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Diagnostic Tonsillectomy Versus Follow Up in Asymptomatic Unilateral Tonsillar Enlargement in Children/ A study in Kurdistan Region of Iraq

Akeel Abdurazzak Khdhayer --- Hadeel Adnan Yasseen --- Ali Ibraheem Mohammed

Medical Journal of Babylon مجلة بابل الطبية
ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 2 Pages: 413 -420
Publisher: Babylon University جامعة بابل

Abstract

Children with only tonsil asymmetry are unlikely to have lymphoma, although traditionally a vast majority of these patients end up with tonsillectomy. The debate is whether asymmetry on its own just ifies the need for tonsillectomy. Objective to investigate whether we are appropriately diagnosing asymmetrical tonsils and whether the diagnosis of asymptomatic asymmetrical tonsil should be an indication for tonsillectomy.A prospective study was carried out in Sulaimani City/Kurdistan region of Iraq. A total of 75 children were included. Brodsky measurement was initially recorded for all cases. Children were divided into 3 equal groups, 25 cases each, group having tonsillarasymmetry and subjected for tonsillectomy, group having tonsillar asymmetry and subjected for follow and control group having symmetrically enlarged tonsils and subjected for tonsillectomy. Tonsil size was measured by fluid displacement in a 20-mL syringe. During two years of follow up the increase in size was recorded in five patients only which was due to the patients had fracture nasal bone, septal deviation, and unilateral sinusitis. A strong correlation between clinical tonsil grading and objective tonsil volume was observed. For mild and moderate tonsillar asymmetry in children, if not associated with signs and symptoms follow up is sufficient.

Keywords

tonsillectomy --- tonsillar asymmetry --- follow up