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Recurrent lingual tonsil hyperplasia.

Kourosh Parham1, Richard Newman

  • 1Division of Otolaryngology, Department of Surgery, University of Connecticut Health Center, Farmington, CT 06030-6228, USA. parham@neuron.uchc.edu

Archives of Otolaryngology--Head & Neck Surgery
|September 17, 2003
PubMed
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Recurrent lingual tonsil hypertrophy in children is rare. Empiric treatment with a histamine2-receptor blocker successfully prevented recurrence after multiple laser ablations.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Immunology

Background:

  • Lingual tonsil hypertrophy (LTH) is uncommon in pediatric patients.
  • Recurrence of LTH after treatment presents a clinical challenge.
  • This case highlights a rare pediatric presentation of LTH.

Observation:

  • A child experienced recurrent lingual tonsil hypertrophy post-adenotonsillectomy and carbon dioxide laser ablation.
  • Extensive workup ruled out immunodeficiency, cystic fibrosis, and allergies.
  • Histopathological examination suggested follicular hyperplasia without lymphoproliferative disorder.

Findings:

  • Multiple carbon dioxide laser ablations were performed for persistent LTH.
  • Cytometry excluded lymphoproliferative disorders.

Related Experiment Videos

  • Empiric treatment with a histamine2-receptor blocker was initiated after the sixth ablation.

    • Implications:

    • Histamine2-receptor blockers may offer a novel therapeutic approach for refractory LTH in children.
    • This case expands the understanding of LTH management in pediatric populations.
    • Further research is warranted to explore the efficacy of H2 blockers in LTH.