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Erschienen in: HNO Nachrichten 3/2019

29.05.2019 | Gaumenmandelhyperplasie | Fortbildung

Vorgehen bei Halsschmerzen

Die Tonsillitis im Kindes- und Erwachsenenalter

verfasst von: Prof. Dr. med. Klaus Stelter, Prof. Dr. med. Marc Dellian

Erschienen in: HNO Nachrichten | Ausgabe 3/2019

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Zusammenfassung

Akute entzündliche Halsschmerzen gehören zu den häufigsten Beratungsanlässen beim Haus- oder HNO-Arzt. Der Patient ersehnt sich ein heilendes Antibiotikum, doch über 80 % der Infektionen sind viral bedingt. Somit bedarf es einer gezielten ärztlichen Analyse, um die passende Therapie einzuleiten. Diese Übersicht zeigt den aktuellen Stand, welche Untersuchungen und Medikamente bei einer Tonsillitis sinnvoll sind und wann eventuell sogar an eine Operation gedacht werden kann.
Literatur
1.
Zurück zum Zitat Swidsinski A, Goktas O, Bessler C et al. Spatial organisation of microbiota in quiescent adenoiditis and tonsillitis. J Clin Pathol. 2007;60:253–60CrossRef Swidsinski A, Goktas O, Bessler C et al. Spatial organisation of microbiota in quiescent adenoiditis and tonsillitis. J Clin Pathol. 2007;60:253–60CrossRef
2.
Zurück zum Zitat Jensen A, Fago-Olsen H, Sorensen CH, Kilian M. Molecular mapping to species level of the tonsillar crypt microbiota associated with health and recurrent tonsillitis. PLoS One. 2013;8:e56418CrossRef Jensen A, Fago-Olsen H, Sorensen CH, Kilian M. Molecular mapping to species level of the tonsillar crypt microbiota associated with health and recurrent tonsillitis. PLoS One. 2013;8:e56418CrossRef
3.
Zurück zum Zitat Proenca-Modena JL, Pereira Valera FC, Jacob MG et al. High rates of detection of respiratory viruses in tonsillar tissues from children with chronic adenotonsillar disease. PLoS One. 2012;7:e42136.CrossRef Proenca-Modena JL, Pereira Valera FC, Jacob MG et al. High rates of detection of respiratory viruses in tonsillar tissues from children with chronic adenotonsillar disease. PLoS One. 2012;7:e42136.CrossRef
4.
Zurück zum Zitat Brandtzaeg P. Immune functions of nasopharyngeal lymphoid tissue. Adv Otorhinolaryngol. 2011;72:20–4PubMed Brandtzaeg P. Immune functions of nasopharyngeal lymphoid tissue. Adv Otorhinolaryngol. 2011;72:20–4PubMed
5.
Zurück zum Zitat Kaygusuz I, Alpay HC, Godekmerdan A et al. Evaluation of long-term impacts of tonsillectomy on immune functions of children: a follow-up study. Int J Pediatr Otorhinolaryngol. 2009;73:445–9CrossRef Kaygusuz I, Alpay HC, Godekmerdan A et al. Evaluation of long-term impacts of tonsillectomy on immune functions of children: a follow-up study. Int J Pediatr Otorhinolaryngol. 2009;73:445–9CrossRef
6.
Zurück zum Zitat Esposito S, Marchisio P, Capaccio P et al. Role of atypical bacteria in children undergoing tonsillectomy because of severely recurrent acute tonsillopharyngitis. Eur J Clin Microbiol Infect Dis. 2008;27:1233–7CrossRef Esposito S, Marchisio P, Capaccio P et al. Role of atypical bacteria in children undergoing tonsillectomy because of severely recurrent acute tonsillopharyngitis. Eur J Clin Microbiol Infect Dis. 2008;27:1233–7CrossRef
7.
Zurück zum Zitat McIsaac WJ, Kellner JD, Aufricht P, Vanjaka A, Low DE. Empirical validation of guidelines for the management of pharyngitis in children and adults. JAMA. 2004;291:1587–95CrossRef McIsaac WJ, Kellner JD, Aufricht P, Vanjaka A, Low DE. Empirical validation of guidelines for the management of pharyngitis in children and adults. JAMA. 2004;291:1587–95CrossRef
8.
Zurück zum Zitat Shulman ST, Bisno AL, Clegg HW et al. Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. Clin Infect Dis. 2012;55:e86–102CrossRef Shulman ST, Bisno AL, Clegg HW et al. Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. Clin Infect Dis. 2012;55:e86–102CrossRef
9.
