CHRONIC TONSILLITIS
Chronic tonsillitis is a common infectious disease characterized by localized nidus of infection located in the tonsils. Periodically there are exacerbations in the form of angina. Under the influence of unfavorable factors of the internal and external environment, the body’s resistance decreases. As a result, the virulence and pathogenicity of the microflora in the lacunae of the tonsils increases, causing chronic inflammation of the tonsils and angina. The main sign of chronic tonsillitis is frequent angina in the anamnesis. It is incorrect to diagnose chronic tonsillitis during an exacerbation. After 2-3 weeks of angina, it is advisable to objectively assess the symptoms of chronic inflammation of the tonsils.
When examining the throat, you can see the following:
1. The size of the tonsils and the looseness of the tissues
2. Hyperemia and swelling of the palate
3. The presence of blockages in the lacunae of the tonsils
4. Bad breath
In addition, patients complain of fatigue, pallor, headache, subfebrility. An increase in regional lymph nodes is also observed in chronic tonsillitis. Conservative treatment of chronic tonsillitis is based on local effects on the tonsils and restorative therapy.
Several methods are used for local therapy:
1. Washing the tonsils with various antiseptic solutions
2. Physiotherapy treatment with ultraviolet rays
If conservative treatment does not help, tonsillectomy is recommended. Preparation of the patient for tonsillectomy is carried out on an outpatient basis. Tonsillectomy can be performed under both local and general anesthesia. However, given the risk of bleeding and the impact of psychological trauma on children, it is advisable to perform the operation under anesthesia. Patients are monitored until the end of the day of surgery and, in the absence of complications, are discharged home.