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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

The Most Important Throat-Related Symptoms Suggestive of Chronic Tonsillitis as the Main Indication for Adult Tonsillectomy

1
Department of Otorhinolaryngology, Medical Academy, Lithuanian University of Health Sciences
2
Department of Pathological Anatomy, Medical Academy, Lithuanian University of Health Sciences
3
Department of Physics, Mathematics and Biophysics, Medical Academy, Lithuanian University of Health Sciences
4
Faculty of Medicine, Medical Academy, Lithuanian University of Health Sciences, Lithuania
*
Author to whom correspondence should be addressed.
Medicina 2013, 49(5), 35; https://doi.org/10.3390/medicina49050035
Received: 3 January 2013 / Accepted: 30 April 2013 / Published: 5 May 2013
Background and Objective. The literature lacks data about the evaluation of throatrelated symptoms proving chronic tonsillitis as the most common indication for adult tonsillectomy. Therefore, the aim of this study was to assess the most important throat-related symptoms suggestive of chronic tonsillitis in adults.
Material and Methods
. A prospective cohort study was carried out. The analysis of throatrelated symptoms (complaints, tonsillitis rate, pharyngeal signs, and antistreptolysin-O titer) in 81 adults with histologically confirmed chronic tonsillitis was conducted.
Results
. Recurrent tonsillitis was the most common complaint (74.1%). The mean number of tonsillitis episodes was 3.6 (SD, 1.9) times per year. There were no significant differences comparing the frequencies of all the analyzed pharyngeal signs (P>0.05). The antistreptolysin-O titer (mean, 279.8; SD, 211.6 UL) was pathological in 33.3% of patients. The study identified the most important throat-related symptoms revealing chronic tonsillitis: tonsillar cryptic debris (OR, 8.84; 95% CI, 1.93–40.53; P=0.005) and enlarged anterior cervical lymph nodes along with the frequency of tonsillitis episodes exceeding 3 times per year (OR, 8.27; 95% CI, 1.33–51.57; P=0.024). The classification accuracy of 85.2% was obtained.
Conclusions
. Tonsillar cryptic debris and enlarged regional lymph nodes along with recurrent tonsillitis could support the diagnosis of chronic tonsillitis in adults when considering tonsillectomy.
Keywords: adult; chronic tonsillitis; throat-related symptoms; tonsillectomy adult; chronic tonsillitis; throat-related symptoms; tonsillectomy
MDPI and ACS Style

Pribuišienė, R.; Kuzminienė, A.; Šarauskas, V.; Šaferis, V.; Pribuišis, K.; Rastenienė, I. The Most Important Throat-Related Symptoms Suggestive of Chronic Tonsillitis as the Main Indication for Adult Tonsillectomy. Medicina 2013, 49, 35.

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