A C Dal Rio1, A R Franchi-Teixeira, E M D Nicola. 1. Dental Surgeon/Doctoral Student in Medical Sciences, Department of Otolaryngology, Faculty of Medical Sciences, State University of Campinas-UNICAMP, Campinas, São Paulo 13083-970, Brazil.
Abstract
OBJECTIVE: To study the volatile sulphur compounds (VSC) halitometry profile in a population with chronic caseous tonsillitis (CCT) and halitosis and to evaluate the relationship between the presence of a tonsillolith and abnormal halitometry in this population. DESIGN: Clinical prospective non-randomised study. SUBJECTS AND METHODS: Forty-nine patients with halitosis and CCT, 17 male (35%) and 32 female (65%), were selected among patients referred for CO(2) laser cryptolysis. Anamnesis, physical examination and VSC halitometry were carried out. Halitometry values less than 150 ppb of VSC were considered normal. RESULTS: Patients were divided in two groups: Group A - normal halitometry (41 patients - 83.7%) and Group B - abnormal halitometry (8 patients - 16.3%). Halitometry results in Group B were 5.2 times (429%) higher than in Group A and the majority of the patients with abnormal halitometry presented with a tonsillolith at the moment of examination. A tonsillolith was present in 75% of the patients with abnormal halitometry and only 6% of patients with normal halitometry values. CONCLUSIONS: The presence of a tonsillolith represents a tenfold increased risk of abnormal VSC halitometry and can be considered as a predictable factor for abnormal halitometry in patients with CCT.
OBJECTIVE: To study the volatile sulphur compounds (VSC) halitometry profile in a population with chronic caseous tonsillitis (CCT) and halitosis and to evaluate the relationship between the presence of a tonsillolith and abnormal halitometry in this population. DESIGN: Clinical prospective non-randomised study. SUBJECTS AND METHODS: Forty-nine patients with halitosis and CCT, 17 male (35%) and 32 female (65%), were selected among patients referred for CO(2) laser cryptolysis. Anamnesis, physical examination and VSC halitometry were carried out. Halitometry values less than 150 ppb of VSC were considered normal. RESULTS:Patients were divided in two groups: Group A - normal halitometry (41 patients - 83.7%) and Group B - abnormal halitometry (8 patients - 16.3%). Halitometry results in Group B were 5.2 times (429%) higher than in Group A and the majority of the patients with abnormal halitometry presented with a tonsillolith at the moment of examination. A tonsillolith was present in 75% of the patients with abnormal halitometry and only 6% of patients with normal halitometry values. CONCLUSIONS: The presence of a tonsillolith represents a tenfold increased risk of abnormal VSC halitometry and can be considered as a predictable factor for abnormal halitometry in patients with CCT.
Authors: Kyu Young Choi; Bum Sang Lee; Jin Hwan Kim; Jung Jun Kim; Young Jang; Jong Wook Choi; Dong Jin Lee Journal: Clin Exp Otorhinolaryngol Date: 2018-05-04 Impact factor: 3.372