A basic and clinical study on thermosurgery of the tonsils.
スポンサーリンク
概要
- 論文の詳細を見る
The thermosurgery of the tonsils is a new treatment for the patients with habitual tonsillitis, chronic tonsillitis, tonsillo-genous focal infections, and other inflammatory tonsils.A precise study was conducted on the technical safety of this treatment, the post-operative changes of the wounds, the histopathological evaluations, the transitions of findings in laboratory examinations, and the long-term results of the clinical effects.In total, 633 patients, ranging from 4 to 78 years old, were treated by means of this method of thermosurgery.Following the surgery, the thick necrotic surface of the tonsils had disappeared, while smaller tonsils with the new epithelium were found 7 to 10 days afterwards.As for the histopathological changes, this surgery brought about marked enlargement of the lacunae, reduction of the size and number of the germinal centers.The scar and the granulation tissue were not prominent.Laboratory examinations indicated that there was a tendency for many abnormal findings to return to normal, along with the improvement of the clinical situation.Questionnaires were circurated to the 633 patients treated by this method, 50.4% of whom responded. Their responses revealed that the surgery resulted in much improvement of their complaints; e.g. effectiveness in 86.4% of recurrent fever, 84.9% of sore throat, and 77.1% of continuous slight fever. Therefore, the effects of the thermosurgery of the tonsils were almost the same as those of the tonsillectomy.This surgery was of great advantage in that it could be done easily and safely enough in the outpatient clinic, since the bleeding usualy did not occur and the post operative pain was very slight.
- 一般社団法人 日本耳鼻咽喉科学会の論文