慢性扁桃炎及び慢性咽頭炎に対する凍結治療 (服部浩教授開講10周年記念論文集)

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During the period from December 1974 to October 1981, we have treated 210 cases of chronic tonsillitis and chronic pharyngitis, which consist of 115 males and 75 females who are from 4- to 72-year-old at the Cryosurgical Clinic of Kobe University Hospital.These cases were examined and the results were as follows:1) Selection of the cryosurgical unit depends on the degree of tonsilar hypertrophy. For grade I (Mackenzie) tonsilar hypertrophy, the cryosurgical unit using N2O gas is effective and suitable, and for grade II, liquid nitrogen.2) The merit of cryosurgery is that cryotonsillectomy is easily and repeatedly performable without bleeding and pharyngitis can be treated.3) There are some demerits of cryosurgery. The tonsilar tissue is not perfectly resected. Sometimes, some patients with severe tonsillitis have temporary fever, and the condition of other patients with palmar and plantar pustulosis becomes more serious after cryosurgery.4) Additional cryosurgery (twice or more) has been done in 27.8% of all the patients.5) In the second therapy, we have treated re-inflammation of the residual tissue and compensatory tonsillitis and pharyngitis.6) Those with fever, sore throat, elevated ASLO level, slight fever, proteinuria or hematuria show a tendency to become better than those with nephritis or palmar and plantar pustulosis.
耳鼻咽喉科臨床学会の論文