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Purpose: to study the dynamics of the incidence of chronic tonsillitis in the population of the Samara region for 2018-2021.Materials and methods: retrospective analysis of information on the number of diseases registered in patients living in the service area of a medical organization with a first diagnosis based on the data of the annual reporting forms No. 12, No. 14 for 2018–2021.Results. The primary incidence of chronic tonsil disease is highest in children aged 0 to 14 years and tends to increase in primary incidence in 2021. There is a positive trend in the form of a decrease in the number of children with CMD. Compared to 2018, the number of patients with CMD in 2021 decreased by 35%. In all age groups there is a decrease in the prevalence of cases of chronic diseases of the tonsils.Conclusions. CMD occupies the 4th place in the structure of respiratory diseases in the age group from 0 to 14 years, while in other age groups this pathology ranks sixth. The primary incidence of CBM is highest in children (0–14 years old) and adolescents (15–18 years old). The prevalence of CBM is also high in children and adolescents and is almost 9–15 times lower in adults (18–60 years old) and persons over 60 years of age. However, in the group of adults (18–60 years old) the number of patients registered in the dispensary is quite high.
Purpose: to study the dynamics of the incidence of chronic tonsillitis in the population of the Samara region for 2018-2021.Materials and methods: retrospective analysis of information on the number of diseases registered in patients living in the service area of a medical organization with a first diagnosis based on the data of the annual reporting forms No. 12, No. 14 for 2018–2021.Results. The primary incidence of chronic tonsil disease is highest in children aged 0 to 14 years and tends to increase in primary incidence in 2021. There is a positive trend in the form of a decrease in the number of children with CMD. Compared to 2018, the number of patients with CMD in 2021 decreased by 35%. In all age groups there is a decrease in the prevalence of cases of chronic diseases of the tonsils.Conclusions. CMD occupies the 4th place in the structure of respiratory diseases in the age group from 0 to 14 years, while in other age groups this pathology ranks sixth. The primary incidence of CBM is highest in children (0–14 years old) and adolescents (15–18 years old). The prevalence of CBM is also high in children and adolescents and is almost 9–15 times lower in adults (18–60 years old) and persons over 60 years of age. However, in the group of adults (18–60 years old) the number of patients registered in the dispensary is quite high.
Introduction. Features of the course of chronic tonsillitis may vary depending on the age of the patient, his comorbid status and the severity of the disease. One of the characteristic manifestations of the disease are local signs of chronic tonsillitis and manifestations of a systemic inflammatory response. The article considers the issue of increasing the effectiveness of treatment of patients with chronic tonsillitis at the stage of clinical examination by using bioregulatory therapy drugs in complex conservative treatment. Aim. Evaluation of the effectiveness of bioregulatory therapy (Traumeel ® S) in the dynamic monitoring of patients with chronic tonsillitis. Materials and methods. A randomized controlled trial was conducted in patients with newly established and confirmed diagnosis of chronic tonsillitis, decompensated form. The severity of subjective and objective symptoms was assessed using a visual analogue scale, as well as pharyngoscopy data, supplemented by the results of ultrasound examination of the palatine tonsils. Results. In the group of patients who took bioregulatory therapy, positive dynamics was observed already on the 2 nd day and related to the reduction of bad breath and sore throat. Comparative analysis in the groups made it possible to note a more significant and faster dynamics in relation to changes in the palatine arches, elasticity of the palatine tonsils and the phenomena of retromaxillary regional lymphadenitis. The monitoring of the condition of the treated patients over the course of 6 months made it possible to identify more rare recurrences of chronic tonsillitis among patients in the complex treatment of which the bioregulatory medicine was used, the frequency of which was 2.8 times lower compared to the control group. Discussion. The conducted study showed that the use of bioregulatory therapy has a positive effect on the symptoms of the inflammatory process. This is confirmed by an improvement in the general condition of patients in dynamics, a decrease in pain according to visual analogue scale, and an objective assessment of changes in the structure of the palatine tonsils using ultrasonography. Conclusions. Вioregulatory therapy as of a complex application (oral and parenteral forms) increases the effectiveness of treatment in patients of the dispensary group with a newly diagnosed chronic tonsillitis, decompensated form. Drug can significantly reduce the duration of therapy and reduce the number of relapses after complete recovery within 6 months.
Introduction. Lymph node enlargement in the craniocervical region is a common occurrence in general medical, pediatric and otolaryngological practice. According to the topographic anatomy of the lymphatic drainage zones, there is a close relationship between inflammation of the ENT organs and localized lymphadenopathy. An increase in the size of the lymph nodes is one of the symptoms of many diseases and pathologies that differ in their cause, clinical manifestations, diagnostic methods, treatment and prognosis. When diagnosing lymphadenopathy due to non-specific inflammation of the ENT organs, it is necessary to differentiate from neoplasms and specific infections. Understanding the function of the lymph nodes, their location, description taking into account the etiopathogenesis of their enlargement is important for making clinical decisions about when a comprehensive examination and treatment are necessary, and in which cases only observation. The data of the literature review and further studies will help to identify age-related patterns in the formation of local lymphadenopathy of the craniocervical region according to the topographic zones of lymphatic drainage to determine the diagnostic algorithm in order to avoid possible surgical treatment and reduce the risk of serious complications.Aim. Conduct an analysis of the prediction of localized lymphadenopathy in inflammation of the ENT organs according to the anatomical zones of lymphatic drainage based on materials from domestic and foreign literature.Materials and methods. We searched for articles in public databases using the following queries: “lymphadenopathy”, “craniocervical region”, “anatomical zones of lymphatic drainage”, “inflammatory pathology of ENT organs”. A review of the literature carried out was over the past 10 years, including data from literary sources whose authors made a significant contribution to the development of otorhinolaryngology.Results and discussion. The summary data of the literature review, including both original studies and descriptions of clinical cases, presented are in the relationship of localized lymphadenopathy of the craniocervical region in inflammatory nosology of ENT organs with anatomical and topographic zones of lymphatic drainage in norm and pathology. A checklist for early diagnostics of inflammation of the lymph nodes of the head and neck in ENT pathology and routing of patients with localized lymphadenopathy compiled has been to avoid possible surgical treatment and reduce the risk of serious complications.Conclusion. Analysis of available literature sources showed that localized lymphadenopathy is one of the symptoms in acute and chronic ENT pathology. Craniocervical nodes are located in discrete anatomical areas, and their enlargement reflects lymphatic drainage from the inflammation zone of ENT organs when the barrier of immune protection of the lymphoepithelial pharyngeal is ring disrupted. The nature, distribution and number of lymph nodes can provide a lot of information to the clinician in diagnosing the recurrent course of inflammation of ENT organs, in connection with which an interdisciplinary approach is necessary in routing a patient with lymphadenopathy.
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