Author(s)

Abdoul Wahab Haidara¹, Youssouf Sidibé^1*, Djibril Samaké², Amady Coulibaly³, Mamadou Karim Touré⁴, Bréhima Bolonpé Coulibaly⁴, Siaka Soumaoro⁵, Boubacary Guindo⁵, Kassim Diarra⁵, Kalifa Coulibaly⁵, Boubacar Sanogo¹, Mohamed Kéïta⁴, Alhousseini Ag Mohamed⁴

¹ENT and Head and Neck Surgery Department, CHU Mother-Child “Luxembourg”, Bamako, Mali.
²ENT and Head and Neck Surgery Department, Reference Health Center, Bamako, Mali.
³Department of Stomatology and Maxillofacial Surgery, CHU-CNOS, Bamako, Mali.
⁴Department of Anesthesia Resuscitation, CHU Mother-Child “Luxembourg”, Bamako, Mali.
⁵ENT and Head and Neck Surgery Department, CHU Gabriel Toure, Bamako, Mali.

Tonsillitis or angina, is considered as an inflammation of the palatine tonsils most often of infectious origin. It can be acute or chronic. The germs in question are mostly viruses and bacteria. Objectives: The objective of this work was to study the epidemiological and therapeutic profile of tonsillitis and their complications in the ENT Department and Head and Neck Surgery of the Mother-Child University Hospital in Luxembourg. Patients and Methods: This is a prospective study over a 12-month period from January 2018 to December 2018, including all patients who presented with tonsillitis and/or their complications. Results: Three hundred and fifteen (315) patients were collected during this period. The average age in our study was 14.25 years with extremes ranging from 2 years to 61 years. The sex ratio was 0.65 in favor of the female sex. During this period we recorded 80.95% of cases of uncomplicated tonsillitis including 60.50% for acute tonsillitis, 24.5% for chronic tonsillitis 5% for adenoid tonsillitis and 19.05% for complications. Complications included peritonsillar phlegmon 42.22%, heart disease 33.33%, cervical cellulitis 8.89%, adeno-phlegmon 6.67%, para-pharyngeal abscess 4.44%, and sepsis 4.44%. The exclusive medical treatment was performed in 44.31%. Surgical treatment (drainage incision and tonsillectomy) was performed in 55.69%. Conclusion: Tonsillitis and its complications represent an important pathology in ENT. Feynophagy febrile is the pair-origin symptom that can lead to the diagnosis. The prevention of complications is the guarantor of the reduction of its morbidity. We recommend that in the absence of RDT (Rapid Diagnostic Test), it is necessary to systematize antibiotic therapy to prevent serious complications.

Tonsillitis, Complication, Mali

Haidara, A. , Sidibé, Y. , Samaké, D. , Coulibaly, A. , Touré, M. , Coulibaly, B. , Soumaoro, S. , Guindo, B. , Diarra, K. , Coulibaly, K. , Sanogo, B. , Kéïta, M. and Mohamed, A. (2019) Tonsillitis and Their Complications: Epidemiological, Clinical and Therapeutic Profiles. International Journal of Otolaryngology and Head & Neck Surgery, 8, 98-105. doi: 10.4236/ijohns.2019.83011.