisfactory, both for the phlogosis and for the vicarious hypertrophy of the remaining tonsil, the Authors propose a new surgical technique (never suggested before) in cases of mechanical oropharyngeal obstruction due to hyperplasia of the palatine tonsils. This surgical operation, called bilateral tonsillotomia, consists in removing the tonsillary tissue exceeding the ideal connection line between the borders of the tonsillary pillars.
腭扁桃体增生在患有所谓“淋巴体质”的儿童中很常见，它不能被视为一种病理状态；它仅仅表明机体试图恢复一方面抗原冲击与另一方面淋巴细胞整体执行任务能力不足之间的功能平衡。然而，这种增生有时会严重到引发呼吸系统疾病并易引发多种病症：在这些情况下，手术就变得必要。由于扁桃体切除术使这些儿童失去了腭扁桃体所代表的重要防御屏障，而且单扁桃体切除术的结果已证明并不完全令人满意，无论是对于炎症还是对于剩余扁桃体的代偿性肥大，作者们针对因腭扁桃体增生导致的机械性口咽阻塞病例提出了一种新的手术技术（此前从未有人提出过）。这种手术称为双侧扁桃体切开术，包括切除超出扁桃体柱边界理想连接线的扁桃体组织。
