Pharyngitis surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
[[Tonsillectomy]] is an option often considered by adult patients and parents of children with recurrent GAS pharyngitis; however, this procedure has associated morbidity and mortality. Because it has not been shown to provide a clear long-term benefit over nonsurgical management, [[tonsillectomy]] should only be considered in the rare patient without an alternative explanation for recurrent pharyngitis who does not have decreased frequency of episodes over time.<ref name="pmid22944886">Kociolek LK, Shulman ST (2012) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=22944886 In the clinic. Pharyngitis.] ''Ann Intern Med'' 157 (5):ITC3-1 - ITC3-16. [http://dx.doi.org/10.7326/0003-4819-157-5-20120904-01003 DOI:10.7326/0003-4819-157-5-20120904-01003] PMID: [https://pubmed.gov/22944886 22944886]</ref> | Surgery for [[pharyngitis]] is very rare except in recurrent cases and the efficacy of [[tonsillectomy]] or [[adenotonsillectomy]] as a treatment option for recurrent or chronic [[pharyngitis]] is proven in few studies. [[Tonsillectomy]] can reduce the incidence, frequency, and time to infection in patients with recurrent [[streptococcal infections]].<ref name="pmid17075399">Orvidas LJ, St Sauver JL, Weaver AL (2006) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=17075399 Efficacy of tonsillectomy in treatment of recurrent group A beta-hemolytic streptococcal pharyngitis.] ''Laryngoscope'' 116 (11):1946-50. [http://dx.doi.org/10.1097/01.mlg.0000241958.58787.ab DOI:10.1097/01.mlg.0000241958.58787.ab] PMID: [https://pubmed.gov/17075399 17075399]</ref><ref name="pmid12093941">Paradise JL, Bluestone CD, Colborn DK, Bernard BS, Rockette HE, Kurs-Lasky M (2002) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=12093941 Tonsillectomy and adenotonsillectomy for recurrent throat infection in moderately affected children.] ''Pediatrics'' 110 (1 Pt 1):7-15. PMID: [https://pubmed.gov/12093941 12093941]</ref><ref name="pmid12837892">Rosefsky JB (2003) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=12837892 Tonsillectomies and adenotonsillectomies--will the debate never be over?] ''Pediatrics'' 112 (1 Pt 1):205; author reply 205. PMID: [https://pubmed.gov/12837892 12837892]</ref> | ||
[[Tonsillectomy]] is an option often considered by adult patients and parents of children with recurrent GAS pharyngitis; however, this procedure has associated morbidity and mortality. Because it has not been shown to provide a clear long-term benefit over nonsurgical management, [[tonsillectomy]] should only be considered in the rare patient without an alternative explanation for recurrent pharyngitis who does not have a decreased frequency of episodes over time.<ref name="pmid22944886">Kociolek LK, Shulman ST (2012) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=22944886 In the clinic. Pharyngitis.] ''Ann Intern Med'' 157 (5):ITC3-1 - ITC3-16. [http://dx.doi.org/10.7326/0003-4819-157-5-20120904-01003 DOI:10.7326/0003-4819-157-5-20120904-01003] PMID: [https://pubmed.gov/22944886 22944886]</ref> | |||
==Reference== | ==Reference== | ||
Revision as of 22:57, 11 December 2020
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Pharyngitis Microchapters |
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Treatment |
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Pharyngitis surgery On the Web |
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American Roentgen Ray Society Images of Pharyngitis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Venkata Sivakrishna Kumar Pulivarthi M.B.B.S [2]
Overview
Surgery for pharyngitis is very rare except in recurrent cases and the efficacy of tonsillectomy or adenotonsillectomy as a treatment option for recurrent or chronic pharyngitis is proven in few studies. Tonsillectomy can reduce the incidence, frequency, and time to infection in patients with recurrent streptococcal infections.[1][2][3]
Surgery
Surgery for pharyngitis is very rare except in recurrent cases and the efficacy of tonsillectomy or adenotonsillectomy as a treatment option for recurrent or chronic pharyngitis is proven in few studies. Tonsillectomy can reduce the incidence, frequency, and time to infection in patients with recurrent streptococcal infections.[1][2][3] Tonsillectomy is an option often considered by adult patients and parents of children with recurrent GAS pharyngitis; however, this procedure has associated morbidity and mortality. Because it has not been shown to provide a clear long-term benefit over nonsurgical management, tonsillectomy should only be considered in the rare patient without an alternative explanation for recurrent pharyngitis who does not have a decreased frequency of episodes over time.[4]
Reference
- ↑ 1.0 1.1 Orvidas LJ, St Sauver JL, Weaver AL (2006) Efficacy of tonsillectomy in treatment of recurrent group A beta-hemolytic streptococcal pharyngitis. Laryngoscope 116 (11):1946-50. DOI:10.1097/01.mlg.0000241958.58787.ab PMID: 17075399
- ↑ 2.0 2.1 Paradise JL, Bluestone CD, Colborn DK, Bernard BS, Rockette HE, Kurs-Lasky M (2002) Tonsillectomy and adenotonsillectomy for recurrent throat infection in moderately affected children. Pediatrics 110 (1 Pt 1):7-15. PMID: 12093941
- ↑ 3.0 3.1 Rosefsky JB (2003) Tonsillectomies and adenotonsillectomies--will the debate never be over? Pediatrics 112 (1 Pt 1):205; author reply 205. PMID: 12837892
- ↑ Kociolek LK, Shulman ST (2012) In the clinic. Pharyngitis. Ann Intern Med 157 (5):ITC3-1 - ITC3-16. DOI:10.7326/0003-4819-157-5-20120904-01003 PMID: 22944886