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Wundheilungsstörung nach Tonsillektomie

Impaired wound healing following tonsillectomy

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Zusammenfassung

Die Tonsillektomie ist eine der häufigsten Operationen in der Hals-, Nasen- und Ohrenheilkunde. Die 1. Tonsillektomie erfolgte im Jahre 600 vor Christus [3]. Indikationen zur Tonsillektomie sind chronisch rezidivierende Tonsillitiden, Peritonsillarabszesse, Tumorverdacht, Rhonchopathie, Tonsillenhyperplasien oder -asymmetrien. Die Operation gilt als ein „Routineeingriff“, jedoch kommt es vergleichsweise gehäuft zu Komplikationen wie z. B. Nachblutungen, Infektionen oder Wundheilungsstörungen. Im vorgestellten Fall handelt es sich um eine 20-jährige Patientin, die im Rahmen einer postoperativen Wundheilungsstörung nach Tonsillektomie eine velopharyngeale Insuffizienz (VPI) entwickelte. Unter konservativer Therapie erreichte die Patientin nach 2 Monaten Beschwerdefreiheit.

Abstract

Tonsillectomy is one of the most commonly performed surgical procedures in the field of otorhinolaryngology. The first tonsillectomy was done about 600 B.C. [3]. This operation is indicated for patients with recurrent tonsillitis, peritonsillar abscess, hypertrophy or asymmetry of the tonsils. Even though a routine procedure, it has a relatively high risk of complications such as post operative hemorrhage, infection or impaired wound healing. The reported case involves a 20 year old female patient who developed velopharyngeal insufficiency as a result of impaired wound healing after tonsillectomy. The patient was treated conservatively and is free of discomfort after 2 months.

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Authors and Affiliations

  1. Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Klinikum Grosshadern, Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland

    P. Zengel, C. S. Betz, A. Berghaus & A. Leunig

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  1. P. Zengel
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  2. C. S. Betz
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  3. A. Berghaus
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  4. A. Leunig
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Correspondence to P. Zengel.

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Zengel, P., Betz, C., Berghaus, A. et al. Wundheilungsstörung nach Tonsillektomie. HNO 56, 717–718 (2008). https://doi.org/10.1007/s00106-007-1568-y

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  • DOI: https://doi.org/10.1007/s00106-007-1568-y

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