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Related Experiment Videos

Lingual tonsillectomy for refractory paroxysmal cough.

M Lewis1, J E McClay, P Schochet

  • 1Department of Otolaryngology/Head and Neck Surgery, University of Texas at Southwestern Medical Center, Children's Hospital of Dallas, 5323 Harry Hines Blvd., 73235-9035, Dallas, TX, USA.

International Journal of Pediatric Otorhinolaryngology
|June 23, 2000
PubMed
Summary

Lingual tonsils, often overlooked, can cause various upper aerodigestive symptoms like chronic cough. This case highlights the importance of examining the tongue base for diagnosing lingual tonsillar hypertrophy.

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Area of Science:

  • Otolaryngology
  • Pediatric Medicine

Background:

  • Lingual tonsils, part of Waldeyer's ring, are frequently neglected in head and neck examinations.
  • Their location and vague symptoms often lead to delayed diagnosis of lingual tonsillar pathology.

Observation:

  • Enlarged lingual tonsils can manifest as odynophagia, dysphagia, otalgia, globus, halitosis, chronic cough, and dyspnea.
  • Patients may undergo extensive work-ups for non-specific symptoms before referral to an otolaryngologist.

Findings:

  • Diagnosis requires a high index of suspicion and thorough physical examination, including indirect mirror or fiberoptic evaluation of the tongue base and hypopharynx.
  • This case report focuses on lingual tonsillar hypertrophy as a cause of chronic cough in a child.

Implications:

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  • Increased awareness of lingual tonsillar disease is crucial for timely diagnosis and appropriate management.
  • Recognizing lingual tonsillar hypertrophy can prevent unnecessary investigations for chronic cough and other related symptoms.