Introduction. Importance of the search effective methods of treating chronic adenoiditis in children is associated with a high incidence and risk of developing complications. Treatment of chronic adenoiditis are described in the literature, but the advantages of any of them are inconclusive, which leads to the search for additional more progressive methods.Objective. To increase the effectiveness of the treatment of chronic adenoiditis using complex therapy of non-drug methods in combination with the herbal preparation Tonsilgon N.Materials and methods. Biochemical changes in lymphoid tissue were studied on biopsy material in 111 children with chronic adenoiditis, grade 3 adenoid hypertrophy, directed to planned surgical treatment. In the preoperative period, patients were divided into 4 groups: Group 1-control group, patients who received conventional methods of treatment; 2-study group, patients who additionally used low-frequency ultrasound irrigation of the nasal cavity and nasopharynx with photochromotherapy; The third group, patients who received the herbal preparation tonsilgon N (drops) as preoperative therapy; The fourth group study underwent low-frequency ultrasound irrigation of the nasal cavity and nasopharynx in combination with photochromotherapy and took the drug Tonsilgon N in an age-related dosage.Results and discussion. When comparing the results of biochemical studies, an increase in the products of lipid peroxidation was noted in patients of the first group, which was regarded as a factor in the protracted course of the disease. The use of targeted phytoniring drugs in combination with low-frequency ultrasonic cavitation and photochromotherapy in complex therapy significantly modulates the processes of lipid peroxidation and can potentiate the antioxidant protection of cells.Conclusion. Objective data were obtained for the first time on biochemical changes in lymphoid tissue for various methods of therapy indicate the prospects of using non-drug methods in combination with a herbal preparation in the complex therapy of chronic adenoiditis.

Improvement of therapeutic tools is one of topical issues in modern otorhinolaryngology. The article is devoted to the study of the stimulating effect of physical therapy on the concentrations of secretory IgA in nasal secretions, from the entries of auditory tubes and nasopharynx in the patients suffering from adenoiditis, rhinosinusitis, and exacerbation of chronic otitis media. The increase in clinical and immunological efficiency when using low-frequency ultrasonic cavitation therapy in combination with photochromotherapy in combined treatment of these conditions was evaluated in dynamics by measuring concentrations of secretory immunoglobulin levels in nasal secretions using enzyme immunoassay technique (Vector-Best, Russia). The purpose of this study was to improve clinical and immunological effectiveness of treatment of patients with chronic adenoiditis, sinusitis and exacerbation of chronic purulent otitis media when using low-frequency ultrasound cavitation and photochromotherapy in complex therapy. The study involved 54 patients. The control group consisted of 25 patients who received conventional treatment (topical and systemic antibacterial and anti-inflammatory drugs, unloading and elimination procedures, symptomatic and restorative therapy) and the main group of 29 people who, in addition to etiotropic therapy, received low-frequency ultrasound cavitation irrigation of the nasal cavity followed by a course of photochromotherapy. Evaluation of the effectiveness of treatment was carried out by studying the barrier state of the nasal mucosa by the levels of secretory IgA concentration by the method of enzyme immunoassay. The low-frequency ultrasound cavitation in combination with photochromotherapy as an adjunct to etiotropic treatment in patients with adenoiditis, rhinosinusitis and exacerbation of chronic otitis media promotes an earlier increase in secretory IgA concentration of nasal mucosa and entry of the auditory tube when compared to standard treatment methods. The trend to IgA increase by 14 days reached maximal values and was slightly decreased month later. An early increase in the concentration of secretory IgA in nasal secretions and the entry of auditory tube, and positive clinical results of treatment are observed when low-frequency ultrasound cavitation is used in etiotropic therapy in combination with photochromotherapy in patients with adenoiditis, rhinosinusitis and exacerbation of chronic otitis media. The results substantiate the opportunity of introducing these physical methods of physical therapy into complex etiotropic therapy, as a non-invasive and effective method.

Introduction. The relevance of using nondrug methods of influence on inflamed lymphoid tissue in the complex therapy of chronic adenoiditis in children is determined by the possibility of obtaining positive results in a shorter time. Objective. To study the effect of low-frequency ultrasonic cavitation in combination with photochromotherapy on the course of the inflammatory response in chronic adenoiditis in children. Patients and methods. There were 84 patients with chronic adenoiditis and adenoid hypertrophy of the second and the third grades with absolute indications for adenotomy in the prospective study. Adenotomy was used in every research. There were three groups for study clinical, morphological, and biochemical parameters in the tissues of adenoid vegetations under the influence of low-frequency ultrasonic cavitation in combination with photochromotherapy. The first group is the control group (n = 32). This group did not receive physical methods of exposure in the preoperative period. The second group (n = 27) received low-frequency ultrasonic cavitation irrigation of the nasopharynx in combination with photochromotherapy. The third group (n = 25) was not exposed to photochromotherapy. The course of the treatment lasted for 7 days. Results. Under the influence of a combination of low-frequency ultrasonic cavitation in combination with photochromotherapy, the content of the end products of lipid peroxidation – Schiff bases, which are a marker of irreversible dystrophic changes in the cell, decreases. An increase in the level of activity of the antioxidant catalase in the tissues was noted, which inhibits the processes of oxidative stress. Conclusion. Treatment of chronic adenoiditis with low-frequency ultrasonic cavitation with photochemotherapy reduces the inflammatory process in the tissues of adenoid vegetations, which greatly decreases the severity of illness and, as a result, surgery frequency.

No abstract

This review provides information on application of infrared radiation, selective chromophototherapy in red and blue bands, short-wave ultraviolet radiation, and the use of low-intensity laser radiation in combined therapy of lymphopharyngeal ring diseases in children (chronic adenoiditis, chronic tonsillitis). The article describes the basic biological mechanisms providing clinical effect of each of the above-described types of optical radiation. The study was aimed at drawing the scientific interest to non-medicinal methods of treatment of lymphopharyngeal ring diseases in children.