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The role of tonsillectomy as an option in managing children with recurrent throat infection means that there is a substantial role for shared decision making with the child's caregiver and primary care clinician. [1] Many cases of the sore throat have other causes than tonsillitis and tonsillectomy is therefore not indicated for those cases.
Tonsillitis is inflammation of the tonsils in the upper part of the throat. It can be acute or chronic. [8] [9] [2] Acute tonsillitis typically has a rapid onset. [10] Symptoms may include sore throat, fever, enlargement of the tonsils, trouble swallowing, and enlarged lymph nodes around the neck. [1] [2] Complications include peritonsillar ...
The differential diagnosis must be established with acute and chronic tonsillitis, tonsillar hypertrophy, peritonsillar abscesses, foreign bodies, phlebolites, ectopic bone or cartilage, lymph nodes, granulomatous lesions or calcification of the stylohyoid ligament in the context of Eagle syndrome (elongated styloid process).
Typical infections of the upper respiratory tract include tonsillitis, pharyngitis, laryngitis, sinusitis, otitis media, certain influenza types, and the common cold. [3] Symptoms of URIs can include cough , sore throat , runny nose , nasal congestion , headache , low-grade fever , facial pressure, and sneezing .
The palatine tonsils are located in the isthmus of the fauces, between the palatoglossal arch and the palatopharyngeal arch of the soft palate.. The palatine tonsil is one of the mucosa-associated lymphoid tissues (MALT), located at the entrance to the upper respiratory and gastrointestinal tracts to protect the body from the entry of exogenous material through mucosal sites.
The most common way to treat tonsillitis is with anti-inflammatory drugs such as ibuprofen, or if bacterial in origin, antibiotics, e.g. amoxicillin and azithromycin. Surgical removal (tonsillectomy) may be advised if the tonsils obstruct the airway or interfere with swallowing, or in patients with severe or recurrent tonsillitis. [7]
It may be classified as acute or chronic. Acute pharyngitis may be catarrhal, purulent, or ulcerative, depending on the causative agent and the immune capacity of the affected individual. Chronic pharyngitis may be catarrhal, hypertrophic, or atrophic. [citation needed] Tonsillitis is a subtype of pharyngitis. [14]
It is currently believed that bacterial biofilms play an integral role in the harboring of chronic infection by tonsil and adenoid tissue so contributing to recurrent sinusitis and recurrent or persistent ear disease. [1] Also, enlarged adenoids and tonsils may lead to the obstruction of the breathing patterns in children, causing apnea during ...