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CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
Long-term follow-up of tonsillectomy efficacy in children with PFAPA syndrome
Ozturk Aktas1, Hande Gurbuz Aytuluk2, Sebla Kumas Caliskan3
1Kocaeli State Hospital, Department of Otolaryngology, Kocaeli, Turkey.
Insights
Tonsillectomy effectively treats periodic fever, aphthous stomatitis, pharyngitis, and adenitis syndrome (PFAPA). Most patients experienced complete symptom resolution after surgery, indicating its therapeutic value.
Area of Science:
- Otolaryngology
- Pediatric Medicine
- Immunology
Background:
- The efficacy of tonsillectomy for PFAPA remains debated.
- Previous studies suggest high success rates, but larger patient cohorts are needed.
Purpose of the Study:
- To evaluate the long-term outcomes of tonsillectomy in patients diagnosed with PFAPA syndrome.
Main Methods:
- A multi-center case series involving 23 patients with PFAPA.
- Patients underwent tonsillectomy, with or without adenoidectomy, between 2009 and 2014.
Main Results:
- Complete resolution of PFAPA symptoms was observed in 91% of patients (21/23) immediately post-surgery.
- One patient experienced a single recurrence 24 hours post-surgery, with no further episodes.
- Another patient achieved complete remission after 3 months following intermittent attacks.
Conclusions:
- Tonsillectomy presents a viable and effective treatment option for PFAPA syndrome.
- The procedure demonstrates significant long-term benefits for patients suffering from PFAPA.
Introduction:
The role of tonsillectomy in the periodic fever, aphthous stomatitis, pharyngitis, and adenitis syndrome, is controversial. Although some studies reported high success rates with tonsillectomy, further investigations are needed with larger numbers of patients.
Objective:
To seek the long-term outcomes of tonsillectomy in periodic fever, aphthous stomatitis, pharyngitis, and adenitis syndrome.
Methods:
Case series; multi-center study. The study comprised 23 patients with periodic fever, aphthous stomatitis, pharyngitis, and adenitis syndrome who underwent surgery (tonsillectomy with or without adenoidectomy) between January 2009 and November 2014.
Results:
21 (91%) of 23 patients had complete resolution immediately after surgery. One patient had an attack 24h after surgery, but has had no further attacks. One patient had three attacks with various intervals, and complete remission was observed after 3 months.
Conclusions:
Tonsillectomy is a good option for the treatment of periodic fever, aphthous stomatitis, pharyngitis, and adenitis syndrome.
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