Abstract
Recent studies on tonsillar problems are still to be devided into 2 big parts ; basically the understanding of immunological cellular basis and clinically the determination of the indications for tonsillectomy. Both of them are intimately connected with the specific structures and functions of tonsillar lacunae. In the other words, there arc still many problems to be clarified concerning tonsillar crypts.
Inflammatory tonsillar lacunar cytology provided here is the first trail and report as far as I know, and I believe it may provide us a little more satisfaction and confidence in the diagnosis, treatment and determination of the removal of a tonsil in ad- dition to the previousely provided several indications for tonsillectomy by text books.
From September 1974 to July 1975, 190 cases of chronic tonsillitis divided into 4 groups ; (1) simple chronic tonsillitis,(2) chronic tonsillitis in acute exacerbations,(3) habitual angina, and (4) chronic tonsillitis with focal infections are studied. And it was concluded that those positive findings of lacunar cytology with ; (1) strong cornification, namely increase of cornified and precornified cells,(2) exfoliation of deeper cells, such as intermediate or basal cells,(3) increase of segmental and band leukocytes in those groups other than acute tonsillitis,(4) increase of R. B. C.(5) increase of nuclear lines,(6) increase of bacteria or candida and actinomyces etc. are helpful in the determination of a clinical treatment or the removal of tonsils.