Zurück zum Zitat Wessels MR. Clinical practice. Streptococcal pharyngitis. N Engl J Med. 2011;364:648–55CrossRef Wessels MR. Clinical practice. Streptococcal pharyngitis. N Engl J Med. 2011;364:648–55CrossRef
10.
Zurück zum Zitat Roberts AL, Connolly KL, Kirse DJ et al. Detection of group A Streptococcus in tonsils from pediatric patients reveals high rate of asymptomatic streptococcal carriage. BMC Pediatr. 2012;12:3CrossRef Roberts AL, Connolly KL, Kirse DJ et al. Detection of group A Streptococcus in tonsils from pediatric patients reveals high rate of asymptomatic streptococcal carriage. BMC Pediatr. 2012;12:3CrossRef
11.
Zurück zum Zitat Sadeghi-Shabestari M, Jabbari MY, Ghaharri H. Is there any correlation between allergy and adenotonsillar tissue hypertrophy? Int J Pediatr Otorhinolaryngol. 2011;75:589–91CrossRef Sadeghi-Shabestari M, Jabbari MY, Ghaharri H. Is there any correlation between allergy and adenotonsillar tissue hypertrophy? Int J Pediatr Otorhinolaryngol. 2011;75:589–91CrossRef
12.
Zurück zum Zitat Demir UL, Cetinkaya B, Karaca S, Sigirli D. The impacts of adenotonsillar hypertrophy on periodontal health in children: A prospective controlled pilot study. Am J Otolaryngol. 2013;34:501–4CrossRef Demir UL, Cetinkaya B, Karaca S, Sigirli D. The impacts of adenotonsillar hypertrophy on periodontal health in children: A prospective controlled pilot study. Am J Otolaryngol. 2013;34:501–4CrossRef
13.
Zurück zum Zitat Hug M, Dorner M, Frohlich FZ et al. Pediatric epstein-barr virus carriers with or without tonsillar enlargement may substantially contribute to spreading of the virus. J Infect Dis. 2010;202:1192–9 Hug M, Dorner M, Frohlich FZ et al. Pediatric epstein-barr virus carriers with or without tonsillar enlargement may substantially contribute to spreading of the virus. J Infect Dis. 2010;202:1192–9
14.
Zurück zum Zitat Windfuhr JP, Chen YS, Remmert S. Hemorrhage following tonsillectomy and adenoidectomy in 15,218 patients. Otolaryngol Head Neck Surg. 2005;132:281–6CrossRef Windfuhr JP, Chen YS, Remmert S. Hemorrhage following tonsillectomy and adenoidectomy in 15,218 patients. Otolaryngol Head Neck Surg. 2005;132:281–6CrossRef
15.
Zurück zum Zitat Chan SC, Dawes PJ. The management of severe infectious mononucleosis tonsillitis and upper airway obstruction. J Laryngol Otol. 2001;115:973–7PubMed Chan SC, Dawes PJ. The management of severe infectious mononucleosis tonsillitis and upper airway obstruction. J Laryngol Otol. 2001;115:973–7PubMed
16.
Zurück zum Zitat Cohen JI, Mocarski ES, Raab-Traub N, Corey L, Nabel GJ. The need and challenges for development of an Epstein-Barr virus vaccine. Vaccine. 2013;31(Suppl 2):B194–6CrossRef Cohen JI, Mocarski ES, Raab-Traub N, Corey L, Nabel GJ. The need and challenges for development of an Epstein-Barr virus vaccine. Vaccine. 2013;31(Suppl 2):B194–6CrossRef
17.
Zurück zum Zitat Windfuhr JP, Toepfner N, Steffen G, Waldfahrer F, Berner R. Clinical practice guideline: tonsillitis I. Diagnostics and nonsurgical management. Eur Arch Otorhinolaryngol. 2016;273:973–87CrossRef Windfuhr JP, Toepfner N, Steffen G, Waldfahrer F, Berner R. Clinical practice guideline: tonsillitis I. Diagnostics and nonsurgical management. Eur Arch Otorhinolaryngol. 2016;273:973–87CrossRef
18.
Zurück zum Zitat Del Mar CB, Glasziou PP, Spinks AB. Antibiotics for sore throat. Cochrane Database Syst Rev. 2006;4:CD000023 Del Mar CB, Glasziou PP, Spinks AB. Antibiotics for sore throat. Cochrane Database Syst Rev. 2006;4:CD000023
19.
Zurück zum Zitat van Driel ML, De Sutter AI, Keber N, Habraken H, Christiaens T. Different antibiotic treatments for group A streptococcal pharyngitis. Cochrane Database Syst Rev. 2013;4:CD004406 van Driel ML, De Sutter AI, Keber N, Habraken H, Christiaens T. Different antibiotic treatments for group A streptococcal pharyngitis. Cochrane Database Syst Rev. 2013;4:CD004406
20.
