Chronic tonsillitis in adolescents: clinical features and the role of ultrasound diagnosis in the northern region of Ukraine
Background. Chronic tonsillitis is the most common disease among children and adolescents in the structure of pathology of the ENT organs. Untimely diagnosis and irrational treatment lead to decompensation of chronic tonsillitis and the development of lesions of many organs and systems of the child’...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Yu.A. Manko [verfasserIn] O.I. Smiian [verfasserIn] A.M. Loboda [verfasserIn] S.V. Popov [verfasserIn] P.I. Sichnenko [verfasserIn] O.G. Vasylieva [verfasserIn] K.O. Smiian [verfasserIn] I.Yu. Vysotsky [verfasserIn] T.O. Aleksakhina [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch ; Ukrainisch |
| Erschienen: |
2023 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: Zdorovʹe Rebenka - Zaslavsky O.Yu., 2017, 18(2023), 3, Seite 162-165 |
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| Übergeordnetes Werk: |
volume:18 ; year:2023 ; number:3 ; pages:162-165 |
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Link aufrufen |
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| DOI / URN: |
10.22141/2224-0551.18.3.2023.1579 |
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DOAJ096098384 |
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| 520 | |a Background. Chronic tonsillitis is the most common disease among children and adolescents in the structure of pathology of the ENT organs. Untimely diagnosis and irrational treatment lead to decompensation of chronic tonsillitis and the development of lesions of many organs and systems of the child’s body of tonsillogenic origin. The aim of the work was to study the clinical features and ultrasound changes of the palatine tonsils in adolescents with chronic tonsillitis. Materials and methods. We have examined 47 children aged 13 to 17 years suffering from chronic tonsillitis: group I — 27 patients with compensated chronic tonsillitis, group II — 20 patients suffering from decompensated chronic tonsillitis. The control group consisted of 16 practically healthy children, representative in terms of age and gender. We used clinical methods, ultrasonography of the palatine tonsils, and statistical methods. The study was approved by the Institutional Bioethics Committee and it conforms to the principles outlined in the Declaration of Helsinki. Results. According to the results of an ultrasound examination of the palatine tonsils in children with chronic tonsillitis, the main changes were an increase in their transverse dimensions by more than 15 mm, deepening of lacunae, thickening of the capsule, fibrous changes. In addition, in patients with tonsillogenic lesions of the cardiovascular system and a decompensated form of chronic tonsillitis, the pathological signs of the disease according to ultrasound were more significant and were manifested by unclear contours, increased echogenicity, heterogeneous hyperechoic structure, diffuse fibrous and cystic changes of the palatine tonsils. Conclusions. Ultrasonography of the palatine tonsils is a non-invasive, painless, accessible and informative method for studying the structure of the tonsils in normal and pathological conditions. It allows for a more thorough assessment of their changes in compensated and decompensated forms of chronic tonsillitis. | ||
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10.22141/2224-0551.18.3.2023.1579 doi (DE-627)DOAJ096098384 (DE-599)DOAJ0e8c5a514f8645ccb74806d487167fc1 DE-627 ger DE-627 rakwb eng ukr RJ1-570 Yu.A. Manko verfasserin aut Chronic tonsillitis in adolescents: clinical features and the role of ultrasound diagnosis in the northern region of Ukraine 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background. Chronic tonsillitis is the most common disease among children and adolescents in the structure of pathology of the ENT organs. Untimely diagnosis and irrational treatment lead to decompensation of chronic tonsillitis and the development of lesions of many organs and systems of the child’s body of tonsillogenic origin. The aim of the work was to study the clinical features and ultrasound changes of the palatine tonsils in adolescents with chronic tonsillitis. Materials and methods. We have examined 47 children aged 13 to 17 years suffering from chronic tonsillitis: group I — 27 patients with compensated chronic tonsillitis, group II — 20 patients suffering from decompensated chronic tonsillitis. The control group consisted of 16 practically healthy children, representative in terms of age and gender. We used clinical methods, ultrasonography of the palatine tonsils, and statistical