Familial tendency of tonsillitis in patients undergoing tonsillectomy surgery

Abstract

Background:     Tonsillitis     is  the  commonest    otolaryngological     infection   and  many patient  will end with  surgery   in the form  of tonsillectomy  which  is till now one of the oldest and  commonest    operation   done  all over  the world.  The  main  indications   for  tonsillectomy are  (recurrent    infections,   obstructive    sleep apnea   and  peritonsillerabscess     ) and  there's   no documentation about the familial tendency of tonsillitis

The aim of the this research  is to establishment  the association of family history as risk  factors  for developing  tonsillitis  and  to study  how it influences  the  decision  of  surgery.

Patient   and  Methods:   This  is a  cross-sectional   study  that   has  been  done  from  the beginning   of October   2013  to the  25th  of 25th  of March   2014at  Azadi  Teaching   Hospital and   Kirkuk    hospital.    The   study    involved   200   patients    who   underwent    tonmsillectomy (case)as  an  indicator   of patients   having  tonsillitis   and  200  person   not  having  any  known criteria   of tonsillitis  (control).   All patients   were  evaluated   using  history   regarding   (Family history , chronic disease, sinusitis and allergy )

Results  and  discussion   :A total  of 200   patients   underwent   tonsillectomy   during   the time period   of the  study.  There  were  98 male  (43.4%)   and  102(56.6%)   female  with  mean age of (7) years  and  range  in age from   3 to 12 years  old .The  family  history  was  positive  in (80.5%)  in case group   in contrast   to (18.5%)  in control  group,The   results  of this  study  were compared   with   the   control    cases   of   the   study   itself   and   the   studies   of   other researches,demonstrate  that family history is a risk factor for recurrent  tonsillitis.

Conclusion  and  Recommendation  : From    this study,  it be   concluded that    the presence of family history is a risk factor although  there's  no role of genetic predisposition to explain this result so we should spread awareness about tonsillitis, the proper  antibiotic, adequate   course  of  treatment   and  the  adequate  dose  which  are  the  mainstay  of  the prevention    of  the   recurrent     of  tonmsillitis  thus   reducing   the   complication    and   avoiding surgery .