Evaluation of the Management of Asymptomatic Unilateral Tonsillar Enlargement—Can We Avoid Diagnostic Surgery?

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Clinical Otolaryngology Pub Date : 2024-09-03 DOI:10.1111/coa.14218

E. Tian Tan, Laura Simpson, Rory Braggins, Ovie Edafe

引用次数: 0

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评估无症状单侧扁桃体肿大的处理方法--我们能否避免诊断性手术？

单侧扁桃体肿大（UTE）通常会引起恶性肿瘤的怀疑，通常会进行扁桃体切除术以进行组织学诊断。对于无症状的患者来说，这可能是不必要的。我们对 5 年内所有无症状 UTE 并接受扁桃体切除术的患者进行了回顾性研究。我们在 78 名患者中未发现恶性肿瘤。74名患者中有22名（29.7%）的扁桃体大小相差50%或以上。与扁桃体标本的最终大小相比，约四分之一的患者UTE临床诊断不准确。在一项全面的文献综述中，1152 名患者中仅有 2 人（0.17%）被发现患有淋巴瘤，UTE 是唯一的症状，且无其他可疑特征。正常扁桃体的大小差异很大。如果仅有 UTE 而无其他可疑特征，临床医生应考虑其他处理方案，如观察一段时间，而不是进行诊断性扁桃体切除术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Otolaryngology 医学-耳鼻喉科学

CiteScore

4.00

自引率

4.80%

发文量

106

审稿时长

>12 weeks

期刊介绍： Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.