Zurück zum Zitat Altamimi S, Khalil A, Khalaiwi KA, Milner RA, Pusic MV, Al Othman MA. Short-term late-generation antibiotics versus longer term penicillin for acute streptococcal pharyngitis in children. Cochrane Database Syst Rev. 2012;8:CD004872 Altamimi S, Khalil A, Khalaiwi KA, Milner RA, Pusic MV, Al Othman MA. Short-term late-generation antibiotics versus longer term penicillin for acute streptococcal pharyngitis in children. Cochrane Database Syst Rev. 2012;8:CD004872
21.
Zurück zum Zitat Gerber MA, Randolph MF, Chanatry J, Wright LL, De MK, Kaplan EL. Five vs ten days of penicillin V therapy for streptococcal pharyngitis. Am J Dis Child. 1987;141:224–7PubMed Gerber MA, Randolph MF, Chanatry J, Wright LL, De MK, Kaplan EL. Five vs ten days of penicillin V therapy for streptococcal pharyngitis. Am J Dis Child. 1987;141:224–7PubMed
22.
Zurück zum Zitat Brook I. Penicillin failure in the treatment of streptococcal pharyngo-tonsillitis. Curr Infect Dis Rep. 2013;15:232–5CrossRef Brook I. Penicillin failure in the treatment of streptococcal pharyngo-tonsillitis. Curr Infect Dis Rep. 2013;15:232–5CrossRef
23.
Zurück zum Zitat Brook I. Treatment Challenges of Group A Beta-hemolytic Streptococcal Pharyngo-Tonsillitis. Int Arch Otorhinolaryngol. 2017;21:286–96CrossRef Brook I. Treatment Challenges of Group A Beta-hemolytic Streptococcal Pharyngo-Tonsillitis. Int Arch Otorhinolaryngol. 2017;21:286–96CrossRef
24.
Zurück zum Zitat Hayward G, Thompson MJ, Perera R, Glasziou PP, Del Mar CB, Heneghan CJ. Corticosteroids as standalone or add-on treatment for sore throat. Cochrane Database Syst Rev. 2012;10:CD008268PubMed Hayward G, Thompson MJ, Perera R, Glasziou PP, Del Mar CB, Heneghan CJ. Corticosteroids as standalone or add-on treatment for sore throat. Cochrane Database Syst Rev. 2012;10:CD008268PubMed
25.
Zurück zum Zitat Ciuman RR. Phytotherapeutic and naturopathic adjuvant therapies in otorhinolaryngology. Eur Arch Otorhinolaryngol. 2012;269:389–97CrossRef Ciuman RR. Phytotherapeutic and naturopathic adjuvant therapies in otorhinolaryngology. Eur Arch Otorhinolaryngol. 2012;269:389–97CrossRef
26.
Zurück zum Zitat Feinstein AR, Levitt M. The role of tonsils in predisposing to streptococcal infections and recurrences of rheumatic fever. N Engl J Med. 1970;282:285–91CrossRef Feinstein AR, Levitt M. The role of tonsils in predisposing to streptococcal infections and recurrences of rheumatic fever. N Engl J Med. 1970;282:285–91CrossRef
27.
Zurück zum Zitat Del Mar CB, Glasziou PP, Spinks AB. Antibiotics for sore throat. Cochrane Database Syst Rev. 2006;4:CD000023 Del Mar CB, Glasziou PP, Spinks AB. Antibiotics for sore throat. Cochrane Database Syst Rev. 2006;4:CD000023
28.
Zurück zum Zitat Powell EL, Powell J, Samuel JR, Wilson JA. A review of the pathogenesis of adult peritonsillar abscess: time for a re-evaluation. J Antimicrob Chemother. 2013;68:1941–50CrossRef Powell EL, Powell J, Samuel JR, Wilson JA. A review of the pathogenesis of adult peritonsillar abscess: time for a re-evaluation. J Antimicrob Chemother. 2013;68:1941–50CrossRef
29.
Zurück zum Zitat Powell J, Wilson JA. An evidence-based review of peritonsillar abscess. Clin Otolaryngol. 2012;37:136–45CrossRef Powell J, Wilson JA. An evidence-based review of peritonsillar abscess. Clin Otolaryngol. 2012;37:136–45CrossRef
30.
Zurück zum Zitat Bhattacharyya N, Lin HW. Changes and consistencies in the epidemiology of pediatric adenotonsillar surgery, 1996-2006. Otolaryngol Head Neck Surg. 2010;143:680–4CrossRef Bhattacharyya N, Lin HW. Changes and consistencies in the epidemiology of pediatric adenotonsillar surgery, 1996-2006. Otolaryngol Head Neck Surg. 2010;143:680–4CrossRef
31.
Zurück zum Zitat Österreichische Gesellschaften für Hals-Nasen-Ohren-Heilkunde KuH, Kinder- und Jugendheilkunde. Gemeinsame Empfehlung zur Entfernung der Gaumenmandeln (Tonsillektomie). Monatsschr Kinderheilkd. 2008 Österreichische Gesellschaften für Hals-Nasen-Ohren-Heilkunde KuH, Kinder- und Jugendheilkunde. Gemeinsame Empfehlung zur Entfernung der Gaumenmandeln (Tonsillektomie). Monatsschr Kinderheilkd. 2008
