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Chronic tonsillitis

Chronic tonsillitis
 This is a term for a chronic inflammation of

the palatine tonsils
 Chronic tonsillitis was chosen, where the
following triad of the signs should be isolated
a) complaints in the case history, i.e. presence
of some clinical picture;
b) disruption of the tonsillar function;
c) rough morphological changes during a
histological examination

pathogenesis  disruption of the drainage function of the lacunae.  reduction of barrier properties of the tonsils.  disturbance of tissue metabolism in the tonsils.  appearance of hyperergic reactions in the form of frequent anginae and metatonsillar complications.Chronic tonsillitis . including production of secretory immunoglobulins A. . accumulation of a secretion and waste products of microbes.

.Chronic tonsillitis  Compensated tonsillitis clinically manifests itself with absence of any complaints and presence of only local signs of a chronic inflammation of the tonsils. It is usually revealed during prophylactic examinations.

Local signs of tonsillitis Unpleasant Unpleasant mouth mouth odor odor Unpleasant Unpleasant feeling feelingin in the thethroat throat Lymph Lymphnodes nodes are aresmall smalland and dense dense Pus Pusor ortonsil tonsil stones stonesin in lacunae lacunae .

Local signs of tonsillitis .changes in the palatine arches Hyperemia Hyperemia Cicatricles Cicatricles formation formation Slight Slight swelling swelling .

rheumatism. polyarthritis) polyarthritis) . rheumatism. myocarditis.Decompensated chronic tonsillitis frequent frequent anginae anginae tonsillogenic tonsillogenic sepsis sepsis complications complications patatonsilla patatonsilla rrabscesses abscesses (nephritis. myocarditis. (nephritis.


HUPERTROPHY of PHARYNGEAL LYMPHOID RING The tonsillar apparatus of the pharynx begins to actively perform its function since the moment of the baby's birth and certain conditions may cause its hypertrophy .

The growth of adenoids max Increase slowly Decrease slowly Decrease .


HYPERTROPHY of PHARYNGEAL GLAND  the tonsil hangs over the choanae .the 1st degree. .  and if 2/3 of the choanae are closed — the 3rd degree of the hypertrophy.  it closes them by halfthe 2nd degree. or adenoids of the 3'd degree.

The degrees of adenoids І ст – the 1/3 of vomer is closed ІІІІІ ст the ½ hole vomer ст ––the of vomer isisclosed closed .

The symptoms of adenoids Nasal obstruction The affection of nasal drainage – Nasal cavity full of thick discharge The secondary infection Purulent discharge In nasopharynx .

The symptoms of adenoids The development of secondary sinusitis The spreading of infection .

Chronic tonsillitis .The symptoms of adenoids The inflammation of adenoids Purulent discharge in nasopharynx (postnasal drip) Chronic pharyngitis.

The development of hearing loss .

THE DEVELOPMENT OF EXUDATIVE OTITIS The lack of mobility of eardrum The accumulation of exudate in the middle ear The closing of Eustachian tube .

The upper and lower respiratory airways are the unique system Chronic Chronic bronchitis bronchitis аdenoid аdenoid ss Chronic Chronic pneumonia pneumonia Bronchial Bronchial asthma asthma .

The mouth breathing is more superficial – the lack of lung ventilation The Thebrain brainand andother other organs organssuffer sufferfrom from chronic chronichypoxia hypoxia .

The results of chronic hypoxia Night Night mares mares Snoring Snoringand and Sleep Sleep disorders disorders Mental Mental disorders disorders .


Face deformation The affection of chewing process The digestive disturbances BITE DISORDERS The chronic gastritis .

Developmental lagging due to The deficiency of growth hormone and sex hormone produced in phase of deep sleep The child with adenoids has no phase of deep sleep! .

Developmental lagging due to The child with nasal obstruction has smell disorders as well as taste disorders The bad appetite .

Mental disorders Slipshod Concentration disorders Memory disorders Closed twang and speech disorders Bad school results. Problems with behavior .

tonsillitis Lower respiratory airways Pneumonia Chronic bronchitis Bronchial asthma .Аdenoids provoke to development of the diseases of Ear Hearing loss Exudative otitis Frequent purulent otitis media Upper respiratory airways Sinusitis Chronic rhinitis Chronic pharyngitis.

Аdenoids provoke to development of the diseases of Face Face deformation Bite disorders Developmental lagging Mental disorders Sleep disorders Growth inhibition Memory and concentration disorders Bad school results Speech disorders Night mares Enuresis Emotional disorders .

if the tonsils come into contact with each other along the median line).HYPERTROPHY of PALATINE GLAND Hypertrophy of the palatine tonsils is well seen during median pharyngoscopy and has 3 degrees too (the 3 one . .