methods. The study was approved by the Institutional Bioethics Committee and it conforms to the principles outlined in the Declaration of Helsinki. Results. According to the results of an ultrasound examination of the palatine tonsils in children with chronic tonsillitis, the main changes were an increase in their transverse dimensions by more than 15 mm, deepening of lacunae, thickening of the capsule, fibrous changes. In addition, in patients with tonsillogenic lesions of the cardiovascular system and a decompensated form of chronic tonsillitis, the pathological signs of the disease according to ultrasound were more significant and were manifested by unclear contours, increased echogenicity, heterogeneous hyperechoic structure, diffuse fibrous and cystic changes of the palatine tonsils. Conclusions. Ultrasonography of the palatine tonsils is a non-invasive, painless, accessible and informative method for studying the structure of the tonsils in normal and pathological conditions. It allows for a more thorough assessment of their changes in compensated and decompensated forms of chronic tonsillitis. children ultrasonography tonsillitis palatine tonsils Pediatrics O.I. Smiian verfasserin aut A.M. Loboda verfasserin aut S.V. Popov verfasserin aut P.I. Sichnenko verfasserin aut O.G. Vasylieva verfasserin aut K.O. Smiian verfasserin aut I.Yu. Vysotsky verfasserin aut T.O. Aleksakhina verfasserin aut In Zdorovʹe Rebenka Zaslavsky O.Yu., 2017 18(2023), 3, Seite 162-165 (DE-627)1760603422 23071168 nnns volume:18 year:2023 number:3 pages:162-165 https://doi.org/10.22141/2224-0551.18.3.2023.1579 kostenfrei https://doaj.org/article/0e8c5a514f8645ccb74806d487167fc1 kostenfrei https://childshealth.zaslavsky.com.ua/index.php/journal/article/view/1579 kostenfrei https://doaj.org/toc/2224-0551 Journal toc kostenfrei https://doaj.org/toc/2307-1168 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 18 2023 3 162-165 |
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10.22141/2224-0551.18.3.2023.1579 doi (DE-627)DOAJ096098384 (DE-599)DOAJ0e8c5a514f8645ccb74806d487167fc1 DE-627 ger DE-627 rakwb eng ukr RJ1-570 Yu.A. Manko verfasserin aut Chronic tonsillitis in adolescents: clinical features and the role of ultrasound diagnosis in the northern region of Ukraine 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background. Chronic tonsillitis is the most common disease among children and adolescents in the structure of pathology of the ENT organs. Untimely diagnosis and irrational treatment lead to decompensation of chronic tonsillitis and the development of lesions of many organs and systems of the child’s body of tonsillogenic origin. The aim of the work was to study the clinical features and ultrasound changes of the palatine tonsils in adolescents with chronic tonsillitis. Materials and methods. We have examined 47 children aged 13 to 17 years suffering from chronic tonsillitis: group I — 27 patients with compensated chronic tonsillitis, group II — 20 patients suffering from decompensated chronic tonsillitis. The control group consisted of 16 practically healthy children, representative in terms of age and gender. We used clinical methods, ultrasonography of the palatine tonsils, and statistical methods. The study was approved by the Institutional Bioethics Committee and it conforms to the principles outlined in the Declaration of Helsinki. Results. According to the results of an ultrasound examination of the palatine tonsils in children with chronic tonsillitis, the main changes were an increase in their transverse dimensions by more than 15 mm, deepening of lacunae, thickening of the capsule, fibrous changes. In addition, in patients with tonsillogenic lesions of the cardiovascular system and a decompensated form of chronic tonsillitis, the pathological signs of the disease according to ultrasound were more significant and were manifested by unclear contours, increased echogenicity, heterogeneous hyperechoic structure, diffuse fibrous and cystic changes of the palatine tonsils. Conclusions. Ultrasonography of the palatine tonsils is a non-invasive, painless, accessible and informative method for studying the structure of the tonsils in normal and pathological conditions. It allows for a more thorough assessment of their changes in compensated and decompensated forms of chronic tonsillitis. children ultrasonography tonsillitis palatine tonsils Pediatrics O.I. Smiian verfasserin aut A.M. Loboda verfasserin aut S.V. Popov verfasserin aut P.I. Sichnenko verfasserin aut O.G. Vasylieva verfasserin aut K.O. Smiian verfasserin aut I.Yu. Vysotsky verfasserin aut T.O. Aleksakhina verfasserin aut In Zdorovʹe Rebenka Zaslavsky O.Yu., 2017 18(2023), 3, Seite 162-165 (DE-627)1760603422 23071168 nnns volume:18 year:2023 number:3 pages:162-165 https://doi.org/10.22141/2224-0551.18.3.2023.1579 kostenfrei https://doaj.org/article/0e8c5a514f8645ccb74806d487167fc1 kostenfrei https://childshealth.zaslavsky.com.ua/index.php/journal/article/view/1579 kostenfrei https://doaj.org/toc/2224-0551 Journal toc kostenfrei https://doaj.org/toc/2307-1168 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 18 2023 3 162-165 |
