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Chronic tonsillitis

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  • 1. Chronic tonsillitis
  • 2. 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
  • 3. Chronic tonsillitis - pathogenesis
    • disruption of the drainage function of the lacunae , accumulation of a secretion and waste products of microbes;
    • disturbance of tissue metabolism in the tonsils;
    • reduction of barrier properties of the tonsils, including production of secretory immunoglobulins A;
    • appearance of hyperergic reactions in the form of frequent anginae and metatonsillar complications.
  • 4. 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.
  • 5. Local signs of tonsillitis Unpleasant mouth odor Unpleasant feeling in the throat Lymph nodes are small and dense Pus or tonsil stones in lacunae
  • 6. Local signs of tonsillitis - changes in the palatine arches Hyperemia Cicatricles formation Slight swelling
  • 7. Decompensated chronic tonsillitis frequent anginae
    • patatonsillar abscesses
    • complications (nephritis, myocarditis, rheumatism, polyarthritis)
    tonsillogenic sepsis
  • 8. А DENOIDS NASAL CAVITY ORAL CAVITY NASOPHARYNX А DENOIDS
  • 9. 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
  • 10. The growth of adenoids Increase slowly max Decrease slowly Decrease
  • 11. А DENOIDS FREE PARTS OF CHOANAE
  • 12. HYPERTROPHY of PHARYNGEAL GLAND
    • the tonsil hangs over the choanae - the 1st degree;
    • it closes them by half- the 2nd degree;
    • and if 2/3 of the choanae are closed — the 3rd degree of the hypertrophy, or adenoids of the 3'd degree.
  • 13. The degrees of adenoids І ст – the 1/3 of vomer is closed ІІ ст – the ½ of vomer is closed ІІІ ст – the hole vomer is closed
  • 14. The symptoms of adenoids Nasal obstruction The affection of nasal drainage – Nasal cavity full of thick discharge The secondary infection Purulent discharge In nasopharynx
  • 15. The symptoms of adenoids The spreading of infection The development of secondary sinusitis
  • 16. The symptoms of adenoids Purulent discharge in nasopharynx (postnasal drip) Chronic pharyngitis , Chronic tonsillitis The inflammation of adenoids
  • 17. The development of hearing loss
  • 18. The closing of Eustachian tube The accumulation of exudate in the middle ear The lack of mobility of eardrum THE DEVELOPMENT OF EXUDATIVE OTITIS
  • 19. The upper and lower respiratory airways are the unique system а denoids Bronchial asthma Chronic pneumonia Chronic bronchitis
  • 20. The mouth breathing is more superficial – the lack of lung ventilation The brain and other organs suffer from chronic hypoxia
  • 21. The results of chronic hypoxia Night mares Snoring and Sleep disorders Mental disorders
  • 22. ADENOID FACE
  • 23. BITE DISORDERS Face deformation The affection of chewing process The chronic gastritis The digestive disturbances
  • 24. 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 !
  • 25. Developmental lagging due to The child with nasal obstruction has smell disorders as well as taste disorders The bad appetite
  • 26. Mental disorders Slipshod Concentration disorders Memory disorders Closed twang and speech disorders Bad school results , Problems with behavior
  • 27. А denoids provoke to development of the diseases of Ear Hearing loss Exudative otitis Frequent purulent otitis media Upper respiratory airways Sinusitis Chronic rhinitis Chronic pharyngitis , tonsillitis Lower respiratory airways Pneumonia Chronic bronchitis Bronchial asthma
  • 28. А denoids provoke to development of the diseases of Face Face deformation Bite disorders Developmental lagging Growth inhibition Mental disorders Memory and concentration disorders Bad school results Speech disorders Sleep disorders Night mares Enuresis Emotional disorders
  • 29. HYPERTROPHY of PALATINE GLAND
    • Hypertrophy of the palatine tonsils is well seen during median pharyngoscopy and has 3 degrees too (the 3 one - if the tonsils come into contact with each other along the median line).

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