口蓋扁桃下極部触診法の試み・視診所見との関連性

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First Dept. of Pediatrics, Dokkyo Univ. School of Medicine, Tochigi We made the new classification of hypertrophy and/or swelling of palatine tonsils in inspection. and tried the palpation of possible lower parts of the palatine tonsils on 234 allergic patients. We then tried to find out the association with palpation and inspection of the palatine tonsils which were serially observed.<BR>When they cought cold, their palatine tonsils changed the size both in inspection and palpation. In palpation, we could find tenderness and change of hardness of tonsils. When they were not infected, the grade more than II of tonsilar hypertrophy in inspection and palpation was 50% in the patients of younger than 11 years old. When they were infected, on the other hand,80% of them showed grade II or III.<BR>When they were not infected,90% of the adult patients showed grade O or I. Even though they cought cold, showed little change in grade. The same change could be obserbed in palpation.<BR>Though the palpation of possible lower parts of the palatine tonsilsis is very useful to catch change of tonsils, it is necessitated to evidence that the tumors would actually he lower parts of palatine tonsils.
Japan Society for Pediatric Otorhinolaryngologyの論文