This document provides information about chronic pharyngitis, including its causes, symptoms, signs, complications, differential diagnosis, and treatment. Chronic pharyngitis is a long-term inflammatory condition of the pharynx that is characterized by hypertrophy of the mucosa and subepithelial lymphoid follicles. It has two main types - chronic catarrhal pharyngitis and chronic hypertrophic pharyngitis. Common causes include persistent infections, mouth breathing, chronic irritants like smoking, and environmental pollution. Symptoms are discomfort in the throat, a foreign body sensation, tiredness of voice, and cough. Treatment focuses on addressing the underlying cause, using voice rest, warm saline g

1. CHRONIC
PHARYNGITIS
Hemant Tekam (38)
Himani Agrawal (39)
Himanshu Sukhdeve (40)
Isha Agrawal (41)

2. INTRODUCTION
It is a chronic inflammatory condition of the
pharynx. Pathologically, it is characterized by
hypertrophy of mucosa, seromucinous , glands,
subepithelial lymphoid follicles and even the
muscular coat of the pharynx.
Chronic pharyngitis is of two types:
1.Chronic catarrhal pharyngitis
2. Chronic hypertrophic (granular) pharyngitis
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3. AETIOLOGY
1. Persistent Infection in the
neighbourhood:- In chronic rhinitis and
sinusitis which causes hypertrophy of the lateral
pharyngeal bands.
2. Mouth breathing :- Breathing
through the mouth exposes the pharynx to air
which has not been filtered, humidified and
adjusted to body temperature thus making it
more susceptible to infections.

4. 3. Chronic irritants:-
Excessive smoking, chewing of tobacco and pan, heavy
drinking or highly spiced food can all lead to chronic
pharyngitis.
4. Environmental pollution:-
Smoky or dusty environment or irritant industrial fumes may
also be responsible for chronic pharyngitis
5. Faulty voice production:-
Excessive use of voice or faulty voice production seen in
certain professionals or in "pharyngeal neurosis" where
person resorts to constant throat clearing, hawking or

5. SYMPTOMS
1. Discomfort or pain in the throat :-
This is especially noticed in the mornings.
2. Foreign body sensation in throat:-
Patient has a constant desire to swallow or clear his
throat to get rid of this "foreign body."
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6. 3. Tiredness of voice :-
Patient cannot speak for long and has to make
undue effort to speak as throat starts aching. The
voice may also lose its quality and may even crack.
4. Cough:-
Throat is irritable and there is tendency to cough.
Mere opening of the mouth may induce retching or
gagging.
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7. SIGNS 7
1. Chronic Catarrhal Pharyngitis:-
In this, there is a congestion of posterior pharyngeal wall
with engorgement of vessels; faucial pillars may be
thickened. There is increased mucus secretion which may
cover pharyngeal mucosa.
2. Chronic Hypertrophic (Granular) Pharnygitis:-
(a) Pharyngeal wall appears thick and oedematous with
congested mucosa and dilated vessels.

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(b) Posterior pharyngeal wall may be
studded with reddish nodules (hence
the term granular pharyngitis). These
nodules are due to hypertrophy of
subepithelial lymphoid follicles normally
seen in pharynx.
(c) Lateral pharyngeal bands become
hypertrophied.
(d) Uvula may be elongated and appear
oedematous.

9. COMPLICATIONS:
•Epiglottitis
•Otitis Media
•Mastoiditis
•Sinusitis
•Acute Rheumatic Fever
•Post Streptococcal Glomerulonephritis
•Toxic Shock Syndrome
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10. DIFFRENTIAL DIAGNOSIS
•Peritonsillar abscess
•Croup
•Epiglottitis
•Tonsillitis
•Retropharyngeal Abscess
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11. TREATMENT
1. Deal with aetiological factor:-
* The cause of disease in the patient should be
sought and eradicated.
2. Voice rest and speech therapy.
3. Warm saline gargles.
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12. 4. Mandl’s paint.
5. Cautery of lymphoid
granules:-
• 10-25% AgNO3
• Electrocautery
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13. ELECTRO/ LASER CAUTERY:

14. THANK YOU