Recurrent Lingual Tonsil Hyperplasia

Abstract

Clinically significant lingual tonsil hypertrophy is a rare entity in children. We describe a child, status postadenotonsillectomy, with recurrent hypertrophy of the lingual tonsil after carbon dioxide laser ablation. Workup was negative for immunodeficiency, cystic fibrosis, and allergies. The findings of examination of multiple biopsy specimens of the tissue suggested follicular hyperplasia, and cytometery showed no evidence of a lymphoproliferative disorder. Empiric treatment with a histamine2-receptor blocker after the sixth carbon dioxide laser ablation prevented lingual tonsil hypertrophy.

Trans‐oral robotic surgery (TORS) for the treatment of lingual tonsillitis. When conventional therapies fail

“…In contrast, lingual tonsillar hypertrophy has been associated with obstructive sleep apnea and acute airway obstruction, as well as dysphagia and foreign body sensation . Cough has been mentioned in some reports that detail lingual tonsillitis, but usually as a secondary diagnosis or mentioned among a constellation of symptoms . Albeit, Lewis et al .…”

“…This structure is responsible for a wide range of pharyngeal symptoms and the diagnosis of this pathology may easily be obtained with an accurate clinical history and examination of the area with endoscopes. Lingual tonsillitis can be treated with the same medications that are used for the more common forms of palatine tonsillitis (Figure ). Surgery should be considered only in cases of failure of the medical therapy.…”

Obstructive lingual tonsil hypertrophy in recurrent thyroglossal duct cyst

“…Certainly, gastroesophageal reflux disease may have played a secondary role in pathogenesis. One prospective study [16] showed enlargement of the lingual tonsil in 70% of patients who had a diagnosis of gastroesophageal reflux disease, and one hypothesis is that treatment with antireflux medication aids resolution of recurrent lingual tonsil hyperplasia [17]. In patients with a TGDC and upper aerodigestive tract symptoms, direct or flexible endoscopic examination is warranted before surgical excision.…”

The Pierre Limoges Pediatric Anesthesia Lecture: Tricky problems in pediatric anesthesia

“…33 Parham reports on a pediatric patient with recurrent LTH, who was successfully treated with histamine 2 -receptor blockers with no recurrence of LTH after one year. 34 Thus, risk factors for LTH, in pediatric patients, seem to include Down's syndrome, prior tonsillectomy and/or adenoidectomy and gastroesophageal reflux.…”