摘要
舌扁因其位置特殊而常為醫師所忽略，以致舌扁桃感染及其引起的疾病往往不易被診斷及治療。當病人主訴咽喉乾燥、疼痛及喉異物感，而理學檢查咽扁桃及腭扁桃並無異常發現或咽扁桃及腭扁桃切除時，往往即是舌扁桃腫大發炎的現象。陸軍第802總醫院耳鼻喉科自1987年6月至1989年7月共有61例行舌扁桃切除術，其中52例有完整術後追蹤檢查記錄，時間為1至3年不等。年齡18~65歲，男女比為1:3.7。我們對於舌扁桃切除術，採行傳統剝離切除術、冷凍切除及雷射切除。根據這三種方法，我們提出其優劣點比較及術後追蹤及結果的報告，認為舌扁桃切除術以雷射切除較佳，因其流血少，組織不易水腫及病患恢復快等。
並列摘要
The lingual tonsil and its disease have been neglected in medical publications. Infected lingual tonsils are usually treated medically, although in patients with symp-tomatic chronic inflammation or hyperpla-sia of the lingual tonsils, surgical interven-tion may be indicated. Fifty-two patients with lingual tonsilli-tis, who were not improved by medical management, underwent different methods of lingual tonsillectomy inclyding sharp dissection, cryosurgery and laser surgery at our hospotal from 1987 to 1989. If we compare each procedure and its long-term results, lasere surgery is an effec-tive method for the treatment of benign hyperplastic and inflammatory diseases of the lingual tonsils.