I Mohamad. Actinomyces In The Tonsils: Hospital Universiti Sains Malaysia Experience. The Internet Journal of Otorhinolaryngology. 2008 Volume 8 Number 2.
Tonsillectomy is the most common surgical procedure in Otorhinolaryngology setting. It is defined as a surgical excision of palatine tonsils. The most common indications for tonsillectomy are the episodes of recurrent tonsillitis or tonsillar hypertrophy causing obstructive symptoms such as snoring and sleep apnea.
In some centers performing tonsillectomy, regardless of the indications, tonsils specimens are sent routinely from the operation theatre to the pathology laboratory for histopathological examination because of the concern that the tonsil might harbor malignancy. However, studies have demonstrated that sending routine tonsil specimens following tonsillectomy operation for histopathological examination are not cost-effective 1 .
Presence of bacterial colony, foreign body or other artifacts in the tonsil specimens are more of incidental findings. Usually their presences do not change the management of the patient. However,
The objective of the study was to establish the prevalence of
This is an observational study.
Subjects were selected from those who had undergone tonsillectomy in Hospital Universiti Sains Malaysia. Operation and histological examination were done as routinely practiced. Reports were reviewed and data were analyzed by using SPSS version 12.
197 patients were included in this study from August 2005 to January 2007. The age of the patients in the study population ranged from 2 to 50 years old. All of them underwent tonsillectomy indicated by recurrent or chronic tonsillitis and obstructive symptoms such as snoring or sleep apnea.
The most frequent indication for tonsillectomy in our set up was infective cause. It was followed by tonsillar hypertrophy causing obstructive symptoms.
Pearson Chi-Square p value was taken and there is no association between
Incidental findings of bacterial colonies specifically
A study was conducted to identify the presence of this organism and its role in promoting tonsillar hypertrophy in sleep disordered breathing patient ( Toh ST, 2007). The prevalence of tonsillar
Similarly shown our study that these colonies were identified in both patients with recurrent tonsillitis and obstructive tonsillar hypertrophy. The prevalence was 43.1 %. It was slightly higher than the data from previous study. This is because in the histopathological reports, not all specimens of the right and left tonsil from each patient were reported exclusively. Some of them summarized the findings of both sides of tonsils together, as they share almost the same pathology. The colonies identified were not specifically mentioned either present in both specimens or only on one side. Based on this, we have to count both of the specimens as positive.
In addition, majority of our patient were in paediatric age group. There was evidence that there may be correlation between
As for other bacteria, they need to be cultured to make their presence identifiable on microscopic examination.