ORIGINAL ARTICLES   

Otorinolaringologia 2001 June;51(2):55-9

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Conditions of pharynx mucous patients after tonsillectomy

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.