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편도 절제술을 받은 성인의 편도 검체에서 동정된 방선균의 임상적 의의

Clinical Significance of Actinomycetes Identified in the Tonsil Specimens from Adult Patients Underwent Tonsillectomy

임상이비인후과 2019년 30권 2호 p.216 ~ 221
장동혁 ( Jang Dong-Hyuk ) - 을지대학교 의과대학 을지병원 이비인후과학교실

김호찬 ( Kim Ho-Chan ) - 을지대학교 의과대학 을지병원 이비인후과학교실
김지선 ( Kim Ji-Sun ) - 을지대학교 의과대학 을지병원 이비인후과학교실
권민수 ( Kwon Min-Su ) - 을지대학교 의과대학 을지대학병원 이비인후과학교실

Abstract


Background and Objectives:There have been few studies about the association between actinomycetes and tonsillar diseases confined in adults. In this study, we tried to identify the frequency of actinomycetes in the specimens of adult patients who underwent tonsillectomy and compare the perioperative clinical characteristics according to the presence of actinomycetes.

Materials and Methods:We retrospectively reviewed the medical records and specimens of patients over 18 years-old who underwent tonsillectomy in our institute from 2013 to 2018. The patients were classified into two groups according to the identification of actinomycetes, and subse- quently compared their preoperative characteristics such as smoking, alcohol consumption, tonsillar features, and chief complaints for tonsillectomy. And intra- and post-operative findings (e.g., tonsillolith, adhesion, post- operative bleeding, pain and wound healing status, etc.) and clinical characteristics were also evaluated.

Results:A total of 279 patients was analyzed, and actinomycetes were identified in 22 (7.9%) patients. Tonsillo- lith was more frequently identified intraoperatively in patients with positive actinomycetes (22.7% vs. 5.4%, p=0.011). However, there was no correlation between preoperative patient characteristics and presence of acti- nomycetes. In addition, the identification of actinomycetes was not particularly associated with the perioperative clinical courses of the patients.

Conclusion:Actinomycetes in tonsil specimen from the adult patients under- went tonsillectomy was significantly associated with the presence of tonsillolith. There was no other meaning- ful correlation between perioperative patients’ characteristics and identification of actinomycetes.

키워드

구개편도; 방선균; 성인; 편도결석; 편도절제술
Actinomycetes; Adult; Palatine tonsil; Tonsillectomy; Tonsillolith
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