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10.22141/2224-0551.18.3.2023.1579 doi (DE-627)DOAJ096098384 (DE-599)DOAJ0e8c5a514f8645ccb74806d487167fc1 DE-627 ger DE-627 rakwb eng ukr RJ1-570 Yu.A. Manko verfasserin aut Chronic tonsillitis in adolescents: clinical features and the role of ultrasound diagnosis in the northern region of Ukraine 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background. Chronic tonsillitis is the most common disease among children and adolescents in the structure of pathology of the ENT organs. Untimely diagnosis and irrational treatment lead to decompensation of chronic tonsillitis and the development of lesions of many organs and systems of the child’s body of tonsillogenic origin. The aim of the work was to study the clinical features and ultrasound changes of the palatine tonsils in adolescents with chronic tonsillitis. Materials and methods. We have examined 47 children aged 13 to 17 years suffering from chronic tonsillitis: group I — 27 patients with compensated chronic tonsillitis, group II — 20 patients suffering from decompensated chronic tonsillitis. The control group consisted of 16 practically healthy children, representative in terms of age and gender. We used clinical methods, ultrasonography of the palatine tonsils, and statistical methods. The study was approved by the Institutional Bioethics Committee and it conforms to the principles outlined in the Declaration of Helsinki. Results. According to the results of an ultrasound examination of the palatine tonsils in children with chronic tonsillitis, the main changes were an increase in their transverse dimensions by more than 15 mm, deepening of lacunae, thickening of the capsule, fibrous changes. In addition, in patients with tonsillogenic lesions of the cardiovascular system and a decompensated form of chronic tonsillitis, the pathological signs of the disease according to ultrasound were more significant and were manifested by unclear contours, increased echogenicity, heterogeneous hyperechoic structure, diffuse fibrous and cystic changes of the palatine tonsils. Conclusions. Ultrasonography of the palatine tonsils is a non-invasive, painless, accessible and informative method for studying the structure of the tonsils in normal and pathological conditions. It allows for a more thorough assessment of their changes in compensated and decompensated forms of chronic tonsillitis. children ultrasonography tonsillitis palatine tonsils Pediatrics O.I. Smiian verfasserin aut A.M. Loboda verfasserin aut S.V. Popov verfasserin aut P.I. Sichnenko verfasserin aut O.G. Vasylieva verfasserin aut K.O. Smiian verfasserin aut I.Yu. Vysotsky verfasserin aut T.O. Aleksakhina verfasserin aut In Zdorovʹe Rebenka Zaslavsky O.Yu., 2017 18(2023), 3, Seite 162-165 (DE-627)1760603422 23071168 nnns volume:18 year:2023 number:3 pages:162-165 https://doi.org/10.22141/2224-0551.18.3.2023.1579 kostenfrei https://doaj.org/article/0e8c5a514f8645ccb74806d487167fc1 kostenfrei https://childshealth.zaslavsky.com.ua/index.php/journal/article/view/1579 kostenfrei https://doaj.org/toc/2224-0551 Journal toc kostenfrei https://doaj.org/toc/2307-1168 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 18 2023 3 162-165 |
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10.22141/2224-0551.18.3.2023.1579 doi (DE-627)DOAJ096098384 (DE-599)DOAJ0e8c5a514f8645ccb74806d487167fc1 DE-627 ger DE-627 rakwb eng ukr RJ1-570 Yu.A. Manko verfasserin aut Chronic tonsillitis in adolescents: clinical features and the role of ultrasound diagnosis in the northern region of Ukraine 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background. Chronic tonsillitis is the most common disease among children and adolescents in the structure of pathology of the ENT organs. Untimely diagnosis and irrational treatment lead to decompensation of chronic tonsillitis and the development of lesions of many organs and systems of the child’s body of tonsillogenic origin. The aim of the work was to study the clinical features and ultrasound changes of the palatine tonsils in adolescents with chronic tonsillitis. Materials and methods. We have examined 47 children aged 13 to 17 years suffering from chronic tonsillitis: