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 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