32.
Zurück zum Zitat Paradise JL, Bluestone CD, Bachman RZ et al. Efficacy of tonsillectomy for recurrent throat infection in severely affected children. Results of parallel randomized and nonrandomized clinical trials. N Engl J Med. 1984;310:674–83CrossRef Paradise JL, Bluestone CD, Bachman RZ et al. Efficacy of tonsillectomy for recurrent throat infection in severely affected children. Results of parallel randomized and nonrandomized clinical trials. N Engl J Med. 1984;310:674–83CrossRef
33.
Zurück zum Zitat Paradise JL, Bluestone CD, Bachman RZ et al. History of recurrent sore throat as an indication for tonsillectomy. Predictive limitations of histories that are undocumented. N Engl J Med. 1978;298:409–13CrossRef Paradise JL, Bluestone CD, Bachman RZ et al. History of recurrent sore throat as an indication for tonsillectomy. Predictive limitations of histories that are undocumented. N Engl J Med. 1978;298:409–13CrossRef
34.
Zurück zum Zitat Paradise JL, Bluestone CD, Colborn DK, Bernard BS, Rockette HE, Kurs-Lasky M. Tonsillectomy and adenotonsillectomy for recurrent throat infection in moderately affected children. Pediatrics. 2002;110:7–15CrossRef Paradise JL, Bluestone CD, Colborn DK, Bernard BS, Rockette HE, Kurs-Lasky M. Tonsillectomy and adenotonsillectomy for recurrent throat infection in moderately affected children. Pediatrics. 2002;110:7–15CrossRef
35.
Zurück zum Zitat Stelter K, Ihrler S, Siedek V, Patscheider M, Braun T, Ledderose G. 1-year follow-up after radiofrequency tonsillotomy and laser tonsillotomy in children: a prospective, double-blind, clinical study. Eur Arch Otorhinolaryngol. 2012;269:679–84CrossRef Stelter K, Ihrler S, Siedek V, Patscheider M, Braun T, Ledderose G. 1-year follow-up after radiofrequency tonsillotomy and laser tonsillotomy in children: a prospective, double-blind, clinical study. Eur Arch Otorhinolaryngol. 2012;269:679–84CrossRef
36.
Zurück zum Zitat Ericsson E, Graf J, Hultcrantz E. Pediatric tonsillotomy with radiofrequency technique: long-term follow-up. Laryngoscope. 2006;116:1851–7CrossRef Ericsson E, Graf J, Hultcrantz E. Pediatric tonsillotomy with radiofrequency technique: long-term follow-up. Laryngoscope. 2006;116:1851–7CrossRef
37.
Zurück zum Zitat Windfuhr JP. Evidence-based Indications for Tonsillectomy. Laryngorhinootologie. 2016;95(Suppl 1):S38–87 Windfuhr JP. Evidence-based Indications for Tonsillectomy. Laryngorhinootologie. 2016;95(Suppl 1):S38–87
38.
Zurück zum Zitat de la CR, Klemens C, Patscheider M, Reichel O, Dreher A. Tonsillotomy in the treatment of obstructive sleep apnea syndrome in children: polysomnographic results. Int J Pediatr Otorhinolaryngol. 2008;72:1411–7CrossRef de la CR, Klemens C, Patscheider M, Reichel O, Dreher A. Tonsillotomy in the treatment of obstructive sleep apnea syndrome in children: polysomnographic results. Int J Pediatr Otorhinolaryngol. 2008;72:1411–7CrossRef
39.
Zurück zum Zitat Stelter K, de la CR, Patscheider M, Olzowy B. Double-blind, randomised, controlled study of post-operative pain in children undergoing radiofrequency tonsillotomy versus laser tonsillotomy. J Laryngol Otol. 2010;124:880–5CrossRef Stelter K, de la CR, Patscheider M, Olzowy B. Double-blind, randomised, controlled study of post-operative pain in children undergoing radiofrequency tonsillotomy versus laser tonsillotomy. J Laryngol Otol. 2010;124:880–5CrossRef
Metadaten
Titel
Vorgehen bei Halsschmerzen
Die Tonsillitis im Kindes- und Erwachsenenalter
verfasst von
Prof. Dr. med. Klaus Stelter
Prof. Dr. med. Marc Dellian
Publikationsdatum
29.05.2019
Verlag
Springer Medizin
Erschienen in
HNO Nachrichten / Ausgabe 3/2019
Print ISSN: 0177-1000
Elektronische ISSN: 2198-6533
DOI
https://doi.org/10.1007/s00060-019-5893-z

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