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[Thyroxin levels in blood of children with chronic decompensated tonsillitis before and after tonsillectomy]
1Department of Otorhinolaryngology, Faculty of Postdiploma Education, Medical Academy, Stavropol'.
Insights
Thyroxine levels in children with chronic decompensated tonsillitis (CDT) were studied. Post-tonsillectomy, T4 levels initially decreased, then normalized, but remained lower long-term in some children.
Area of Science:
- Endocrinology
- Pediatric Otolaryngology
Context:
- Chronic decompensated tonsillitis (CDT) affects children, potentially influencing hormonal balance.
- Tonsillectomy is a common surgical intervention for recurrent tonsillitis.
Purpose:
- To investigate the impact of tonsillectomy on blood thyroxine (T4) levels in children with CDT.
- To analyze T4 level changes over various time points post-surgery.
Summary:
- Blood thyroxine levels were measured in 82 children (3-14 years) with CDT before and after tonsillectomy.
- T4 levels were higher in boys and in cases with quinsy recurrences and metatonsillar complications.
- Thyroxinemia decreased seven days post-tonsillectomy, returning to baseline by 2-3 months. Long-term, T4 levels were lower than preoperative levels in older boys and those with combined CDT forms.
Impact:
- Provides insights into the endocrine response to tonsillectomy in pediatric patients with CDT.
- Highlights potential long-term hormonal alterations in specific pediatric subgroups following tonsillectomy.
Abstract:
Blood thyroxine levels were measured using radioimmunoassay in 82 children aged 3-14 with chronic decompensated tonsillitis (CDT) before tonsillectomy and 7 weeks, 2-3 months and 3-10 years after it. This hormone levels appeared higher in boys. In CDT with quinsy recurrences combination with metatonsiliar complications T4 existed in rather high concentrations. Seven days after tonsillectomy thyroxinemia lowered and 2-3 months later it returned to the baseline level. Long-term follow-up T4 concentrations in the blood were lower than preoperative ones in senior children (boys, as a rule) and in combined forms of chronic tonsillitis decompensation.