Clinico-histopathological evaluation of tonsillectomy specimens at a tertiary care hospital

Authors

  • Nikita Modh Department of Pathology, Gujarat Adani Institute of Medical Sciences, Bhuj Kachchh, Gujarat, India
  • Ajeet Kumar Khilnani Department of Otorhinolaryngology, Gujarat Adani Institute of Medical Sciences, Bhuj Kachchh, Gujarat, India https://orcid.org/0000-0003-3592-6340
  • Dhaneshwar Lanjewar Department of Pathology, Gujarat Adani Institute of Medical Sciences, Bhuj Kachchh, Gujarat, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20231812

Keywords:

Actinomycetes, Chronic tonsillar hyperplasia, Tonsillectomy, Ugras’s criteria

Abstract

Background: Tonsillar diseases are common in paediatric and adult otolaryngological practice and often require tonsillectomy and specimens are subjected to histopathological evaluation. Chronic tonsillitis is disease with repeated attacks of acute tonsillitis/ a sub-clinical form of a resistant or poorly treated infection. Aim of study was to determine the most common histopathological findings in patients presenting with clinical features of chronic tonsillitis.

Methods: The present study is an observational study carried out at the Departments of Pathology and Otorhinolaryngology at Gujarat Adani Institute of Medical Sciences and GK General Hospital, Bhuj from January 2019 to April 2022.

Results: A total of 35 cases of bilateral tonsillectomy were studied in a span of 40 months. There were 17 (49%) males and 18 (51%) females. The age ranges of the patients varied from 7 to 37 years with maximum number of cases less than 20 years of age. A total of 70 specimens obtained from 35 patients were studied. The most common clinical presentation was throat pain in 29 (83%) patients. The histopathological evaluation confirmed chronic tonsillitis in 40 (57%) specimens, followed by chronic lymphoid hyperplasia/ hypertrophy in 30 (43%) specimens, 14 specimens with chronic tonsilitis showed associated actinomycetes.

Conclusions: Resected tonsillectomy specimens should be routinely evaluated by histopathological examination to know the cause of enlarged tonsils.

Metrics

Metrics Loading ...

References

Dell’Aringa AR, Juares AJ, d Mello C, Nardi JC, Kobari K et al. Histological analysis of tonsillectomy and adenoidectomy specimens - January 2001 to May 2003. Braz J Otorhinolaryngol. 2005;71(1):18-22.

Ikram M, Khan M, Ahmed M, Siddiqui T, Mian MV. The Histopathology of routine tonsillectomy specimens. Results of a study and review of literature. Ear Nose Throat J. 2000;79:880-2.

Curtin JM. The history of tonsil and adenoid surgery. Otolaryngol Clin North Am. 1987;20:415-9.

Zhang PC, Pang YT, Loh KS. Comparison of histology between recurrent tonsillitis and tonsillar hypertrophy. Clin Otolaryngol. 2003;28:235-9.

Ugras¸ S, Kutluhan A. Chronic tonsillitis can be diagnosed with Histopathological findings. Eur J Gen Med. 2008;5(2):95-103.

Junqueira LC, Carneiro J. Histologia Básica 9th ed. Rio de Janeiro: Guanabara Koogan. 1999;242-3.

Alves AL, Scala W, Barros MD, Dolci J. Histological analysis of 24 pharyngeal tonsils of patients undergoing adenoidectomy or adenotonsillectomy. Rev Bras Otorrinolaringol. 2002;68(5):615-8.

Kornblut AD. Otolaryngology. In: Paparella MM, Shumrick DA, eds. Non-neoplastic diseases of the tonsils and adenoids. Philadelphia: WB Saunders Company. 1991;2129-48.

Erkilic¸ S, Aydin A, Kocer NE. Histological features in routine tonsillectomy specimens: the presence and the proportion of mesenchymal tissues and seromucinous glands. J Laryngol Otol. 2002;116(11):911-3.

Wiatrak BJ, Woolley AL. Pediatric Otolaryngology-Head and Neck Surgery. In: Cummings CW, Fredrickson JM, Harker LA, Krause CT, Richardson MA, Schuller DE eds. Pharyngitis and adenotonsillar disease. St Louis, Mosby-Year Book Inc. 1998: 188-215.

Nikethan B, Neethu G V, Rashmi P, Anu D. A histomorphological study of lesions of tonsil in tertiary care hospital. IP Arch Cytol Histopathology Res. 2020;5(1):14-7.

Anim J, Dawlaty E. Tuberculosis of the tonsil revisited. West Afr J Med. 1991;10:194-7.

Ekirlie S, Aydin A, Kocer E. Histologic features in routine tonsillectomy specimens: The presence and proportions of seromucus glands. J Laryngol Otol. 2002;116:911-3.

Garavello W, Romagnoli M, Sordo L, Spreafi co R, Gaini RM. Incidence of unexpected malignancies in routine tonsillectomy specimens in children. Laryngoscopes. 2004;114:1103-5.

Leif B, Markku P, Jukka Y. Traditional tonsillectomy compared with traditional radiofrequency thermal ablation tonsillectomy in adults. Arch Otolaryngol Head Neck Surg. 2001;127:1106-12.

Adoga AS, Ma`an DN, Nuhu SI. Is routine histopathology of tonsil specimen necessary? Afr J Paediatr Surg. 2011;8:283-5.

Khatib KW, Jagtap SV, Patel PM, Bisht TV, Shukla DB. Tonsillar Actinomycosis - A Case Report. Int J Health Sci Res. 2014;6(15):28-32.

AC VL, Prescott CA, Sinclair-Smith CC. An investigation of the significance of Actinomycosis in tonsil disease. Int J Pediatr Otorhinolaryngol. 2007;71(12):1883-8.

Downloads

Published

2023-06-26

How to Cite

Modh, N., Khilnani, A. K., & Lanjewar, D. (2023). Clinico-histopathological evaluation of tonsillectomy specimens at a tertiary care hospital. International Journal of Otorhinolaryngology and Head and Neck Surgery, 9(7), 552–555. https://doi.org/10.18203/issn.2454-5929.ijohns20231812

Issue

Section

Original Research Articles