Over the last 10 years dramatically changed the approach to the diagnosis and treatment of chronic tonsillitis in children. It changed and the disease itself - its picture became more blurred, non-specific. As a result, we were revised treatment of the disease - in the direction of a conservative approach. With surgery (tonsillectomy) only in extreme cases and a clear medical indications.
Unfortunately, recent trends in this area of intervention is inappropriate antibiotic therapy, children's allergy and secondary immunodeficiency.
Today, doctors firmly believe: conservative treatment of chronic tonsillitis child must necessarily be complex (it is provided that for the surgery there is no evidence). In addition, it must necessarily be cyclical (courses 2 times a year, in spring and autumn). In this small patient must regularly for tests and will always observe local pediatrician.
With regard to surgical treatment, it is shown to children suffering from chronic tonsillitis, with decompensated form of the disease, as well as in cases where conservative treatment is not crowned success.
Removal of the tonsils occurs only when it is really necessary, especially in children of primary school age. After all these years we have to max the immune activity of the paired organ.
Contraindications for tonsillectomy are:
- certain blood diseases incl leukemias, acute and chronic;
- vascular abnormalities of the pharynx;
- severe forms of nervous and mental diseases;
- acute diseases, as well as exacerbation of chronic diseases (internal and ENT);
- TB bronhoadenit and intoxication;
- abrasions;
- carious teeth;
- various dermatitis (acute, chronic and acute);
- pronounced ketonuria in diabetic patients;
- periods of influenza epidemics, polio.
Traditionally, children's chronic tonsillitis treated by local effects on the amygdala - irrigate their therapeutic solutions, inhalations and lubricate medicinal formulations. In addition, patients are assigned absorbable preparations and antiinflammatory.
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