Chronic tonsillitis

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
patatonsilla
r abscesses
complications
(nephritis,
myocarditis,
rheumatism,
polyarthritis)
tonsillogenic
sepsis

8. АDENOIDS
NASAL CAVITY
ORAL CAVITY
NASOPHARYNX
АDENOIDS

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
3 years 6 years 12 years more 12
Increase
slowly
max
Decrease
slowly Decrease

11. АDENOIDS
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
аdenoid
s
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. 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, tonsillitis
Lower
respiratory
airways
Pneumonia
Chronic bronchitis
Bronchial asthma

28. Аdenoids 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).