Adenotonsillektomi Sonrası Cerrahi Spesmenlerin Rutin Histopatolojik Tetkiki Gerekli midir

Abstract

Tonsillectomy with or without adenoidectomy is one of the most common surgical procedures performed in pediatric population. The indications for adenotonsillectomy include such as recurrent infection, peritonsillar abscesses, adenoid or tonsillar hypertrophy with obstruction, swallowing or speech abnormalities, severe orofacial or dental abnormalities, and suspected benign or malignant neoplasms. Lymphoma is the most seen tonsillar neoplasm in childhood, whereas squamous cell carcinoma is the most seen tonsillar neoplasm in adults. Although adenoid and tonsillar malignancy or granulomatosis diseases are seen rarely, histopatological evaluation of the all tissues extracted by surgery, are performed because of the fact that concern about overlook these disease and medicolegal reasons. Histopatological evaluation of adenoid and tonsils do not change the clinical outcomes. Furthermore it is a financial burden for the developing countries and the evaluation process is a time-consuming for the pathologist. Many studies were performed about this subject. Some of these studies adenoid and tonsils, however if some situations including progressive hypertrophy of unilateral or bilateral tonsils, cervical lymphadenopathy, lesion in the tonsils or firmness with palpation, a history of malignancy and systemic symptoms concerning malignancy, are existing, the histopatological evaluation should be performed