group I — 27 patients with compensated chronic tonsillitis, group II — 20 patients suffering from decompensated chronic tonsillitis. The control group consisted of 16 practically healthy children, representative in terms of age and gender. We used clinical methods, ultrasonography of the palatine tonsils, and statistical methods. The study was approved by the Institutional Bioethics Committee and it conforms to the principles outlined in the Declaration of Helsinki. Results. According to the results of an ultrasound examination of the palatine tonsils in children with chronic tonsillitis, the main changes were an increase in their transverse dimensions by more than 15 mm, deepening of lacunae, thickening of the capsule, fibrous changes. In addition, in patients with tonsillogenic lesions of the cardiovascular system and a decompensated form of chronic tonsillitis, the pathological signs of the disease according to ultrasound were more significant and were manifested by unclear contours, increased echogenicity, heterogeneous hyperechoic structure, diffuse fibrous and cystic changes of the palatine tonsils. Conclusions. Ultrasonography of the palatine tonsils is a non-invasive, painless, accessible and informative method for studying the structure of the tonsils in normal and pathological conditions. It allows for a more thorough assessment of their changes in compensated and decompensated forms of chronic tonsillitis. children ultrasonography tonsillitis palatine tonsils Pediatrics O.I. Smiian verfasserin aut A.M. Loboda verfasserin aut S.V. Popov verfasserin aut P.I. Sichnenko verfasserin aut O.G. Vasylieva verfasserin aut K.O. Smiian verfasserin aut I.Yu. Vysotsky verfasserin aut T.O. Aleksakhina verfasserin aut In Zdorovʹe Rebenka Zaslavsky O.Yu., 2017 18(2023), 3, Seite 162-165 (DE-627)1760603422 23071168 nnns volume:18 year:2023 number:3 pages:162-165 https://doi.org/10.22141/2224-0551.18.3.2023.1579 kostenfrei https://doaj.org/article/0e8c5a514f8645ccb74806d487167fc1 kostenfrei https://childshealth.zaslavsky.com.ua/index.php/journal/article/view/1579 kostenfrei https://doaj.org/toc/2224-0551 Journal toc kostenfrei https://doaj.org/toc/2307-1168 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 18 2023 3 162-165 |
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10.22141/2224-0551.18.3.2023.1579 doi (DE-627)DOAJ096098384 (DE-599)DOAJ0e8c5a514f8645ccb74806d487167fc1 DE-627 ger DE-627 rakwb eng ukr RJ1-570 Yu.A. Manko verfasserin aut Chronic tonsillitis in adolescents: clinical features and the role of ultrasound diagnosis in the northern region of Ukraine 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background. Chronic tonsillitis is the most common disease among children and adolescents in the structure of pathology of the ENT organs. Untimely diagnosis and irrational treatment lead to decompensation of chronic tonsillitis and the development of lesions of many organs and systems of the child’s body of tonsillogenic origin. The aim of the work was to study the clinical features and ultrasound changes of the palatine tonsils in adolescents with chronic tonsillitis. Materials and methods. We have examined 47 children aged 13 to 17 years suffering from chronic tonsillitis: group I — 27 patients with compensated chronic tonsillitis, group II — 20 patients suffering from decompensated chronic tonsillitis. The control group consisted of 16 practically healthy children, representative in terms of age and gender. We used clinical methods, ultrasonography of the palatine tonsils, and statistical methods. The study was approved by the Institutional Bioethics Committee and it conforms to the principles outlined in the Declaration of Helsinki. Results. According to the results of an ultrasound examination of the palatine tonsils in children with chronic tonsillitis, the main changes were an increase in their transverse dimensions by more than 15 mm, deepening of lacunae, thickening of the capsule, fibrous changes. In addition, in patients with tonsillogenic lesions of the cardiovascular system and a decompensated form of chronic tonsillitis, the pathological signs of the disease according to ultrasound were more significant and were manifested by unclear contours, increased echogenicity, heterogeneous hyperechoic structure, diffuse fibrous and cystic changes of the palatine tonsils. Conclusions. Ultrasonography of the palatine tonsils is a non-invasive, painless, accessible and informative method for studying the structure of the tonsils in normal and pathological conditions. It allows for a more thorough assessment of their changes in compensated and decompensated forms of chronic tonsillitis. children ultrasonography