Anatomy and physiology of the palatine tonsils, adenoids, and lingual tonsils

Objective: This review aims to discuss the basic anatomy and physiology of the palatine and pharyngeal tonsils, with reference to how this foundational understanding may affect patient management and surgical procedures in these regions of the upper airway. Methods: A literature search was performed...

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Autores principales: Alexandra Arambula, Jason R. Brown, Laura Neff
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Lenguaje:EN
Publicado: KeAi Communications Co., Ltd. 2021
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spelling oai:doaj.org-article:d5122fbd43204f3aaf92f7bcc7ac4d992021-12-02T14:51:52ZAnatomy and physiology of the palatine tonsils, adenoids, and lingual tonsils2095-881110.1016/j.wjorl.2021.04.003https://doaj.org/article/d5122fbd43204f3aaf92f7bcc7ac4d992021-07-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881121000408https://doaj.org/toc/2095-8811Objective: This review aims to discuss the basic anatomy and physiology of the palatine and pharyngeal tonsils, with reference to how this foundational understanding may affect patient management and surgical procedures in these regions of the upper airway. Methods: A literature search was performed using PubMed and Google Scholar using the MeSH terms tonsils, adenoids, anatomy, physiology, and adenotonsillectomy. Primary sources were excluded if they were abstracts only, non-English language, or non-human studies. Thirty-five sources were included in this review. Results and conclusions: The pharyngeal and palatine tonsils are compact yet physiologically complex mucosa-associated lymphoid tissues that make up a portion of Waldeyer's ring. As part of the mucosal immune system, these structures function in exogenous antigen sampling and stimulation of immune responses. Aberrant immune activation and/or regulation can lead to a myriad of pathologies, with adenotonsillar hypertrophy, chronic tonsillitis/adenoiditis, and recurrent otitis media among the most commonly encountered conditions by otolaryngologists. While the pathophysiology of these conditions is still incompletely understood, current evidence and future investigations may reveal patterns amenable to targeted medical management. When medical management fails, tonsillectomy and/or adenoidectomy may be indicated for patient care. Though routine procedures, the execution of tonsil and/or adenoid removal requires a thorough understanding of the anatomy of these lymphoepithelial organs so as to minimize the risk for rare serious complications that can occur.Alexandra ArambulaJason R. BrownLaura NeffKeAi Communications Co., Ltd.articleAnatomy of tonsilsAdenoidsWaldeyer's ringOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 7, Iss 3, Pp 155-160 (2021)
institution DOAJ
collection DOAJ
language EN
topic Anatomy of tonsils
Adenoids
Waldeyer's ring
Otorhinolaryngology
RF1-547
Surgery
RD1-811
spellingShingle Anatomy of tonsils
Adenoids
Waldeyer's ring
Otorhinolaryngology
RF1-547
Surgery
RD1-811
Alexandra Arambula
Jason R. Brown
Laura Neff
Anatomy and physiology of the palatine tonsils, adenoids, and lingual tonsils
description Objective: This review aims to discuss the basic anatomy and physiology of the palatine and pharyngeal tonsils, with reference to how this foundational understanding may affect patient management and surgical procedures in these regions of the upper airway. Methods: A literature search was performed using PubMed and Google Scholar using the MeSH terms tonsils, adenoids, anatomy, physiology, and adenotonsillectomy. Primary sources were excluded if they were abstracts only, non-English language, or non-human studies. Thirty-five sources were included in this review. Results and conclusions: The pharyngeal and palatine tonsils are compact yet physiologically complex mucosa-associated lymphoid tissues that make up a portion of Waldeyer's ring. As part of the mucosal immune system, these structures function in exogenous antigen sampling and stimulation of immune responses. Aberrant immune activation and/or regulation can lead to a myriad of pathologies, with adenotonsillar hypertrophy, chronic tonsillitis/adenoiditis, and recurrent otitis media among the most commonly encountered conditions by otolaryngologists. While the pathophysiology of these conditions is still incompletely understood, current evidence and future investigations may reveal patterns amenable to targeted medical management. When medical management fails, tonsillectomy and/or adenoidectomy may be indicated for patient care. Though routine procedures, the execution of tonsil and/or adenoid removal requires a thorough understanding of the anatomy of these lymphoepithelial organs so as to minimize the risk for rare serious complications that can occur.
format article
author Alexandra Arambula
Jason R. Brown
Laura Neff
author_facet Alexandra Arambula
Jason R. Brown
Laura Neff
author_sort Alexandra Arambula
title Anatomy and physiology of the palatine tonsils, adenoids, and lingual tonsils
title_short Anatomy and physiology of the palatine tonsils, adenoids, and lingual tonsils
title_full Anatomy and physiology of the palatine tonsils, adenoids, and lingual tonsils
title_fullStr Anatomy and physiology of the palatine tonsils, adenoids, and lingual tonsils
title_full_unstemmed Anatomy and physiology of the palatine tonsils, adenoids, and lingual tonsils
title_sort anatomy and physiology of the palatine tonsils, adenoids, and lingual tonsils
publisher KeAi Communications Co., Ltd.
publishDate 2021
url https://doaj.org/article/d5122fbd43204f3aaf92f7bcc7ac4d99
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