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Chronic inflammation of the tonsils (chronic tonsillitis)

In children, this disease is common.

Prerequisites for the development of chronic tonsillitis are anatomical, physiological and histological features, the presence of microflora in the gaps, and the violation of protective and adaptive mechanisms in the almond tissue.

Most often, chronic tonsillitis begins after a sore throat. The inflammatory process in the tissues of the tonsils at the same time becomes chronic. The emergence and development of chronic tonsillitis is promoted by constant infection from carious teeth, chronic inflammation in the nose and paranasal sinuses, pharynx.

The most common causative agent of chronic tonsillitis can be green and b-hemolytic streptococci, staphylococcus and other pathogens.

Pathological and anatomical changes are localized in the epithelial cover and the walls of the lacunae of the tonsils, in their parenchyma and stroma.

The most reliable signs of chronic tonsillitis are tonsil changes detected during examination.

Often exacerbation of chronic tonsillitis is 2-3 times a year, but tonsillitis happens more often.

Distinguished between compensated and decompensated forms of chronic tonsillitis. The main complaints are history of frequent sore throats, bad breath, a feeling of awkwardness or foreign body in the throat when swallowing. When examining and interviewing parents, deviations from the nervous system are noted, which are expressed in tearfulness, irritability, sleep disturbance, nightly fears, and poor performance. Children have a headache, dizziness, there may be prolonged subfebrile condition, sometimes the disease can be complicated by otitis media. In older children, sinusitis may occur. Deviations from the cardiovascular system in the form of cardiotonzillary syndrome develop.

In children, upon examination, an increase in tonsils is noted, their surface is loosened. Characteristic for chronic tonsillitis is the presence of liquid, caseous or in the form of plugs of purulent contents with an unpleasant odor.

For diagnostic purposes, the contents of the gaps are squeezed out with a spatula.

Another characteristic feature is an increase in the lymph nodes, submandibular, cervical, located along the front edge of the sternocleidomastoid muscle.

With a simple form, there is no intoxication and a violation of the general condition of the body.

In the toxic-allergic form, in addition to the symptoms of a simple form, there are symptoms of intoxication: periodic fatigue, periodic joint pain, heart, functional disorders of the cardiovascular, nervous and renal systems.
With this form, biochemical, immunological and other symptoms periodically occur. Some common diseases have a common etiology with chronic tonsillitis (rheumatism, infectious polyarthritis, etc.).

Diagnosis is based on clinical symptoms and objective examination data.

On the part of the blood, moderate leukocytosis or leukopenia, lymphocytopenia. ESR is more often normal, but during the period of exacerbation it can reach 20-25 mm / h.

Treatment. The tactics of treating chronic tonsillitis is determined by its form. With simple tonsillitis, they begin with conservative treatment; the absence of an effect after 3-4 courses indicates the need to remove tonsils.


1) tempering procedures, exercise therapy, gymnastics;

2) washing tonsils with disinfectant solutions (furatsilin 1: 5000, rivanol 0.1%);

3) in the treatment of chronic tonsillitis, it is advisable to prescribe an antibiotic according to the results of seeding, bacteriophages are sometimes used;

4) from physiotherapeutic procedures - UHF, ultrasound, ultraviolet irradiation of tonsils. Indications for tonsillectomy are: chronic intoxication with damage to organs and systems, damage to internal organs associated with chronic tonsillitis. Surgical treatment compared with drug therapy reduces relapse. After an ectomy, spa treatment at resorts with a marine climate is recommended.

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Chronic inflammation of the tonsils (chronic tonsillitis)

  1. Chronic inflammation of the tonsils - chronic tonsillitis
    Chronic tonsillitis (tonsillitis chronica) is a common infectious disease with the localization of a chronic focus of infection in the tonsils with periodic exacerbations of tonsillitis. It is characterized by a violation of the general reactivity of the body, due to the ingestion of toxic infectious agents from the tonsils. Exacerbations of chronic tonsillitis (sore throat) when contagious
  2. Chronic tonsillitis
    Chronic tonsillitis is a chronic inflammation of the tonsils, with damage to other tonsils, localization is indicated - chronic adenoiditis, tonsillitis of the lingual tonsil. There are many classifications of chronic tonsillitis. At present, the classification of IB Soldatov, approved by the VII All-Union Congress of Otolaryngologists, is the most recognized. According to this classification, two forms are distinguished
  3. Chronic tonsillitis
    The clinical picture Chronic tonsillitis (chronic inflammation of the tonsils). Frequent disease in adults and children. It develops as a result of repeated sore throats or acute infections. There are unpleasant sensations, pain in the throat, radiating to the ears, sometimes a bad breath. Often prolonged low-grade fever in the evenings, weakness, headache, decreased ability to work. In most patients -
  4. 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
  5. Chronic tonsillitis. Classification, clinic, complications
    Chronic inflammation of the tonsils is a common disease that occurs mainly as a result of repeated tonsillitis. The development of the disease is facilitated by persistent obstruction of nasal breathing, inflammatory diseases of the nose and paranasal sinuses, carious teeth, and other chronic sources of infection. Reduced reactivity is important in the development and course of chronic tonsillitis.
  6. Chronic tonsillitis. U-35.0
    {foto8} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improving the clinical symptoms of the disease (bad breath, difficulty swallowing, pain in the joints and areas
  7. Productive and chronic inflammation. Granulomatosis. The morphology of specific and non-specific inflammation.
    1. Chronic inflammation is manifested by a simultaneous combination of 1. failed repair 2. angiogenesis, scarring 3. reactive changes 4. tissue damage 5. embolism 2. Causes of chronic inflammation 1. acute infection 2. persistent infection 3. prolonged exposure to toxic substances 3. Chronic inflammation characterized by 1. deposition of amyloid 2. mononuclear infiltration
  8. 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 go to the patient’s bed, taking with him tubes with sterile cotton swabs on wooden sticks, as well as spatulas and
  9. The course of inflammation. Acute and chronic inflammation
    The course of inflammation is determined by the reactivity of the body, the type, strength, and duration of the phlogogen. There are acute, subacute and chronic inflammation. Acute inflammation is characterized by: - ​​an intense course and a relatively short (usually 1-2, up to a maximum of 4-6 weeks) duration (depending on the damaged organ or tissue, the degree and extent of their alteration,
  10. Classification of chronic inflammation.
    Clinically distinguish between chronic inflammation that develops after acute and occurs de novo. Morphologically distinguish chronic inflammation of infectious and non-infectious origin. Infectious inflammation, in turn, is specific and non-specific. The terms “specific” and “non-specific” inflammation are used in the context of a type of inflammation. Histological features
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