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Updated: May 17, 2026

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CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
Effect of tonsillectomy on aso-titre
N Viswanathan1, S S Nair, S Thulseedharan
1ENT Medical College, Trivandrum.
Summary
This study followed children with chronic tonsillitis after tonsillectomy. Post-surgery, Antistreptolysin O (ASO) titre levels significantly decreased over one year.
Area of Science:
- Pediatric Otolaryngology
- Immunology of Infectious Diseases
Background:
- Chronic tonsillitis affects numerous children globally.
- Elevated Antistreptolysin O (ASO) titres indicate persistent streptococcal infection or inflammation.
- Tonsillectomy is a common surgical intervention for chronic tonsillitis.
Purpose of the Study:
- To evaluate the impact of tonsillectomy on Antistreptolysin O (ASO) titres in children with chronic tonsillitis.
- To assess the long-term trend of ASO titre reduction following surgical intervention.
Main Methods:
- Screening of 136 children under 15 with chronic tonsillitis.
- Selection of 56 patients with ASO titres > 200 IU/ml for tonsillectomy.
- Serial ASO titre measurements at 1 month, 3 months, 6 months, and 1 year post-tonsillectomy.
Main Results:
- A significant reduction in ASO titres was observed after tonsillectomy.
- ASO titres decreased to 62% at 3 months, 78% at 6 months, and 88% at 1 year post-surgery.
- The study demonstrates a clear downward trend in ASO titres over the follow-up period.
Conclusions:
- Tonsillectomy is an effective treatment for reducing elevated ASO titres in children with chronic tonsillitis.
- Surgical intervention aids in resolving underlying streptococcal activity or inflammation.
- This supports tonsillectomy as a viable option for managing persistent tonsillitis with elevated ASO levels.
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