Guidance of clinical management for patients with tonsillar focal disease

Miki Takahara; Akira Doi; Ayako Inoshita; Junichiro Ohori; Masamitsu Kono; Ai Hirano; Takuya Kakuki; Kentaro Yamada; Hirofumi Akagi; Kenichi Takano; Seiichi Nakata; Yasuaki Harabuchi

doi:10.1016/j.anl.2024.05.010

Guidance of clinical management for patients with tonsillar focal disease

Auris Nasus Larynx. 2024 Aug;51(4):761-773. doi: 10.1016/j.anl.2024.05.010. Epub 2024 Jun 14.

Authors

Miki Takahara¹, Akira Doi², Ayako Inoshita³, Junichiro Ohori⁴, Masamitsu Kono⁵, Ai Hirano⁶, Takuya Kakuki⁷, Kentaro Yamada⁸, Hirofumi Akagi⁹, Kenichi Takano⁷, Seiichi Nakata¹⁰, Yasuaki Harabuchi¹¹

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, Asahikawa Medical University, Midorigaoka higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan. Electronic address: miki@asahikawa-med.ac.jp.
² Division of Otolaryngology, Kochi Health Sciences Center.
³ Department of Otorhinolaryngology, Juntendo University Faculty of Medicine, 3-1-3 Hongo, Bunkyo-ku, Tokyo, 113-8431, Japan.
⁴ Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8544, Japan.
⁵ Department of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, 911-1 Kimiidera, Wakayama-shi, 641-8509, Japan.
⁶ Department of Otolaryngology-Head and Neck Surgery, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi Aoba-ku, Sendai, Miyagi, 980-8575, Japan.
⁷ Department of Otolaryngology-Head and Neck Surgery, Sapporo Medical University School of Medicine, S1 W17, Chuo-ku, Sapporo, Hokkaido, 060-8556, Japan.
⁸ Department of Otorhinolaryngology, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa, 920-0293, Japan.
⁹ Okayama city.
¹⁰ Department of Otorhinolaryngology, Fujita Health University Bantane Hospital, 3-6-10 Otohashi, Nakagawa-ku, Nagoya, Aichi, 454-8509, Japan.
¹¹ Department of Otolaryngology-Head and Neck Surgery, Asahikawa Medical University, Midorigaoka higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan.

PMID: 38875993
DOI: 10.1016/j.anl.2024.05.010

Abstract

Tonsillar focal diseases (TFDs) are defined as "diseases caused by organic and/or functional damage in organs distant from tonsil, and the disease outcome is improved by tonsillectomy." Although several reports and reviews have shown the efficacy of tonsillectomy for TFDs, no guidelines for the clinical management of the diagnosis and treatment of TFDs have been reported. Therefore, the Society of Stomato-pharyngology established a committee to guide the clinical management of patients with TFDs, and the original guide was published in May 2023. This article summarizes the English version of the manuscript. We hope that the concept of TFDs will spread worldwide, and that one as many patients with TFDs will benefit from tonsillectomy.

Keywords: IgA nephropathy (IgAN); Palmoplantar pustulosis (PPP); Sternocostoclavicular hyperostosis (SCCH); Tonsillar focal disease (TFD); Tonsillectomy.

Publication types

Review
Practice Guideline

MeSH terms

Humans
Palatine Tonsil* / pathology
Pharyngeal Diseases / therapy
Tonsillectomy*