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Indexed/Abstracted in: EMBASE, Scopus
Lukomski M., Mazur G. *, Józefowicz-Korczynska M.
From the Medical University of Lodz, Poland ENT Department
*Department of Otolaryngology Regional Hospital, Belchatów
Background. Some patients after tonsillectomy complain about throat disorders. These are often neglected but can testify to chronic atrophic inflammation. Diagnosing of chronic throat atrophy is mainly based on clinical examination, which is subjective. In our research we undertook an objective analysis of the pharynx mucous, based on cytological findings, and evaluated inflammatory and atrophy pharynx patients underwent tonsillectomy.
Methods. The study was curried on 245 persons including 165 persons after tonsillectomy and 40 healthy persons as the comparative group. The group of operated patients consisted of 100 women and 65 man, mean age was 33 years. Some objective evaluation of pharynx mucous status was found. Cytological smear was collected and cells were microscopes estimated. Four grades which referred for chronic inflammation and three for pharynx atrophy was made.
Results. We found chronic pharynx inflammation statistically significant more frequently: in operated persons in longest period than 2 years from operation, in women than in men, and in persons older than 30 years of age. The most significant progression of chronic inflammation (III) was noted in a period longest than 6 years after operation. Atrophic lesions most frequently were found in persons over 40 year and longer than 6 years after surgical treatment in women than in men. The differences in the frequency of atrophic lesion in the operated and in the comparative group were statistically significant in all the degrees of progression.
Conclusions. Chronic pharynx inflammation is presented in 75% patients after tonsillectomy and they are more frequent in female. The grades of pharynx atrophy patients after tonsillectomy is highest with the age and length of postoperative period.