Treatment of chronic tonsillitis: a personalized approach to prevent metatonsillar complications

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Resumo

Modern science has the latest theoretical data on the function and structure of the tonsillar apparatus, which are able to detail the issues of the occurrence and development of chronic tonsillitis (CT) taking into account the rich and diverse material accumulated by modern clinics. CT caused by BHSA-infection has the most unfavorable course, accompanied by frequent relapses of acute tonsillitis and the development of severe complications (peritonsillar abscess, purulent lymphadenitis, etc.) from the first days, as well as diseases associated with CT (glomerulonephritis, rheumatic fever, etc.). An important role in the occurrence of CT belongs to the interaction of microorganisms located in the crypts of the palatine tonsils with the macroorganism. Given the increased activity of the tonsils in childhood and their impact on the normal development of the immune system, approaches to surgical treatment should be very thoughtful and balanced. One of the urgent problems of otolaryngology remains the search for pathogenetically substantiated, effective and safe methods of treating CT. The emergence of new strains of antibiotic-resistant microorganisms is a serious clinical problem that is associated with a more severe course of diseases. Exacerbation of CT and sore throat remains a common reason for the unjustified prescription of systemic antibacterial therapy. In most cases, with the exception of streptococcal tonsillitis, antibiotics can be considered excessive treatment, since they are a completely inappropriate solution for the treatment of viral infections. In conservative therapy, agents that can, on the one hand, restrain the inflammatory reaction, and on the other, are able to modulate the immune response are of great interest. The article highlights the possibilities of modern herbal medicine in the conservative treatment of CT, promoting a balanced and scientifically substantiated personalized approach in the interests of the patient. The presented herbal remedies are included in clinical guidelines, their use is pathogenetically substantiated.

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Sobre autores

Vladimir Belov

Veltischev Research Clinical Institute of Pediatrics and Pediatric Surgery, Pirogov Russian National Research Medical University; Russian Medical Academy of Continuous Professional Education

Autor responsável pela correspondência
Email: info@eco-vector.com
ORCID ID: 0000-0002-2955-2015

Cand. Sci. (Med.), Teaching Assistant, Department of Pediatric Otolaryngology named after prof. B.V. Shevrygin, Head of the Otolaryngology Department

Rússia, Moscow; Moscow

Elena Karpova

Russian Medical Academy of Continuous Professional Education

Email: info@eco-vector.com
ORCID ID: 0000-0002-8292-9635

Dr. Sci. (Med.), Professor, Head of the Department of Pediatric Otolaryngology named after prof. B.V. Shevrygin

Rússia, Moscow

Alan Asmanov

Veltischev Research Clinical Institute of Pediatrics and Pediatric Surgery, Pirogov Russian National Research Medical University

Email: info@eco-vector.com
ORCID ID: 0000-0002-3116-6447

Cand. Sci. (Med.), Head of the Department of Acute and Chronic Pathology of the Ear, Throat and Nose, Assistant Professor, Department of Otolaryngology, Faculty of Pediatrics

Rússia, Moscow

Olga Belova

Veltischev Research Clinical Institute of Pediatrics and Pediatric Surgery, Pirogov Russian National Research Medical University

Email: info@eco-vector.com
ORCID ID: 0009-0003-2893-1413

Cand. Sci. (Med.), Pulmonologist, Consultative and Diagnostic Department

Rússia, Moscow

Denis Tulupov

Russian Medical Academy of Continuous Professional Education; Filatov Children’s City Clinical Hospital No. 13

Email: info@eco-vector.com
ORCID ID: 0000-0001-6096-2082

Cand. Sci. (Med.), Associate Professor, Department of Pediatric Otolaryngology named after prof. B.V. Shevrygin, Otolaryngologist, Department of Otolaryngology

Rússia, Moscow; Moscow

Oleg Naumov

Russian Medical Academy of Continuous Professional Education; Filatov Children’s City Clinical Hospital No. 13

Email: info@eco-vector.com
ORCID ID: 0000-0002-8243-8385

Cand. Sci. (Med.), Associate Professor, Department of Pediatric Otolaryngology named after prof. B.V. Shevrygin, Otolaryngologist, Otolaryngology Department

Rússia, Moscow; Moscow

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