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Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)

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Inflammatory markers after adenotonsillectomy and adenotonsillotomy in children

https://doi.org/10.21508/1027-4065-2025-70-3-54-57

Abstract

In recent years the choice ofsurgical interventions on the pharyngeal lymphoepithelial ring has followed the path ofrejecting excessive radicalism. This is especially important when treating children with obstructive sleep apnea syndrome.

The aim of the study was to compare changes in the content of inflammatory markers in saliva after adenotonsillotomy and adenotonsillectomy in children.

Material and methods. The study included 28 children who underwent surgery for lymphatic ring of the pharynx. The patients were divided into 2 groups: group 1 included 14 children who underwent adenotonsillotomy, group 2 — 14 children who underwent adenotonsillectomy. The content of the studied cytokines (tumor necrosis factor, interleukins 1 and 6) was determined in saliva by enzyme immunoassay before surgery and 48 hours after the operation.

Results. The content of IL-6 in saliva after surgery significantly increases regardless the type of procedures, but this increase is significantly more pronounced in children after adenotonsillectomy. Conclusion. Changes in the content of the pro-inflammatory cytokine Il-6 in saliva indicate that adenotonsillotomy is a less invasive surgical procedure than adenotonsillectomy.

About the Authors

N. V. Boiko
Rostov State Medical University
Russian Federation

 344022, Rostov-on-Don



G. M. Letifov
Rostov State Medical University
Russian Federation

 344022, Rostov-on-Don



V. N. Kolesnikov
Rostov State Medical University
Russian Federation

 344022, Rostov-on-Don



References

1. Boiko N.V., Kim A.S., Stagnieva I.V., Lodochkina O.E., Filonenko N.A. The significance of antistreptolysin O characteristics for the determination of indications for tonsillectomy in the children. Vestnik Otorinolaringologii. 2018; 83 (4): 73–77. (in Russ.). DOI:10.17116/otorino201883473

2. Asulin Z., Cohen O., Forer B., Sichel J.-S., Attal P., Shaul C. Comparison of postoperative bleeding in pediatric tonsillectomy versus tonsillotomy. Int J Pediatr Otorhinolaryngol. 2024; 186: 112125. DOI:10.1016/j.ijporl.2024.112125

3. Odhagen E., Stalfors J., Sunnergren O. Morbidity After Pediatric Tonsillotomy Versus Tonsillectomy: A Population-Based Cohort Study. Laryngoscope. 2019; 129 (11): 2619–2626. DOI:10.1002/lary.27665

4. Daskalakis D., Tsetsos N., Karagergou J., Markou K., Karkos P. Intracapsular coblation tonsillectomy versus extracapsular coblation tonsillectomy: a systematic review and a meta-analysis. Eur Arch Otorhinolaryngol. 2021; 278 (3): 637–644. DOI:10.1007/s00405-020-06178-2

5. Mesolella M., Allosso S., Coronella V., Massimilla E.A., Mansi N., Motta G., et. al. Extracapsular Tonsillectomy versus Intracapsular Tonsillotomy in Paediatric Patients with OSAS.J. Pers. Med. 2023; 13 (5): 806. DOI:10.3390/jpm13050806

6. Boiko N.V., Bachurina A.S., Oksenyuk O.S., Kolmakova T.S. Postoperative inflammation treatment after tonsillectomy in children. Pediatriya — Zhurnal im. G.N. Speranskogo. 2016; 95 (1): 93–96. (in Russ.).

7. Igarashi T., Takahashi H., Tanaka M., Murakami S. Serum interleukin-6 levels after urologic operation. Int J Urol. 1996; 3 (5): 340–342. DOI:10.1111/j.1442-2042.1996.tb00550.x

8. Torres A., Torres K., Paszkowski T., Staskievicz G.J., Maciejewski R. Cytokine response in the postoperative period after surgical treatment of benign adnexal masses: comparison between laparoscopy and laparotomy. Surg Endosc. 2007; 21 (10): 1841–1848. DOI:10.1007/s00464-007-9260-6

9. Wang L., Qin W., Tian F., Zhang G., Yuan J., Wamg H. Cytokine responses following laparoscopic or open pyeloplasty in children. Surg Endosc. 2009; 23 (3): 544–549. DOI:10.1007/s00464-008-9859-2

10. Kordeluk S., Golbart A., Novack L., Kaplan D.M., El-Saied S., Alwalidi M., et. al. Randomized study comparing inflammatory response after tonsillectomy versus tonsillotomy. Eur Arch Otorhinolaryngol. 2016; 273 (11): 3993–4001. DOI:10.1007/s00405-016-4083-5

11. Boiko N.V., Stagnieva I.V., Kim A.S., Simbirtsev A.S. Proinflammatory cytokine content in the saliva of children suffering from chronic tonsillitis. Vestnik Otorinolaringologii. 2019; 84 (3): 26–31. (in Russ.) DOI:10.17116/otorino20198403126.


Review

For citations:


Boiko N.V., Letifov G.M., Kolesnikov V.N. Inflammatory markers after adenotonsillectomy and adenotonsillotomy in children. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2025;70(3):54-57. (In Russ.) https://doi.org/10.21508/1027-4065-2025-70-3-54-57

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ISSN 1027-4065 (Print)
ISSN 2500-2228 (Online)