title: [Coexistent morbidity in chronic and hypertrophic adenotonsillitis: a case study in 3600 subjects].
abstract: OBJECTIVE
  To know the frequency of chronic and hypertrophic adenotonsillitis, affected population, coexisting morbidity and surgical procedures in a population of Zone 89, IMSS at Guadalajara, Jalisco.
  
  
  METHODS
  Descriptive, transversal and prospective study of patients with diagnosis of chronic and hypertrophic adenotonsillitis treated between January 2000 and October 2001 were studied. Through age groups were analyzed coexisting morbidity and surgical procedures.
  
  
  RESULTS
  Of the 3600 patients with chronic and hypertrophic adenotonsillitis evaluated, they were distinguished 3 age groups that are characterized by coexisting morbidity, the average age group (45%) was between 6 to 10 years and characterized by the presence of chronic sinusitis, otitis media with effusion and recurrent otitis media; while the children younger than 5 years (30.3%) prevailed the obstruction of the upper respiratory tract, chronic sinusitis, bronchitis and otitis media with effusion; however, all individuals aged from 16 to 49 years (9.4%) was notary the presence of chronic otitis media and peritonsillar abscess.
  
  
  CONCLUSIONS
  The present study represented the first step for future studies and permitted us to understand the frequency and coexisting morbidity of this pathology in our medium. The usefulness of this study will contribute to the promotion of prevention measures, opportune detection of complications, acquire new methods of bacteriologies diagnostics and therapeutic strategies. It is possible that new prevention measures will chain react a new series of events that will translate into a reduction of this pathology, surgeries and complications.
authors.affiliation: Hospital General de Zona 89, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco. estela_hu@yahoo.com
authors.forename: María Estela
authors.initials: ME
authors.lastname: Chávez Delgado
authors.forename: Sergio
authors.initials: S
authors.lastname: Castro Castañeda
authors.forename: Alfredo
authors.initials: A
authors.lastname: Celis de la Rosa
authors.forename: Alberto Alfonso
authors.initials: AA
authors.lastname: Jiménez Cordero
mesh_terms: D000234:Adenoids / Q000473:pathology*; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D006801:Humans; D006984:Hypertrophy; D007223:Infant; D008875:Middle Aged; D014066:Palatine Tonsil / Q000473:pathology*; D011446:Prospective Studies; D014069:Tonsillitis / Q000150:complications / Q000453:epidemiology*