Objective: To improve the clinical recognition and attention of tongue tonsil hypertrophy.
Method: To all patients, after forceps-excision of hypertrophic tongue tonsil under direct larynscope guidance, the remains was treated with microwave.
Result: After treatment of forceps-excision combined with microwave treating, 80.81% cases were cure, 15.12% cases were effective recovered, 4.07% cases didn't recover. Lymphadenia was the main pathological change, 76 cases of follicular hyperplasia (44.19%), 55 cases of diffuse hyperplasia (31.98%), 33 cases of mixed hyperplasia (19.19%), 5 cases of granulational hyperplasia (2.91%) and 3 cases of actinomycetic abscess (1.74%). One hundred and thirteen cases accompanied infiltration or destruction of epithelial lymphocyte, 22 cases accompanied erosion, 91 cases accompanied expanding of follicular cavities, inflammatory exude or forming of cysts. Above all, 57 cases accompanied infection of actinomycete or other germs.
Conclusion: Tongue tonsil hypertrophy is the result of local lymph tissue's reactive hyperplasia to pathogenicity and the lesion of epithelium. Clinical attention should be paid to tongue tonsil hypertrophy for its the main cause of obstinate abnormal sensation of throat. Forceps-excision combines with microwave treating is an effectual treatment of tongue tonsil hypertrophy.
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