Hypertrophy of palatine tonsils
Hypertrophy of palatine tonsils is most common in childhood, and in most cases, in combination with adenoids, which clearly shows the general hyperplasia of the lymphadenoid tissue.
The causes of hypertrophy of palatine tonsils have not been fully understood to date, but it can be argued that immunodeficiency states, endocrine system dysfunctions, infectious diseases and hereditary factors
Course and symptoms
Enough large sizes of enlarged tonsils can significantly complicate mouth breathing and ingestion of food, and often lead to difficulty in speaking. – дыхательная функция резко нарушается; In the case, in addition to hypertrophy of the tonsils, there are adenoids - the respiratory function is sharply disturbed; while the child during sleep comes with attacks of suffocation, a frequent cough disturbs, as a result of which sleep is disturbed and phenomena of mental and nervous dystonia arise.
The diagnosis is established on the basis of pharyngoscopy performed, while significantly enlarged palatine tonsils without obvious signs of their chronic inflammation are visible.
Also, simple hypertrophy of palatine tonsils must necessarily be differentiated from chronic hypertrophic tonsillitis, lymphogranulomatosis, lymphosarcoma and leukemia. A biopsy, followed by a histological examination of a tissue sample and a blood test, clarifies the diagnosis
If the tonsillar hypertrophy is insignificant, treatment is either not done at all, or cautery and astringent agents are prescribed, to reduce swelling. Also shown is general restorative treatment, which includes vitamin therapy, UHF and ultrasound therapy, and climatic therapy (stay in the mountain / sea climate).
In cases where hypertrophic palatine tonsils interfere with normal swallowing and breathing, surgical intervention (tonsillotomy) is performed, at which part of the amygdala that extends beyond the palatine arch is cut off. Most often this type of surgery is performed at the age of five to seven years (adults and infants are extremely rare). Surgical treatment is contraindicated in cases where acute and severe blood diseases and chronic infectious diseases are present.
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