中国耳鼻咽喉颅底外科杂志2026，Vol.32Issue(4)：26-29,4.DOI:10.11798/j.issn.1007-1520.202626266
腭扁桃体切除术后舌扁桃体肥大的临床分析
Clinical case analysis of lingual tonsillar hypertrophy following palatine tonsillectomy
朱敏 1李进让 2王嘉森 2鞠骏 2张瑞 2黄冬雁2
作者信息
- 1. 北京丰台医院 耳鼻咽喉科,北京 100071||解放军总医院第六医学中心耳鼻咽喉头颈外科医学部 咽喉嗓音外科/耳鼻喉疾病国家临床医学研究中心,北京 100048
- 2. 解放军总医院第六医学中心耳鼻咽喉头颈外科医学部 咽喉嗓音外科/耳鼻喉疾病国家临床医学研究中心,北京 100048
- 折叠
摘要
Abstract
Objective To analyze clinical case data of lingual tonsil hypertrophy following palatine tonsillectomy to explore the clinical characteristics and significance of lingual tonsil hypertrophy as a long-term complication after palatine tonsillectomy,providing reference for clinical diagnosis,treatment,and postoperative follow-up.Methods Clinical data of 10 patients diagnosed with lingual tonsil hypertrophy following palatine tonsillectomy admitted to the Department of Otolaryngology Head and Neck Surgery,the Sixth Medical Center of Chinese PLA General Hospital from May 2012 to May 2025 were retrospectively analyzed.Among the 10 patients,7 were male and 3 were female.All patients had a prior history of palatine tonsillectomy,including 4 cases of bilateral palatine tonsillectomy,2 cases of uvulopalatopharyngoplasty combined with bilateral palatine tonsillectomy,3 cases of bilateral palatine tonsillectomy plus adenoidectomy,and 1 case of unilateral palatine tonsillectomy.Of them,2 patients had no obvious symptoms of pharyngeal discomfort.The remaining patients all reported a sensation of foreign body in the pharynx,including 2 with muffled speech and globus sensation,2 with snoring and apnea,and 1 with choking cough.All patients underwent lingual tonsillectomy under general anesthesia.Results All the 10 patients underwent successful surgery with good overall postoperative recovery.Only one patient experienced surgical site bleeding on the 5th postoperative day,which resolved completely after appropriate treatment.All patients were followed up for 1 to 13 years postoperatively,during which symptoms such as foreign body sensation in the pharynx,snoring and apnea,speech abnormalities,and choking cough showed significant improvement,confirming the effectiveness of the treatment.Conclusions Lingual tonsil hypertrophy may occur as a complication after tonsillectomy,which deserves clinical attention.Regular postoperative follow-up should be strengthened,and timely intervention should be provided for patients presenting typical symptoms to improve prognosis and quality of life.关键词
舌扁桃体肥大/腭扁桃体切除术后/体质指数/咽喉反流Key words
Lingual tonsil hypertrophy/Post-palatine tonsillectomy/BMI/Laryngopharyngeal reflux分类
医药卫生引用本文复制引用
朱敏,李进让,王嘉森,鞠骏,张瑞,黄冬雁..腭扁桃体切除术后舌扁桃体肥大的临床分析[J].中国耳鼻咽喉颅底外科杂志,2026,32(4):26-29,4.
