1. Short and long term impact of adenotonsillectomy on the immune system.
- Author
-
Santos FP, Weber R, Fortes BC, and Pignatari SS
- Subjects
- Adenoids immunology, Adenoids pathology, Biomarkers blood, CD4-CD8 Ratio, Child, Child, Preschool, Female, Follow-Up Studies, Humans, Hypertrophy surgery, Immunoglobulin A blood, Immunoglobulin A immunology, Immunoglobulin G blood, Immunoglobulin G immunology, Immunoglobulin M blood, Immunoglobulin M immunology, Male, Prospective Studies, Time Factors, Adenoids surgery, Immunity, Humoral immunology, Tonsillectomy
- Abstract
Unlabelled: Palatine and pharyngeal tonsils are immune reactive lymphoid organs that manifest specific antibodies and B/T-cell activity to respond to a variety of antigens. They perform humoral and cellular immune functions. The possible effects of adenotonsillectomy upon the immune system remain controversial., Objective: To study the short and long-term impacts of tonsillectomy upon the cellular and humoral immunity of children., Method: This longitudinal prospective study included 29 children referred to adenotonsillectomy for adenotonsillar hypertrophy. Serum IgA, IgM, and IgG and lymphocyte counts were analyzed at three points in time: before surgery, 1-2 months after surgery (short term), and 12-14 months after surgery (long term)., Results: TCD4+ cell counts were significantly increased shortly after surgery. IgA and IgG values were significantly reduced in the long run, but were within normal ranges for this age group., Conclusion: This study indicated that adenotonsillectomy does not pose negative short or long term impacts upon the cellular and humoral immunity of children submitted to the procedure.
- Published
- 2013
- Full Text
- View/download PDF