Actinomyces in Tonsillectomy Materials

Gunizi, Ozlem Ceren; Günizi, Hüseyin

doi:10.30565/medalanya.791230

Cited by 1 publication

(5 citation statements)

References 17 publications

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“…Our results are different from the findings of many studies. Some authors, however, are of the opinion that the presence of tonsillar Actinomyces does not translate into tonsil increased size [2,4,17,19,30,37]. Our findings are in line with those obtained by Jones et al, who noted a negative correlation between tonsillar hypertrophy and tonsillar Actinomyces colonization.…”

Section: Discussionsupporting

confidence: 90%

“…The mean age of the study population was 30.82 ± 15.7 years. The study showed a statistically significant effect of age on the prevalence of Actinomyces, which is in line with many study findings [2,4,14,19,24,30,32]. Only Gaffney et al obtained results that indicated that Actinomyces was more prevalent in patients under 15 years of age [33].…”

Section: Discussionsupporting

confidence: 88%

“…In our study, Actinomyces was found in 31.4% of patients. In the literature, the prevalence of Actinomyces colonies in palatine tonsils removed due to recurrent tonsilitis and OSAS ranges from 0.8% to 61.6% [2,14,16,[29][30][31][32]. In their study on a large cohort of patients, Aydin et al found that this percentage was 6.7% for the entire study population, including children (n = 1252) and adults (n = 568) [31].…”

Section: Discussionmentioning

confidence: 98%

“…However, the mechanism that could result in tonsillar hypertrophy has not been clearly demonstrated yet. Many researchers have attempted to prove a link between the presence of Actinomyces and the hypertrophy of the pharyngeal lymphoid tissue [2][3][4]10,[17][18][19]29,30,32,35].…”

Section: Discussionmentioning

confidence: 99%

“…As opposed to Sujatha et al, Ashraf et al found that the presence of Actinomyces in tonsil specimens did not indicate any active disease [4]. Gunizi et al and Jones et al also observed a higher prevalence of Actinomyces in patients who underwent surgery for recurrent palatine tonsillitis [30,38]. Additionally, many researchers showed that Actinomyces was found more commonly in specimens of tonsils removed due to OSAS than in those removed because of recurrent inflammation [3,10,17,20,22,23,32,37].…”

Section: Discussionmentioning

confidence: 99%

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The Clinical Significance of Tonsillar Actinomyces in Histopathological Samples after Tonsillectomy

Zięba,

Miśkiewicz-Orczyk,

Misiołek

et al. 2023

Pathogens

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Background: Actinomyces is a genus of Gram-positive anaerobic or microaerophilic bacteria with a branched filamentous shape. Their presence in tonsil tissue is usually determined by histopathological examination. In the crypts of removed tonsils, they have a prevalence ranging from 0.8% to 61.6%. The role of Actinomyces in diseases of the palatine tonsils is not clearly defined. The aim of the study was to determine the importance of Actinomyces in the pathology of palatine tonsils and to assess the impact of these bacteria on the clinical data. Methods: the retrospective analysis of the histopathological findings of patients undergoing tonsillectomy in our hospital from January 2017 to the end of December 2019 was performed in terms of the occurrence of Actinomyces. The data were collected based on the medical history. The study included 481 patients aged 3–82 years. From the study group, 100 adult patients were randomly selected, and a telephone survey was conducted. The questions included the co-occurrence of bronchial asthma, halitosis, tonsilloliths, and cigarette smoking. The questions were related to the complications following tonsillectomy and the severity of postoperative pain. Existence of a relationship was investigated between occurrence of tonsillar Actinomyces and age, sex, body mass index, and medical condition (obstructive sleep apnea, chronic palatine tonsillitis), respectively. The size of the removed tonsils was assessed and compared depending on the presence of the bacteria. Results: patients aged 18 years and older had a higher probability of presenting Actinomyces. The estimated odds ratio for the presence of the bacteria per year of age was 1.023 [1.007, 1.041]. No statistically significant results were found for the other variables. The co-occurrence of the bacteria and halitosis was close to statistical significance (p = 0.064). Conclusions: multivariate analysis of the role of Actinomyces in tonsillar pathology showed that these microorganisms should be considered saprophytes of the oropharyngeal microflora that had no significant relationship with the pathology of palatine tonsils. Further studies on their influence on halitosis are warranted.

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