Long-term follow-up of tonsillectomy efficacy in children with PFAPA syndrome

Publication date: Available online 21 November 2017
Source:Brazilian Journal of Otorhinolaryngology
Author(s): Ozturk Aktas, Hande Gurbuz Aytuluk, Sebla Kumas Caliskan, Omer Erdur, Ahmet Adnan Cirik
IntroductionThe role of tonsillectomy in the periodic fever, aphthous stomatitis, pharyngitis, and adenitis, PFAPA syndrome, is controversial. Although some studies reported high success rates with tonsillectomy, further investigations are needed with larger numbers of patients.ObjectiveTo seek the long-term outcomes of tonsillectomy in PFAPA syndrome.MethodsCase series; multi-center study. The study comprised 23 patients with PFAPA syndrome who underwent surgery (tonsillectomy with or without adenoidectomy) between January 2009 and November 2014.Results21 (91%) of 23 patients had complete resolution immediately after surgery. One patient had an attack 24h after surgery, but has had no further attacks. One patient had three attacks with various intervals, and complete remission was observed after 3 months.ConclusionsTonsillectomy is a good option for the treatment of PFAPA syndrome.



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