Введение. По данным отечественной литературы, в структуре гнойно-воспалительных заболеваний глотки паратонзиллиты и паратонзиллярные абсцессы занимают 35–50% у пациентов трудоспособного возраста, у лиц старше 50 лет заболеваемость ниже, статистические показатели отличаются в регионах, а также у пациентов с различным иммунологическим профилем. Пандемия новой коронавирусной инфекции внесла свои особенности в оказание медицинской помощи. Поликлиническое звено было перегружено не только в России, но и в других странах мира. В этой связи своевременная и ранняя диагностика гнойно-воспалительных заболеваний глотки играет важную роль в выборе дальнейшей тактики лечения данной патологии. Цель. Выявить взаимосвязи между клиническими признаками у пациентов с ПТА. Повысить эффективность диагностики ПТА на догоспитальном этапе оказания медицинской помощи с использованием современных информационных технологий. Материалы и методы. Проведен ретроспективный обзор 102 историй болезни пациентов в возрасте от 18 до 45 лет, пролеченных с 2015 по 2020 г. на базе оториноларингологического отделения ФГБУ «426 военный госпиталь» Министерства обороны Российской Федерации. Результаты. Результаты проведенного исследования выявили совокупность признаков, характерных для ПТА. На основании полученных данных было разработано мобильное приложение на базе операционной системы Android «Программа диагностики гнойно-воспалительных заболеваний глотки». Заключение. Выявленные в исследовании клинические особенности паратонзиллярного абсцесса акцентируют внимание оториноларингологов на использовании опросников в качестве первичной диагностики и способствуют снижению затрат на догоспитальном этапе обследования. Introduction. Russian scientific literature data show that paratonsillitis and paratonsillar abscesses occupy 35–50% in the structure of purulent inflammatory diseases of the pharynx in patients of working age, the incidence is lower in individuals over 50 years old, statistical indicators differ in regions as well as in patients with different immunological profile. The pandemic of a new coronavirus infection has brought its own peculiarities into healthcare assistance. Polyclinics were overloaded not only in Russia, but also in other countries of the world. In this regard, timely and early diagnosis of purulent inflammatory diseases of the pharynx plays an important role in selecting further treatment tactics of this pathology. Purpose. To identify relationships between clinical signs in patients with PTA. To improve the effectiveness of PTA diagnosis at the pre-hospital stage of medical care using modern informational technologies. Materials and methods. A retrospective review of 102 case histories of patients aged between 18 and 45 years treated from 2015 to 2020 at the otorhinolaryngological department of the Federal State Budgetary Institution "426 Military Hospital" of the Ministry of Defense of the Russian Federation was conducted. Results. The results of the study revealed a set of signs characteristic of PTA. Based on the data obtained, a mobile application based on the Android operating system "Diagnostic program for purulent-inflammatory diseases of the pharynx" was elaborated. Conclusion. The clinical features of paratonsillar abscess revealed in the study emphasize the use of questionnaires by otorhinolaryngologists as a primary diagnostic tool and contribute to reducing costs at the pre-hospital stage of examination.

The recurrent paratonsillitis caused by medium dental caries is an extremely rare condition. Patients with this pathology are admitted to otorhinolaryngological departments and in most cases they do not actively present odontogenic complaints. Currently, the algorithm for the mandatory examination of patients with paratonsillitis does not include an examination by a dentist. This article presents a clinical case of recurrent paratonsillitis in a 22-year-old man. His admission due to this condition was the third during the year. The disease proceeded without signs of affection of the palatine tonsils. In this regard, the patient was examined according to clinical recommendations using additional research methods to verify the source of infection. To exclude the formation of peritonsillar abscess, the non-invasive diagnostic methods were used - transoral ultrasound of peritonsillar tissues. This examination revealed an abnormal arrangement of the external carotid artery branches. This circumstance determined the choice of treatment tactics, excluding the use of relaxing incisions in the peritonsillar area. A laboratory study of saliva determined the activity of -amylase, pH value was measured to exclude an inflammation of the salivary glands. An additional examination revealed the odontogenic etiology of paratonsillitis.