tonsillitis palatine tonsils Pediatrics O.I. Smiian verfasserin aut A.M. Loboda verfasserin aut S.V. Popov verfasserin aut P.I. Sichnenko verfasserin aut O.G. Vasylieva verfasserin aut K.O. Smiian verfasserin aut I.Yu. Vysotsky verfasserin aut T.O. Aleksakhina verfasserin aut In Zdorovʹe Rebenka Zaslavsky O.Yu., 2017 18(2023), 3, Seite 162-165 (DE-627)1760603422 23071168 nnns volume:18 year:2023 number:3 pages:162-165 https://doi.org/10.22141/2224-0551.18.3.2023.1579 kostenfrei https://doaj.org/article/0e8c5a514f8645ccb74806d487167fc1 kostenfrei https://childshealth.zaslavsky.com.ua/index.php/journal/article/view/1579 kostenfrei https://doaj.org/toc/2224-0551 Journal toc kostenfrei https://doaj.org/toc/2307-1168 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 18 2023 3 162-165 |
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Manko</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Chronic tonsillitis in adolescents: clinical features and the role of ultrasound diagnosis in the northern region of Ukraine</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2023</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background. Chronic tonsillitis is the most common disease among children and adolescents in the structure of pathology of the ENT organs. Untimely diagnosis and irrational treatment lead to decompensation of chronic tonsillitis and the development of lesions of many organs and systems of the child’s body of tonsillogenic origin. The aim of the work was to study the clinical features and ultrasound changes of the palatine tonsils in adolescents with chronic tonsillitis. Materials and methods. We have examined 47 children aged 13 to 17 years suffering from chronic tonsillitis: group I — 27 patients with compensated chronic tonsillitis, group II — 20 patients suffering from decompensated chronic tonsillitis. The control group consisted of 16 practically healthy children, representative in terms of age and gender. We used clinical methods, ultrasonography of the palatine tonsils, and statistical methods. The study was approved by the Institutional Bioethics Committee and it conforms to the principles outlined in the Declaration of Helsinki. Results. According to the results of an ultrasound examination of the palatine tonsils in children with chronic tonsillitis, the main changes were an increase in their transverse dimensions by more than 15 mm, deepening of lacunae, thickening of the capsule, fibrous changes. In addition, in patients with tonsillogenic lesions of the cardiovascular system and a decompensated form of chronic tonsillitis, the pathological signs of the disease according to ultrasound were more significant and were manifested by unclear contours, increased echogenicity, heterogeneous hyperechoic structure, diffuse fibrous and cystic changes of the palatine tonsils. Conclusions. Ultrasonography of the palatine tonsils is a non-invasive, painless, accessible and informative method for studying the structure of the tonsils in normal and pathological conditions. 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Chronic tonsillitis in adolescents: clinical features and the role of ultrasound diagnosis in the northern region of Ukraine |
| abstract |
Background. Chronic tonsillitis is the most common disease among children and adolescents in the structure of pathology of the ENT organs. Untimely diagnosis and irrational treatment lead to decompensation of chronic tonsillitis and the development of lesions of many organs and systems of the child’s body of tonsillogenic origin. The aim of the work was to study the clinical features and ultrasound changes of the palatine tonsils in adolescents with chronic tonsillitis. Materials and methods. We have examined 47 children aged 13 to 17 years suffering from chronic tonsillitis: group I — 27 patients with compensated chronic tonsillitis, group II — 20 patients suffering from decompensated chronic tonsillitis. The control group consisted of 16 practically healthy children, representative in terms of age and gender. We used clinical methods, ultrasonography of the palatine tonsils, and statistical methods. The study was approved by the Institutional Bioethics Committee and it conforms to the principles outlined in the Declaration of Helsinki. Results. According to the results of an ultrasound examination of the palatine tonsils in children with chronic tonsillitis, the main changes were an increase in their transverse dimensions by more than 15 mm, deepening of lacunae, thickening of the capsule, fibrous changes. In addition, in patients with tonsillogenic lesions of the cardiovascular system and a decompensated form of chronic tonsillitis, the pathological signs of the disease according to ultrasound were more significant and were manifested by unclear contours, increased echogenicity, heterogeneous hyperechoic structure, diffuse fibrous and cystic changes of the palatine tonsils. Conclusions. Ultrasonography of the palatine tonsils is a non-invasive, painless, accessible and informative method for studying the structure of the tonsils in normal and pathological conditions. It allows for a more thorough assessment of their changes in compensated and decompensated forms of chronic tonsillitis. |
