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Le malattie autoinfiammatorie in pediatria-Brachi.pdf

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RUOLO DELLA TONSILLECTOMIA<br />

RUOLO DELLA TONSILLECTOMIA<br />

The Journal of Pediatrics, 2011 Jul; 159: 138-42 “Tonsillectomy <strong>in</strong> Children with Periodic Fever with<br />

Aphthous Stomatitis, Pharyngitis, and Adenitis Syndrome” . Garavello W, Pignataro L et al<br />

Conclusions: Surgery appears to be a possible option for management of PFAPA syndrome. Available<br />

evidence is limited, however, and the precise role of surgery rema<strong>in</strong>s to be clarified. We suggest<br />

consider<strong>in</strong>g this option when symptoms markedly <strong>in</strong>terfere with the child's quality of life and medical<br />

treatment has failed.<br />

Riservare la tonsillectomia a:<br />

- Pazienti con importante <strong>in</strong>teressamento far<strong>in</strong>gotonsillare<br />

- Episodi che si protraggono nel tempo<br />

- Non responsivi alla terapia convenzionale<br />

- Compromissione della qualità di vita Renko M. et Al.<br />

NB Tonsillectomia risolutiva nel 50-60% dei casi J. Pediatrics: 2007 Sep

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