[The age-specific features of the pharyngeal tonsil in the adult subjects].

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Abstrakt

Tytuł:: [The age-specific features of the pharyngeal tonsil in the adult subjects].
Autorzy:: Kryukov AI; State-financed Healthcare State Organization of Health 'L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology', Moscow Health Department, Moscow, Russia, 117152; N.I. Pirogov Russian National Research Medical University, Moscow, Russia, 117997.
Tsarapkin GY; State-financed Healthcare State Organization of Health 'L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology', Moscow Health Department, Moscow, Russia, 117152.
Zairat'yants OV; A.I. Evdokimov Moscow State Medical Stomatological, Moscow, Russia, 127473.
Ivoilov AY; State-financed Healthcare State Organization of Health 'L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology', Moscow Health Department, Moscow, Russia, 117152.
Arzamazov SG; State-financed Healthcare State Organization of Health 'L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology', Moscow Health Department, Moscow, Russia, 117152.
Transliterated Title:: Vozrastnye izmeneniia glotochnoĭ mindaliny u vzroslykh.
Źródło:: Vestnik otorinolaringologii [Vestn Otorinolaringol] 2017; Vol. 82 (4), pp. 22-24.
Typ publikacji:: Journal Article
Język:: Russian
Imprint Name(s):: Publication: <2003->: Moskva : Media Sfera
Original Publication: Moskva : Medicina
MeSH Terms:: Adenoidectomy*/adverse effects
Adenoidectomy*/methods
Adenoids*/blood supply
Adenoids*/pathology
Adenoids*/surgery
Postoperative Complications/*prevention & control
Regional Blood Flow/*physiology
Adult ; Age Factors ; Child ; Female ; Humans ; Hypertrophy/diagnosis ; Hypertrophy/surgery ; Male ; Microcirculation/physiology ; Patient Selection ; Postoperative Complications/etiology
Contributed Indexing:: Keywords: adenoids in adults; adenotomy; hypertrophy of pharyngeal tonsils; morphological study of adenoids; surgical treatment of adenoids
Local Abstract: [Publisher, Russian] Цель работы - изучение возрастных особенностей сосудистой организации аденоидной ткани. Обследованы 46 пациентов, объединенных в две группы: 1-я группа - 25 пациентов в возрасте от 7 до 12 лет; 2-я группа - 21 пациент в возрасте от 18 до 42 лет. 29 (63%) пациентов были мужского и 17 (37%) - женского пола. В результате гистологического исследования аденоидной ткани были выявлены характерные изменения сосудов аденоидной ткани в каждой возрастной группе. У пациентов старше 18 лет отмечается развитие склероза и гиалиноза стенок сосудов с формированием кавернозно-расширенных полнокровных вен с утолщенными ригидными стенками. Определяется морфологическая перестройка соединительнотканного (базального) слоя, проявляющаяся феноменом 'погружения' лимфоидной ткани с хорошо развитым микроциркуляторным руслом. Результаты проведенного гистологического исследования могут служить одним из показаний для применения электрофизических методов аденотомии у пациентов старше 18 лет.
Entry Date(s):: Date Created: 20171006 Date Completed: 20171129 Latest Revision: 20171129
Update Code:: 20240105
DOI:: 10.17116/otorino201782422-24
PMID:: 28980590
: Czasopismo naukowe

The authors studied the age-related features of the vascular organization of the adenoid tissue. A total of 46 subjects (n=46) were examined; they were divided into two groups one of which included subjects at the age from 7 to 12 years (n=25) whereas the other group was comprised of 21 subjects at the age from 18 to 42 years (n=21). 29 participants of the study were men (63%) and 17 (37%) women. The histological examination of the adenoid tissue revealed the characteristic changes in the adenoid vasculature in the subjects of either age-group. The subjects above 18 years of age were shown to have developed sclerosis and hyalinosis of the vascular walls with the formation of cavernously dilated plethoric veins having the thickened rigid walls. The morphological changes in the connective tissue (basal) layer were documented responsible for the manifestation of the phenomenon of 'immersion' of the lymphoid tissue with the well developed microcirculatory bed. It is concluded that the results of the histological examination can serve as one of the indicators for the use of electrophysical methods to perform adenotomy in the patients older than 18 years.

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