• Braz J Otorhinolaryngol · Jan 2019

    Multicenter Study

    Long-term follow-up of tonsillectomy efficacy in children with PFAPA syndrome.

    • Ozturk Aktas, Hande Gurbuz Aytuluk, Sebla Kumas Caliskan, Omer Erdur, and Ahmet Adnan Cirik.
    • Kocaeli State Hospital, Department of Otolaryngology, Kocaeli, Turkey.
    • Braz J Otorhinolaryngol. 2019 Jan 1; 85 (1): 78-82.

    IntroductionThe role of tonsillectomy in the periodic fever, aphthous stomatitis, pharyngitis, and adenitis syndrome, is controversial. Although some studies reported high success rates with tonsillectomy, further investigations are needed with larger numbers of patients.ObjectiveTo seek the long-term outcomes of tonsillectomy in periodic fever, aphthous stomatitis, pharyngitis, and adenitis syndrome.MethodsCase series; multi-center study. The study comprised 23 patients with periodic fever, aphthous stomatitis, pharyngitis, and adenitis syndrome who underwent surgery (tonsillectomy with or without adenoidectomy) between January 2009 and November 2014.Results21 (91%) of 23 patients had complete resolution immediately after surgery. One patient had an attack 24h after surgery, but has had no further attacks. One patient had three attacks with various intervals, and complete remission was observed after 3 months.ConclusionsTonsillectomy is a good option for the treatment of periodic fever, aphthous stomatitis, pharyngitis, and adenitis syndrome.Copyright © 2017 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

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