Edit concept Question Editor Create issue ticket

Tonsillar Hypertrophy

Hypertrophy of Tonsils


Presentation

  • We report a case of unusual presentation of actinomycosis in the tonsil causing massive unilateral enlargement in a 78-year-old female.[ncbi.nlm.nih.gov]
Sulfur Granules
  • Since this anaerobic organism is difficult to culture, the diagnosis is made by observing its associated sulfur granules in the biopsy specimen.[ncbi.nlm.nih.gov]
  • Morris, Zhiheng Pei, Liying Yang; Chronic Tonsillar Hypertrophy Is Related To "Sulfur Granules", American Journal of Clinical Pathology , Volume 138, Issue suppl_2, 1 November 2012, Pages A284, Download citation file: Ris (Zotero) EndNote BibTex Medlars[academic.oup.com]
Sudden Infant Death Syndrome
  • Furthermore, upper airway obstruction caused by adenoid-tonsillar hypertrophy and hypoxemia during sleep in the rapid eye movement stage were found to be closely related to the sudden infant death syndrome.[ncbi.nlm.nih.gov]
Atrial Septal Defect
  • Besides obstructive sleep apnea, the history included a small atrial septal defect with mild aortic regurgitation and Moyamoya disease.[ncbi.nlm.nih.gov]
Turkish
  • CONCLUSIONS: The MnSOD Ala-9Val polymorphism causes susceptibility to recurrent tonsillitis in Turkish children.[ncbi.nlm.nih.gov]
Snoring
  • Only maternal history of AT predicted history of snoring [4.12 (1.86-9.12); P 0.01].[ncbi.nlm.nih.gov]
Dysphagia
  • PARTICIPANTS: Eighty-five children aged 2 to 14 years referred for tonsillectomy owing to dysphagia related to tonsillar hypertrophy (dysphagia cohort) or for other indications (control cohort).[ncbi.nlm.nih.gov]
  • Manifestations varying degrees of disturbed sleep which may include: loud snoring irregular breathing nocturnal choking and coughing frequent awakenings sleep apnea dysphagia daytime hypersomnolence.[primumn0nn0cere.wordpress.com]
  • Children in this cohort had higher SWAL-QOL scores at baseline than the dysphagia cohort.[thedoctorschannel.com]
Mouth Breathing
  • METHODS: A descriptive and analytical cross-sectional study was accomplished with 59 mouth breathing children aged 3 to 12 years (mean age 6.5 years and SD: standard deviation 2.4).[ncbi.nlm.nih.gov]
  • However, the most common symptoms associated with enlarged tonsils are: Halitosis (chronic bad breath) Mouth breathing Snoring Sleep apnea Inability to gain weight Decreased appetite Chronic fatigue Chronic ear infections Hearing loss Recurring sinus[draustinent.com]
  • Continuous mouth breathing has an influence on the development of the facial skeleton, resulting in a so-called adenoidal face.[czytelniamedyczna.pl]
  • Symptoms suggestive of tonsillar hypertrophy include difficulty in feeding with small children, mouth breathing, noisy respiration, loud snoring, restless sleep, hypersomnolence, secondary enuresis, night terrors, behavior changes, and poor school performance[aafp.org]
  • Constant cooling of tonsils with mouth breathing in case of hypertrophy of adenoids, especially in winter, contributes to this: infected mucus from nose with recurrent duration of adenoiditis has irritant effect onto tonsils.[iliveok.com]

Workup

Microalbuminuria
  • It was found in recurrent acute tonsillitis a moderate correlation between microalbuminuria and anti-streptolysin O, and a weak correlation between microalbuminuria and anti-deoxyribonuclease B antibodies.[ncbi.nlm.nih.gov]
Beta-Hemolytic Streptococcus Group A

Treatment

  • Fourteen children are free of obstruction two years after treatment, 12 after one treatment and two after two treatments. The treatment has been found to be free from complications.[ncbi.nlm.nih.gov]

