الفهرس 
Aim of The WorkOnly 14 pages are availabe for public view
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Abstract
Some laboratory markers are used by some physicians as markers for chronic tonsillitis and indicators for tonsillectomy & studies are needed to assess such relationship & the effect of tonsillectomy on these markers. The aim of this study was to evaluate the serum ASOT, CRP, ESR& CBC changes as indicators for tonsillectomy and to assess changes after tonsillectomy. Our prospective comparative study was carried on 150 patients divided into two groups. group I included 75 patients clinically diagnosed as chronic tonsillitis by symptoms & signs and group II included 75 patients with previous tonsillectomy as a control group. Both groups were compared regarding the levels of ESR, CRP, ASOT and CBC changes. Also, the preoperative values of the markers were compared with postoperative values at 1, 3 and 6 months.
In the current study, the mean ages of both study groups were 7.17 and 7.84 years respectively with a non-significant difference between both groups (p = 0.08). There was a non-significant difference between both study groups regarding sex with 35 patients (46.7%) of group I and 44 subjects of group II (58.7%) being males (p= 0.14). In the current study, the values of ESR, CRP and ASOT in group I were higher than values in group II but statistically insignificant (p = 0.13, 0.11 and 0.78 respectively). In the current study, there was a significant decrease in postoperative values of ESR and CRP in group I at one, three and six months after tonsillectomy when compared with preoperative values (p value < 0.0001for all). There was a significant decrease in postoperative value of ASOT in group I at one, three and six months after tonsillectomy when compared with preoperative value (p= 0.008, 0.019, 0.001 respectively).