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[Pathology of the lymphopharyngeal ring in children]
Insights
Pediatric tonsil diseases, including chronic tonsillitis, are common, often with hypertrophy and intoxication. Conservative treatment is preferred for chronic tonsillitis in children due to tonsils
Area of Science:
- Pediatric Otolaryngology
- Immunology
- Infectious Diseases
Context:
- Tonsillar diseases affect a significant portion of children.
- Understanding the prevalence and characteristics of tonsil pathology in children is crucial for effective management.
- The study examines 9612 children up to 14 years old in organized settings.
Purpose:
- To investigate the prevalence and clinical manifestations of tonsil diseases in children.
- To explore the pathogenesis and systemic implications of tonsillar pathology.
- To evaluate appropriate treatment strategies for chronic tonsillitis in pediatric populations.
Summary:
- Diseases of the tonsils were identified in 34.8% of children, with chronic tonsillitis being the most prevalent form (64.4%).
- Chronic tonsillitis frequently co-occurred with tonsillar hypertrophy (63.3%) and signs of tonsillogenous intoxication (84%).
- Lymphopharyngeal ring pathology was more common in children aged 7-14 years (44.6%).
Impact:
- Tonsillar pathology is proposed to be a systemic disease, influenced by the overall lymphoid system.
- The functional importance of tonsils in local and general immunity suggests a need for conservative treatment approaches for chronic tonsillitis.
- Findings support prioritizing non-surgical interventions for chronic tonsillitis in children.
Abstract:
The condition of tonsils was studied in 9612 children of organized establishments aged up to 14 years. Diseases of the tonsils were found in 34.8% cases (simple hyperplasia in 35.6%, chronic tonsillitis in 64.4% cases). In 63.3% cases chronic tonsillitis was accompanied by tonsillar hypertrophy. In 84% cases it proceeded with signs of tonsillogenous intoxication. Lymphopharyngeal ring pathology was more often than not found in 7-14 year old children (44.6%). The authors discuss problems of pathogenesis, clinical course, diagnostics and treatment of lymphopharyngeal ring pathology in children. They suppose that tonsillar pathology in children is to be considered as a systemic disease, the leading role in its pathogenesis seems to belong to the total lymphoid system of the organism. Proceeding from the fact that the tonsils in children are of great functional importance as they take part in the formation of local and general defensive immunologic reactions of the organism, the authors consider that in children it is necessary to give preference to conservative methods in the treatment of chronic tonsillitis.