chronic tonsillitis
TRANSCRIPT
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
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.
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 mouth odor
Unpleasant mouth odor
Unpleasant feeling in the throat
Unpleasant feeling in the throat
Lymph nodes are small and dense
Lymph nodes are small and dense
Pus or tonsil stones in lacunae
Pus or tonsil stones in lacunae
Local signs of tonsillitis - changes in the palatine arches
HyperemiaHyperemia
Cicatricles formation
Cicatricles formation
Slight swelling
Slight swelling
Decompensated chronic tonsillitis
frequent anginae
frequent anginae
patatonsillar abscesses
patatonsillar abscesses
complications (nephritis, myocarditis, rheumatism, polyarthritis)
complications (nephritis, myocarditis, rheumatism, polyarthritis)
tonsillogenic sepsis
tonsillogenic sepsis
АDENOIDS
NASAL CAVITY
ORAL CAVITY
NASOPHARYNX
АDENOIDS
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
3 years 6 years 12 years more 12
Increase slowly
max
Decrease slowly Decrease
АDENOIDS
FREE PARTS OF CHOANAE
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.
The degrees of adenoids
І ст – the 1/3 of vomer is closedІІ ст –the ½ of vomer is closed
ІІІ ст – the hole vomer is closed
The symptoms of adenoids
Nasal obstruction
The affection of nasal drainage – Nasal cavity full of thick discharge
The secondary infection
Purulent dischargeIn nasopharynx
The symptoms of adenoids
The spreading of infection
The development of secondary sinusitis
The symptoms of adenoids
Purulent discharge in nasopharynx(postnasal drip)
Chronic pharyngitis,Chronic tonsillitis
The inflammation of adenoids
The development of hearing loss
The closing of Eustachian tube
The accumulation of exudate in the middle ear
The lack of mobility of eardrum
THE DEVELOPMENT OF EXUDATIVE OTITIS
The upper and lower respiratory airways are the unique system
аdenoids
аdenoids
Bronchial asthma
Bronchial asthma
Chronic pneumonia
Chronic pneumonia
Chronic bronchitis
Chronic bronchitis
The mouth breathing is more superficial – the lack of lung ventilation
The brain and other organs suffer from chronic hypoxia
The brain and other organs suffer from chronic hypoxia
The results of chronic hypoxia
Night mares
Night mares
Snoring and Sleep disorders
Snoring and Sleep disorders
Mental disorders
Mental disorders
ADENOID FACE
BITE DISORDERS
Facedeformation
The affection of chewing process
The chronicgastritis
The digestive disturbances
Developmental lagging due to
The deficiency of growth hormoneand 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
Аdenoids provoke to development of the diseases of
Ear Hearing lossExudative otitisFrequent purulent otitis media
Upper respiratory airways
SinusitisChronic rhinitisChronic pharyngitis, tonsillitis
Lower respiratoryairways
PneumoniaChronic bronchitis Bronchial asthma
Аdenoids provoke to development of the diseases of
Face Face deformationBite disorders
Developmental lagging Growth inhibition
Mental disorders
Memory and concentration disordersBad school resultsSpeech disorders
Sleep disorders Night maresEnuresisEmotional disorders
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).