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Abstract SU11U1UlT!J & Conclusion SUMMARY AND CONCLUSION Chronic non specific tonsillitis is a disease much more common in children than in adults. It may cause different complications either local to the upper and lower respiratory tissues or systemic to the renal or cardiac tissues as the tonsils act in this case as a septic dangerous focus. Our study included 20 children, their ages ranged between 5-15 years old, 11 of them were boys and 9 ofthem were girls. All children had complained of repeated attacks of recurrent tonsillitis for at least 4 times. Examination of tonsil showed signs of chronic tonsillar infection as congested tonsils, congested anterior pillars, the presence of tonsillar debris or/and the presence of enlarged upper deep cervical lymph glands. Those children underwent tonsillectomy by dissection under general anaesthesia and the surgically resected tonsils were examined histopathologically. 71 ..._- -~~--~ Summary & Conc{usion Another 5 tonsils of stillbirth babies were removed as a control. Examination of the tonsils revealed in most of the cases, hypertrophy of the tonsils while in few cases atrophic sizes, there were also thickening of the tonsillar capsule and the presence of tonsillar debris. Histopathological examination showed, the presence of partial ulceration of the epithelium, follicular hyperplasia, chronic inflammatory cellular infiltration, cryptogenic debris and in few cases intratonsillar abscess and retention cysts. In few cases generalized diffuse atrophy of all tonsillar components with subsequent fibrosis. from our study we can conclude that there is a good correlation between clinical diagnosis and histopathological examination of chronic tonsillitis i.e, histopathological examination of chronic tonsillitis confirmed the clinical diagnosis and valideted its criteria. So, we can depend on clinical diagnosis for taking the decision to do tonsillectomy. |