芬兰西南部成人扁桃体切除术治疗肥大指征的发生率。

IF 1.2 4区 医学 Q3 OTORHINOLARYNGOLOGY
Acta Oto-Laryngologica Pub Date : 2025-02-01 Epub Date: 2025-01-11 DOI:10.1080/00016489.2024.2448823
Henrik M Sjöblom, Jenny C Knubb, Tommi Kauko, Jaakko Pulkkinen, Jaakko M Piitulainen
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引用次数: 0

摘要

背景:大腭扁桃体可引起多种症状,包括阻塞性睡眠呼吸暂停和打鼾。在成人中,扁桃体肥大的患病率仍不确定。目的:我们使用人群数据和回顾性患者图表估计成人腭扁桃体肥大扁桃体切除术的发生率。材料和方法:回顾性收集芬兰西南部医院区2004年至2018年的患者数据。以扁桃体肥大、阻塞性睡眠呼吸暂停或口呼吸/打鼾为手术指征的成年患者纳入研究。数据从患者图表中得到验证。为了确定成人扁桃体肥大扁桃体切除术的发生率,将手术次数与人群数据进行比较。结果:成人扁桃体肥大的扁桃体切除术发生率为8.49 / 100000人年。在我们医院区,9.5%接受扁桃体手术的成人扁桃体肥大。发病率随着年龄的增长而降低。扁桃体肥大手术最常见的指征是打鼾(30.8%)。在本研究中,12.7%的非对称扁桃体患者有恶性肿瘤,最常见的是淋巴瘤。结论和意义:成人扁桃体肥大的症状是罕见的。成人扁桃体不对称应引起淋巴瘤的怀疑。即使在成年期,随着年龄的增长,扁桃体肥大也变得不那么常见。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Incidence of adult tonsillectomy for hypertrophic indications in Southwest Finland.

Background: Large palatine tonsils cause a variety of symptoms including obstructive sleep apnea and snoring. In adults, the prevalence of tonsillar hypertrophy remains uncertain.

Aims: We estimated the incidence of tonsillectomy for adult palatine tonsillar hypertrophy using population data and retrospective patient charts.

Material and methods: Patient data were retrospectively collected between 2004 and 2018 in the Hospital District of Southwest Finland. Adult patients with tonsil hypertrophy, obstructive sleep apnea or mouth breathing/snoring as an indication for surgery were included. Data were verified from patient charts. To determine in adults the incidence of tonsillectomy for tonsillar hypertrophy, the number of surgeries was compared to population data.

Results: The incidence of tonsillectomy for adult tonsillar hypertrophy was 8.49 per 100000 person-years. In our hospital district, 9.5% of adults who underwent tonsil surgery had tonsillar hypertrophy. The incidence rate reduced with age. The most common indication for surgery of hypertrophic tonsils was snoring (30.8%). In this study, 12.7% of patients with asymmetric tonsils had malignancy with the most common being lymphoma.

Conclusions and significance: Symptomatic adult tonsil hypertrophy remains rare. In adults, tonsil asymmetry should invoke a suspicion of lymphoma. Even during adulthood, as age increases, tonsillar hypertrophy becomes less common.

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来源期刊
Acta Oto-Laryngologica
Acta Oto-Laryngologica 医学-耳鼻喉科学
CiteScore
2.50
自引率
0.00%
发文量
99
审稿时长
3-6 weeks
期刊介绍: Acta Oto-Laryngologica is a truly international journal for translational otolaryngology and head- and neck surgery. The journal presents cutting-edge papers on clinical practice, clinical research and basic sciences. Acta also bridges the gap between clinical and basic research.
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