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[Tonsillectomy and osteoarthritic disease]

S Ohguro1, A Kataura, Y Kukuminato

  • 1Department of Otolaryngology, Sapporo Medical University, School of Medicine.

Nihon Jibiinkoka Gakkai Kaiho
|September 1, 1994
PubMed
Summary

Tonsillectomy reduced pain in patients with sternocostoclavicular hyperosteosis (SCCH) and rheumatoid arthritis (RA). Focal tonsil infections may contribute to the development of SCCH and RA, suggesting tonsillectomy as a potential treatment.

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Area of Science:

  • Rheumatology
  • Otolaryngology
  • Immunology

Background:

  • Sternocostoclavicular hyperosteosis (SCCH) and rheumatoid arthritis (RA) are chronic inflammatory conditions.
  • Focal infections, particularly in the tonsils, are increasingly recognized as potential contributors to systemic diseases.
  • The role of tonsillar infections in SCCH and RA pathogenesis remains an area of active investigation.

Purpose of the Study:

  • To evaluate the clinical outcomes of tonsillectomy in patients diagnosed with SCCH and RA.
  • To explore the potential link between tonsillar focal infection and the etiology of SCCH and RA.

Main Methods:

  • A retrospective study was conducted on 89 SCCH patients and 18 RA patients who underwent tonsillectomy.
  • Clinical outcomes, specifically pain reduction, were assessed more than three months post-surgery.

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  • Tonsillar provocation and annulation tests were utilized in a subset of SCCH patients.

    • Main Results:

    • Tonsillectomy demonstrated a significant decrease in pain levels for both SCCH and RA patients.
    • Symptom improvement (pain reduction >50%) was observed in 80.9% of SCCH patients and 66.7% of RA patients.
    • A high prevalence (79%) of pustulosis palmaris et plantaris, a tonsillar focal infection, was noted in SCCH patients. Positive tonsillar tests correlated with improved outcomes.

    Conclusions:

    • Tonsillectomy can be an effective intervention for pain management in SCCH and RA.
    • Focal tonsillar infection is suggested as a potential etiological factor in SCCH and RA.
    • Further research into the tonsil-systemic disease axis is warranted.