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Abstract

BACKGROUND: Histopathological examination in a patient who did tonsillectomy due to various indications reveals some of a rare but important incidental pathological finding as choriostomatic tissue (cartilage and fat) and an unusual bacterial colonization (actinomycosis) in tonsillar specimen. OBJECTIVE: The aim of this study is to represent of an unusual finding of choriostomatic tissue in resected tonsils, and to evaluate the incidence of Actinomyces colonization with disclose their relation to tonsillar diseases. PATIENTS AND METHODS: A case series study design is adopted. The sample of the present study included 100 patients who have done tonsillectomy are carried out in the ENT Department of Al-jamhori Teaching Hospital in Mosul city during the period from February 2018 to February 2019. RESULTS: In the current study, the most frequent indication for tonsillеctomy is recurrent tonsilitis. Also shows that there is highly significant relation between incidence of actinomycosis with chronic, recurrent tonsillitis and hypertrophied tonsils (p=0.000, 0.000, 0.003) respectively, there was a statistically insignificant relationship between the presence of actinomycosis and age furthermore there is predominance of actinomycosis in tonsillar obstructive hypertrophy 4 (18.2%), moreover their occurrence in adult patient is more common than in children. The mesenchyme cartilage is seen only in two adult cases (male 2.3%, female, 2.9%) has recurrent and chronic tonsillitis, respectively. CONCLUSION: A histopathological analysis of the tonsillar specimen aids in the diagnosis of actinomycosis organisms which are difficult defined in culture. Although choristoma in tonsillectomy specimen is uncommon entity. However, any patient with recurrent or chronic tonsillitis, suspicion for this condition should be considered.

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