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Tonsillehypertrofi

Sist oppdatert: Sist revidert:
Sist revidert av:


Definisjon:
Hypertrofiske tonsiller også utenom infeksjoner. Tilstanden er assosiert med residiverende tonsillitter
Forekomst:
Er hyppig blant barn
Symptomer:
Kan være svelgbesvær, spisevansker og stemmeendring
Funn:
Forstørrede tonsiller
Diagnostikk:
Ingen tilleggsundersøkelser er av diagnostisk verdi
Behandling:
Nytten av tonsillektomi er moderat
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  2. Morad A, Sathe NA, Francis DO, et al. Tonsillectomy Versus Watchful Waiting for Recurrent Throat Infection: A Systematic Review. Pediatrics 2017; 139.
  3. Sørlie G, Berre F, Bachmann-Harildstad G, et al. Tonsillitt/Tonsillehypertrofi. Veileder for øre-nese-halsfaget. Sist revidert 2018. www.legeforeningen.no  
  4. Helsedirektoratet. Streptokokkhalsinfeksjon og skarlagensfeber. Nasjonale faglige retningslinjer for antibiotikabruk i primærhelsetjenesten. Sist faglig oppdatert: 16. november 2021. www.helsedirektoratet.no  
  5. Norsk kvalitetsregister Øre-Nese-Hals. Tonsilleregisteret. St. Olavs Hospital, Trondheim 2017. stolav.no  
  6. Mitchell RB, Archer SM, Ishman SL, et al. Clinical Practice Guideline: Tonsillectomy in Children (Update). Otolaryngology– Head and Neck Surgery 2019; 160: S1-S42. doi:10.1177/0194599818801757 DOI  
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  8. Ingram DG, Friedman NR. Toward Adenotonsillectomy in Children: A Review for the General Pediatrician. JAMA Pediatr 2015; 169:1155. PubMed  
  9. Wong Chung JERE, van Geet R, van Helmond N, et al. Time to Functional Recovery After Laser Tonsillotomy Performed Under Local Anesthesia vs Conventional Tonsillectomy With General Anesthesia Among Adults: A Randomized Clinical Trial. JAMA Netw Open. 2022;5(2):e2148655. PMID: 35188555 PubMed  
  10. Garetz SL, Mitchell RB, Parker PD. Quality of life and obstructive sleep apnea symptoms after pediatric adenotonsillectomy. Pediatrics 2015; 135: e477-86. doi:10.1542/peds.2014-0620 DOI  
  11. Burton MJ, Glasziou PP, Chong LY, Venekamp RP. Tonsillectomy or adenotonsillectomy versus non-surgical treatment for chronic/recurrent acute tonsillitis. Cochrane Database Syst Rev. 2014 ;11:CD001802. DOI: 10.1002/14651858.CD001802.pub3 DOI  
  12. Koskenkorva T, Koivunen P, Koskela M, et al. Short-term outcomes of tonsillectomy in adult patients with recurrent pharyngitis: a randomized controlled trial. CMAJ 2013 May 14;185(8):E331-6. doi: 10.1503/cmaj.121852. DOI  
  13. Byars SG, Stearns SC, Boomsma JJ . Association of Long-Term Risk of Respiratory, Allergic, and Infectious Diseases With Removal of Adenoids and Tonsils in Childhood. JAMA Otolaryngol Head Neck Surg 2018; 144: 594. pmid:29879264 PubMed  
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  15. Ehlers Klug T, Ovesen T. Blødning efter tonsillektomi: hyppighed og risikofaktorer. Ugeskr Læger 2006; 168: 2559-62. PubMed  
  16. Vyskocil E, Baumgartner WD, Ch Grasl M, et al. Post-tonsillectomy hemorrhage: cost-benefit analysis of prolonged hospitalization. Acta Otolaryngol. 2020;140(7):597-602. PubMed  
  17. Chen MM, Roman SA, Sosa JA, et al. Safety of adult tonsillectomy. A population-level analysis of 5968 patients. JAMA Otolaryngol Head Neck Surg 2014. doi:10.1001/jamaoto.2013.6215 DOI  
  18. Edmonson MB, Zhao Q, Francis DO et al. Association of Patient Characteristics With Postoperative Mortality in Children Undergoing Tonsillectomy in 5 US States. JAMA. 2022 Jun 21;327(23):2317-2325. PMID: 35727278 PubMed  
  • Ingard Løge, spesialist allmennmedisin, redaktør NEL

Tidligere fagmedarbeidere

  • Stein Helge Glad Nordahl, øre-nese-hals spesialist, overlege Haukeland sykehus, Bergen