| abstractGer |
Background. Chronic tonsillitis is the most common disease among children and adolescents in the structure of pathology of the ENT organs. Untimely diagnosis and irrational treatment lead to decompensation of chronic tonsillitis and the development of lesions of many organs and systems of the child’s body of tonsillogenic origin. The aim of the work was to study the clinical features and ultrasound changes of the palatine tonsils in adolescents with chronic tonsillitis. Materials and methods. We have examined 47 children aged 13 to 17 years suffering from chronic tonsillitis: group I — 27 patients with compensated chronic tonsillitis, group II — 20 patients suffering from decompensated chronic tonsillitis. The control group consisted of 16 practically healthy children, representative in terms of age and gender. We used clinical methods, ultrasonography of the palatine tonsils, and statistical methods. The study was approved by the Institutional Bioethics Committee and it conforms to the principles outlined in the Declaration of Helsinki. Results. According to the results of an ultrasound examination of the palatine tonsils in children with chronic tonsillitis, the main changes were an increase in their transverse dimensions by more than 15 mm, deepening of lacunae, thickening of the capsule, fibrous changes. In addition, in patients with tonsillogenic lesions of the cardiovascular system and a decompensated form of chronic tonsillitis, the pathological signs of the disease according to ultrasound were more significant and were manifested by unclear contours, increased echogenicity, heterogeneous hyperechoic structure, diffuse fibrous and cystic changes of the palatine tonsils. Conclusions. Ultrasonography of the palatine tonsils is a non-invasive, painless, accessible and informative method for studying the structure of the tonsils in normal and pathological conditions. It allows for a more thorough assessment of their changes in compensated and decompensated forms of chronic tonsillitis. |
| abstract_unstemmed |
Background. Chronic tonsillitis is the most common disease among children and adolescents in the structure of pathology of the ENT organs. Untimely diagnosis and irrational treatment lead to decompensation of chronic tonsillitis and the development of lesions of many organs and systems of the child’s body of tonsillogenic origin. The aim of the work was to study the clinical features and ultrasound changes of the palatine tonsils in adolescents with chronic tonsillitis. Materials and methods. We have examined 47 children aged 13 to 17 years suffering from chronic tonsillitis: group I — 27 patients with compensated chronic tonsillitis, group II — 20 patients suffering from decompensated chronic tonsillitis. The control group consisted of 16 practically healthy children, representative in terms of age and gender. We used clinical methods, ultrasonography of the palatine tonsils, and statistical methods. The study was approved by the Institutional Bioethics Committee and it conforms to the principles outlined in the Declaration of Helsinki. Results. According to the results of an ultrasound examination of the palatine tonsils in children with chronic tonsillitis, the main changes were an increase in their transverse dimensions by more than 15 mm, deepening of lacunae, thickening of the capsule, fibrous changes. In addition, in patients with tonsillogenic lesions of the cardiovascular system and a decompensated form of chronic tonsillitis, the pathological signs of the disease according to ultrasound were more significant and were manifested by unclear contours, increased echogenicity, heterogeneous hyperechoic structure, diffuse fibrous and cystic changes of the palatine tonsils. Conclusions. Ultrasonography of the palatine tonsils is a non-invasive, painless, accessible and informative method for studying the structure of the tonsils in normal and pathological conditions. It allows for a more thorough assessment of their changes in compensated and decompensated forms of chronic tonsillitis. |
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