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Tonsil hypertrophy

Adenoids. In children, a tendency to hypertrophy of the tonsils of the pharynx, especially the nasopharyngeal, the so-called adenoids, is noted. According to various authors, the presence of adenoids is noted in children under 14 years old from 5 to 45%. During puberty, tonsils usually atrophy, with the exception of palatine tonsils. The clinic and symptoms of adenoids are due to their special location on the nasopharyngeal arch, therefore, they complicate or completely exclude nasal breathing, ventilation of the auditory tubes, and disrupt the function of the pharynx, which adversely affects the overall development of the child’s body. Change in facial features, open mouth, thickening of the wings of the nose, improper development of the dentition, sleep disturbance, coughing attacks, tendency to sore throats, otitis media, pneumonia. In addition to complaints, an anamnesis, a general examination for the diagnosis, posterior rhinoscopy (examination of the nasopharynx) is necessary, however, it is difficult in children, especially younger ones. Therefore V.I. Voyachek suggested that in case of suspected adenoids, anterior rhinoscopy should be performed with preliminary anemization of the nasal mucosa (for example, a solution of galazolin or naphthyzine). In this case, the adenoids are quite clearly visible, and when the patient pronounces the number "three", the movement of the soft palate is observed to determine the lower border of the adenoids. There is a palpation method for the study of adenoids, while the doctor stands behind the sitting child, fixes the head with his left hand, pressing it to himself, and examines the nasopharynx with the index finger of his right hand. The magnitude of hypertrophy is determined by three degrees: 1- to the upper edge of the vomer, 2- to the middle nasal concha, 3- to the lower concha and lower. Mandatory examination of the pharynx, palatine tonsils, otoscopy to judge the function of the middle ear and the condition of the eardrum. Conservative treatment of adenoids with various oils, a quarter of a percent solution of silver nitrate, and ultraviolet or laser therapy rarely gives a lasting therapeutic effect.
The operation of adenotomy is more effective, especially with concomitant pathology of ENT organs or lungs. It is produced more often under local application anesthesia by lubricating the nasopharynx with a special cotton brush on the probe - a cotton holder. The assistant holds the child, previously wrapped in a sheet for fixing his hands, on his lap. The surgeon squeezes the tongue with a spatula and carefully enters under the control of vision an adenot (circular knife) into the nasopharynx by the soft palate, gently resting on the arch, then with a quick sliding circular motion the adenotome removes adenoids (Fig. 3.9). Then the pharynx is examined, drained with cotton balls, sometimes fragments of adenoids hanging in the oropharynx are removed. As a rule, the bleeding is insignificant, it stops on its own, complications are rare. You can judge the effect of the operation after 5-7 days, after the disappearance of reactive phenomena, by the degree of restoration of nasal breathing.



Hypertrophy of the tonsils is less common in children. There are three degrees of hypertrophy depending on the narrowing of the pharynx: 1st - narrowing by 1 \ 3; 2nd - narrowing by 2/3; and 3rd, when the tonsils are touching in the midline. It is incorrect to consider hypertrophy as a sign of chronic tonsillitis, however, enlarged tonsils, like ordinary tonsils, can be affected by the chronic process. Tonsil enlargement is accompanied by coughing, choking, nasal voices, an increased gag reflex, and in combination with chronic tonsillitis, frequent tonsillitis. Surgical treatment. Under local anesthesia with special tonsillotome (ring scissors), parts of the tonsils protruding beyond the arches are cut. There are practically no complications (Fig. 3.10).
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Tonsil hypertrophy

  1. Tonsil hypertrophy with adenoid hypertrophy. U-35.3
    {foto32} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of laboratory parameters. 2. Improving the clinical symptoms of the disease (difficulty breathing, nasal discharge, discomfort in
  2. Tonsil hypertrophy
    Hypertrophy of the tonsils is more common in childhood, while it is usually combined with adenoids, which is a reflection of general hyperplasia of the lymphadenoid tissue. In this case, the tonsils have a soft texture, a smooth surface, and a histological examination reveals a large number of follicles with numerous mitoses. Elements of inflammation are observed limitedly in
  3. Tonsil hypertrophy. U-35.1
    {foto9} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of laboratory parameters. 2. Improving the clinical symptoms of the disease (bad breath, difficulty
  4. Hypertrophy of the pharyngeal (nasopharyngeal) tonsil - adenoids
    The third, or nasopharyngeal, tonsil is developed only in childhood and adolescence; in cases where the tissue of this tonsil is hypertrophied, it is called adenoids, and if signs of inflammation of this tonsil are recorded, this process is called adenoiditis. Adenoid growths (adenoides) are usually found between the ages of 3 and 15 years, but occur in younger children as well as in adults.
  5. Tonsil inflammation
    Physical Blocking Tonsils are protective organs and a barrier to germs. They, like sentries, protect the entrances of the respiratory and digestive tracts. Tonsils become inflamed when an infection gets on them. With inflammation of the tonsils, the patient is difficult to swallow. Mental blocking Carefully analyze what bad can happen if you allow yourself to have a baby. After that, ask yourself
  6. Secret power of tonsils
    When asked about the secrets of craftsmanship, the great Italian sculptor Michelangelo Buonarroti answered with the words that ascribe to his ancient Greek colleague in the craft Praxiteles: "To sculpt a perfect statue, you need to cut off all that is superfluous." Until recently, this was exactly what was done with the palatine tonsils, which caused a lot of anxiety to doctors and patients due to frequent inflammation. These loose lumps
  7. Hypertrophy
    112. DISTINCT THE LEFT ATRIAL HYPERTROPHY FROM THE INTRACRONIC BLOCKING ALLOWS 1) the duration of the P wave in leads I, aVL> 0.10sec 2) the presence of the two-humped tooth P in leads I, aVL V5-V6 3) smoothed 4 tooth all of the listed symptoms 5) none of the listed signs 113. EXTENDED, DOUBLE-ROCKED R in assignments I and aVL MEETS 1)
  8. Pharyngeal tonsil inflammation (adenoiditis)
    Adenoiditis is an inflammation of the nasopharyngeal tonsil, which grows in children with adenoid tissue of the nasopharynx. The etiological and pathological processes in inflammation of the nasopharyngeal tonsil are the same as in acute inflammation of other tonsils. Possible symptoms of adenoiditis in older children: 1) a violation of the general condition; 2) low-grade fever; 3) burning of the nasopharynx;
  9. ECG signs of atrial hypertrophy
    The P wave is the summation excitation of both atria. {foto40} In the case of hypertrophy of the right atrium, the width and height of its peak of excitation will increase (1st and 2nd electrocardiographic sign of hypertrophy). This circumstance will lead to the fact that the summation peak of excitation of the atria - the P wave will become higher in amplitude - {foto41} Fig. 42. P wave at
  10. Electrocardiographic signs of myocardial hypertrophy
    Numerous ECG guides describe a fairly large number of electrocardiographic signs of myocardial hypertrophy. So, M.S. Kushakovsky (1986) points to 136 signs of myocardial hypertrophy, which can be determined on an ECG. We will focus on the most important of them, which have the greatest practical significance. Compare normal and hypertrophic myocardium. {foto37}
  11. Fence and culture of nasal and palatine tonsils
    Mucus from the nose and from the mucous membrane of the tonsils of the posterior pharyngeal wall for bacteriological examination (isolation of causative agents of streptococcal, staphylococcal infection, diphtheria) is worked out by a cadet in the ward at the bedside of patients with angina. The cadet should approach the patient’s bed, taking with him tubes with sterile cotton swabs on wooden sticks, as well as spatulas and
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