Email this article 
The Justification of Surgery Treatment of Chronic Tonsillitis
- Authors: 1
-
Affiliations:
- Medical center “21 century”, 7/2 Sikeirosa Str., Saint-Petersburg, 194354, Russian Federation
- Issue: Vol 7, No 3 (2014)
- Pages: 258-264
- Section: Original articles
- URL: https://vestnik-surgery.com/journal/article/view/579
- DOI: https://doi.org/10.18499/2070-478X-2014-7-3-258-264
- ID: 579
Cite item
Full Text
Abstract
Relevance There is a high prevalence of chronic tonsillitis, which is one of the most important problem of otorhinolaryngology and many others clinical disciplines. There is a correlation between chronic tonsillitis as a pathological factor and different diseases of visceral organs and systems. It’s known that in development of chronic tonsillitis except some local complications (lymphadenitis, paratonsillits) there are some general diseases: an intoxication, rheumatic affection of the heart, joints, nephritis, sepsis and others.
Results of completed researches of functional activity and a functional reserve palatal tonsils shows active involvement of palatal tonsils in organization of local (in fauces) and general protection reactions. Considering that children with removed tonsillitis have high morbidity of infection diseases they have severe course of acute respiratory infections, which often complicated of tracheobronchitis and frequently pneumonia. In this connection, indications for the tonsillectomy must be more strictly.
The purpose of the study Improving diagnosis of chronic tonsillitis based on the study of the functional activity and the functional reserve of the tonsils to justify holding tonsillectomy.
Materials and methods We examined 205 people. Surveyed were divided into 3 groups. The first reference group consisted of 20 people (9.7%). Second and third groups consisted of 40 (19,4%) and 145 (70,9 %) patients with compensated and decompensated forms of chronic tonsillitis. To study the functional reserve of the tonsils used Prednisolone trial.
Results and their discussion In difference from other groups, in the third group found a sharp reduction in the migration of lymphocytes in the lacunae of tonsils. Decompensated forms of chronic tonsillitis are characterized by low functional activity of the tonsils and the lack of functional reserve. According to results of completed researches of palatal tonsil’s functional activity and reserve, there are statements for surgical treatment.
Conclusion All patients chemotherapy is necessary to assess the functional activity and the functional reserve of the tonsils, with the aim of determining the extent of compensation and decompensation of the inflammatory process and, therefore, define the indications for surgical treatment.
Results of completed researches of functional activity and a functional reserve palatal tonsils shows active involvement of palatal tonsils in organization of local (in fauces) and general protection reactions. Considering that children with removed tonsillitis have high morbidity of infection diseases they have severe course of acute respiratory infections, which often complicated of tracheobronchitis and frequently pneumonia. In this connection, indications for the tonsillectomy must be more strictly.
The purpose of the study Improving diagnosis of chronic tonsillitis based on the study of the functional activity and the functional reserve of the tonsils to justify holding tonsillectomy.
Materials and methods We examined 205 people. Surveyed were divided into 3 groups. The first reference group consisted of 20 people (9.7%). Second and third groups consisted of 40 (19,4%) and 145 (70,9 %) patients with compensated and decompensated forms of chronic tonsillitis. To study the functional reserve of the tonsils used Prednisolone trial.
Results and their discussion In difference from other groups, in the third group found a sharp reduction in the migration of lymphocytes in the lacunae of tonsils. Decompensated forms of chronic tonsillitis are characterized by low functional activity of the tonsils and the lack of functional reserve. According to results of completed researches of palatal tonsil’s functional activity and reserve, there are statements for surgical treatment.
Conclusion All patients chemotherapy is necessary to assess the functional activity and the functional reserve of the tonsils, with the aim of determining the extent of compensation and decompensation of the inflammatory process and, therefore, define the indications for surgical treatment.
About the authors
Medical center “21 century”, 7/2 Sikeirosa Str., Saint-Petersburg, 194354, Russian Federation
Author for correspondence.
Email: gofman.v@mail.ru
Ph.D., ENT physician, Medical center "XXI vek”
References
- Giger R., Landis N.B., Dulguerov P. Hemorrhage risk after quinsy tonsillectomy.Otolaryngol. Head Neck Surg [Krovotecheniye riska posle anginy tonzillektomii.Otolaringologiia.Sheinaia i litsevaia khirurgiia]. ., 2005; 133: 5: 729-734.
- Kerakawauchi H., Kurono Y., .Mogi G Immune responses against Streptococcus pyogenes in human palatine tonsil [Immunnyy otvet protiv Streptococcus Pirrolidonilpeptidaza v nebnykh mindalin cheloveka]..Laryngoscope, 1997; 107: 5: 634-639.
- Lee M.S., Montaque M.L., Hussain S.S.The influence jf weather on the frequency of secondary post-tonsillectomy haemorrhage [Izucheno vliyaniye JF pogody na chastote vtorichnoy posle tonzillektomii krovoizliyaniyem]. Laryngol Otol., 2005; 119: 11: 894-898.
- A.J. The immune geography of IgA induction and function [Immunnaia geografiia induktsii IgA i funktsii]. Muc. Immun, 2008; 1(1): 11-22.
- Mora R. Ribosomal therapy in the prophylaxis of recurrent pharyngotonsillitis in children. [Ribosomal'naya terapiya v profilaktike retsidivov pharyngotonsillitis u detey]. Int. J. Pediatr. Otorhinolaryngol., 2007; 71(2): 257-261.
- Morijama T., Nitta K., Tohoku J..Tonsillectomy and steroid pulse therapy for IgA nephropathy [Tonzilektomiya i steroidnaya terapiya impul'sov dlya IgA nefropatii]. Exp. Med., 2011; 224(4): 243-250.
- Skevas T. Measuring quality of life in adult patients with chronic tonsillitis [Izmereniye kachestva zhizni u vzroslykh patsiyentov s khronicheskim tonzillitom].Open Otorhinolaryngol. J., 2010; 4: 34-46.
- Tewfik T.L. Tonsillopharingitis.(Clinical highlights) [Tonzillofaringit.(Klinicheskie momenty)]. J. Otolaryngol., 2005; 43(1): 45-49.
- Windfuhr J.P., Deck J.C., Remmert S. Hemorrhage following coblation tonsillectomy [Krovotecheniye sleduyushchiye coblation tonzillektomii]. Ann. Otol. Rhinol.Laryngol., 2005; 114: 10. – P. 749-756.
- Witsell D.L.. Quality of life after tonsillectomy in adults with recurrent or chronic tonsillitis [Kachestvo zhizni posle tonzillektomii u vzroslykh s retsidiviruyushchim ili khronicheskim tonzillitom]. Head Neck Surg., 2008; 138(1): 1-8.
- Yel L. Selective IgA deficiency [Selektivnyy defitsit IgA] . J. Clin. Immunol., 2010; 30(1): 10-16.
- Zielnik-Jurkiewicz B.,. Analysis of postoperative hemorrhage after adenoidectomy and tonsillectomy in children in own materia [Rakowska MAnaliz posleoperatsionnogo krovotecheniya posle adenoidov i mindalin u detey v sobstvennom materiale]. Otolaryngol. Pol., 2005; 59: 1: 71-76.
Supplementary files
