Pharyngitis surgery

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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 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

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.[4]

Reference

  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. 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. Rosefsky JB (2003) Tonsillectomies and adenotonsillectomies--will the debate never be over? Pediatrics 112 (1 Pt 1):205; author reply 205. PMID: 12837892
  4. 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

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