Prognosis

  • In the present case, treatment consisting of tonsillectomy and antibiotic therapy (penicillin) for several days produced a good prognosis.[ncbi.nlm.nih.gov]
  • Prognosis: Obstructive tonsillar hypertrophy is currently the most common reason for tonsillectomy.[primumn0nn0cere.wordpress.com]
  • […] the degree to which they encroach on the nasopharyngeal airway ( adenoid grade s ): if no adenoidal tissue after age 6 months, suspect an immune deficiency if enlarged adenoids persist well after childhood, suspect lymphatic malignancy Treatment and prognosis[radiopaedia.org]
  • Natural Treatment For Hypertrophic Tonsils The treatment module depends upon the severity of the symptoms, size of the enlargement and overall prognosis.[simple-remedies.com]
  • Prognosis Normal breathing, swallowing, and formation of clear speech in young children are restored after the tonsillotomy.[iliveok.com]

Etiology

  • However, the histopathologic outcome may indicate the possible etiologic role of Actinomycetes in the development of prominent lymphoid hyperplasia and hypertrophy and, in turn, obstructive tonsillar hypertrophy.[ncbi.nlm.nih.gov]
  • The etiology of chronic tonsillar hypertrophy is still unclear. Our hypothesis is that SG is associated with chronic tonsillar hypertrophy (CTH).[academic.oup.com]

Epidemiology

  • Epidemiological studies point to polluted environments as the main cause of tonsillar hypertrophy in the adaptation of the juvenile organism.[ncbi.nlm.nih.gov]
  • Tonsillitis, Pharyngitis Epidemiology Sore throat is a common complaint in children and adolescents. Most cases of pharyngitis are viral and self-limited.[pedsinreview.aappublications.org]
  • Epidemiology It is observed mainly in early childhood against background of age-related physiological immunodeficiency. Screening Inspection of oral cavity during pharyngoscopy at any stage of care.[iliveok.com]
Sex distribution
Age distribution

Pathophysiology

  • Abstract The pathophysiologic results of respiratory disturbances caused by adenoid-tonsillar hypertrophy are reported.[ncbi.nlm.nih.gov]
  • In adults with obstructive sleep apnea, blunted ventilatory drive to hypercapnia during wakefulness develops and may potentially contribute to the pathophysiology of upper airway obstruction.[emedicine.medscape.com]
  • Both Th1 and Th2 cells are involved in the pathophysiology of TH and RT conditions. Indeed, human tonsils persistently harbor microbial antigens even when the subject is asymptomatic of ongoing infection.[en.wikipedia.org]
  • Figure-2: Pre-operative Sleep Oximetry Graph DISCUSSION OSA is not an uncommon entity in children but its pathophysiology is poorly understood. 3 Obstruction to upper airways in children is caused by a variety of diseases, more common being adenotonsillar[ayubmed.edu.pk]
  • Otolaryngology - Head & Neck Surgery 2017 46 :32 The Author(s). 2017 Received: 1 September 2016 Accepted: 28 March 2017 Published: 17 April 2017 Abstract Background Hypertrophy of the lingual tonsil tissue in the adult patient is thought to contribute to the pathophysiology[journalotohns.biomedcentral.com]

Prevention

  • We describe a 24-year-old woman whose markedly hypertrophied lingual tonsils prevented intubation after anesthesic relaxation during preparation for appendectomy.[ncbi.nlm.nih.gov]
  • It will also prevent the infection from spreading. Use this treatment in conjunction with steam inhalation for best results. 3.[doctorshealthpress.com]
  • It may be speculated that the increase of basophils in children with tonsillar hypertrophy results in increased release of interleukin-4, which could prevent lymphoid apoptosis and lead to cell proliferation in tonsillar tissue.[link.springer.com]
  • Gargle a few sore throat sinus congestion body aches how coming throat prevent on sore times daily to ease your sore throat. After about a week the initial scab is repelled and bleeding may occur. evening I got a bad cold.[planning4adaptation.eu]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!