Histomorphological changes in hypertrophied tonsils in children

Aim: to study histomorphological changes in hypertrophied tonsils in children and to corelate the extent of these changes to the tonsillar hypertrophy methods: enlarged tonsils from thirty children with obstructive airway symptoms were obtained after tonsillectomy. normal tonsils were obtained from 10 children's at autopsy results: in hypertrophied tonsils size,weight,epithelium and lymphoid compartment,all were affected. it was observed that there was an increase in thickness and keratinization of epithelium,increase in size of germinal centers,decrease in no of lymphoid follicles due to increase in size. conclusion: hypertrophic changes are probably immunological response to exposure to different antigens in an exaggerated manner and obstructive symptoms may lead to complications,some times fatal. measures should be devised to prevent or treat tonsillar hypertrophy.