A method for the treatment of chronic nonspecific tonsillitis
(57) Abstract:The invention relates to medicine and can be used for the treatment of chronic nonspecific tonsillitis. The patient 2-3 times a week under visual control in turn brings the tips of the middle fingers from the side of the mouth under the same tonsils and makes each of them 2-3 davashe-sliding movement in the upward direction. The method allows to increase efficiency, to achieve sustainable results and to avoid side effects of drug therapy in patients with chronic nonspecific tonsillitis by local activation of protective mechanisms. The invention relates to medicine, in particular to otorhinolaryngology. Unspecified chronic tonsillitis is one of the most common infectious diseases of the upper respiratory tract, the most common among the young and middle age. The clinical course of the disease is characterized by frequent exacerbations and relapses. This is due to the frequent change of pathogens and their persistence in infected tonsils. Exacerbation or relapse unspecified chronic tonsillitis is usually preceded by poaul the N. of the pathogen. From the tonsils pathogens spread not only to other tonsil pharyngeal lymphatic ring Pirogov-Waldeyer and other parts of the upper respiratory tract and the lower respiratory tract, and lungs. The treatment is conservative or surgical methods (Lapotko I. A., Lakodina O. Y. Multivolume guide to otolaryngology. - M., 1963; Transfiguration B. S., Popova, N. Tonsillitis, chronic tonsillitis and associated diseases. - M., 1970; Infectious diseases./Edited by C. C. of matkovskiy and A. P. Kazantsev. - L.: military medical Academy, 1970; Soldatov, I. B. Classification and principles of treatment of chronic tonsillitis. - M., 1979).Conservative treatment of chronic nonspecific tonsillitis, as one of the analogues of the proposed method includes the appointment of drugs of different pharmacological groups and mechanisms of action of antibiotics, antimicrobial and nonspecific anti-inflammatory, giposensibiliziruyuschey and immunocorrective agents, vitamins etc), methods reflex effects (reflexology, physiotherapy, various kinds of procaine blockade etc), the relevant regime and diet. Disadvantages Ananov treatment, complications and side effects of drug therapy, the negative attitude of patients to the “pill”, a high likelihood of exacerbation and recurrence of the disease (often occurring in the form of angina).Another analogue of the proposed method is a surgical method of treatment (tonsillotomy, tonsillectomy, Economia, cryogenic on tonsils, laser destruction, and others), which requires the appropriate equipment and training. The disadvantages of this analogue are inherent in the surgical treatment of various complications (bleeding, suppuration, and others), the continuing high degree of probability of relapses and exacerbations, the presence in some patients with contraindications to surgery, and the most common of surgical methods of treatment - tonsillotomy - often accompanied by the occurrence of such unpleasant complications such as dry pharyngitis.As a prototype of the proposed method of treatment of chronic nonspecific tonsillitis we chose lavage of lacunas of antiseptic solutions (Manual of otorhinolaryngology./Edited by Soldatov, I. B. - M., 1994; 2000 diseases from a to Y. the guide MLDP). The disadvantages of the prototype are saving relapses and exacerbations of the disease; low efficiency and duration of treatment, accompanied with significant investment of time as a patient and medical personnel; side effects of drug therapy.The aim of the invention is to increase efficiency, achieve sustainable results, and excluding the adverse effects of drug therapy in patients with chronic nonspecific tonsillitis by activating local defense mechanisms.The essence of the proposed method for the treatment of chronic nonspecific tonsillitis is as follows.Treatment in the bathroom, using a small mirror. The patient, holding the mirror in his left hand, he opens his mouth. Seeing in the mirror right amygdala, he sent her the light source. Under visual control, the tip of the middle finger of his right hand, the patient leads from the mouth, under the right amygdala and performs davashe-sliding movement of the amygdala in the upward direction, performing 2-3 such movement. The pressure force on the amygdala should not cause unpleasant and painful sensations even when starting in When performing davashe-sliding movements commonly seen in isolation from tonsils of a small amount of secret, often with a crumb-like masses. Then the patient, changing hands, produces similar actions with almond opposite side, and mouth rinses with water. At the beginning of treatment may experience a gag reflex, which after 2-3 days quenched and further does not interfere with treatment. When patients achieving a certain level of skill necessary to use the mirror disappears.The doctor explains to the patient the treatment principle and teaches the described method.The proposed method of treatment as in remission (2-3 times a week), and exacerbation of chronic tonsillitis (daily 2-3 times in the morning required).The effectiveness of the proposed method of treatment is demonstrated by the following clinical observations.Ave.1. Patient W., 29 years, from childhood suffer from chronic nonspecific tonsillitis with frequent exacerbations and sore throats, especially in autumn and spring. Repeatedly raised the question of tonsillectomy, but even in my childhood my parents refused surgery. The patient is constantly pursued various methods of conservative treatment. It kept increased loose tonsils, fospassin after the action of the precipitating factors (pereohlazhden the tons of other methods. On the third week of treatment noticed a decrease in the size of the tonsils. Next, for more than 20 years of chronic nonspecific tonsillitis not worried.Another clinical example (2). The U. girl, 9 years old, 4 years old suffer from chronic nonspecific tonsillitis with frequent exacerbations and sore throats (despite treatment), which in recent years has often skips school. Due to the ineffectiveness of conservative treatment have been referred for surgery - tonsillectomy, hypertrophy of the tonsils is 3-4 degrees. Before surgical treatment, it was decided to apply the treatment by the claimed method, from the first days of the conduct of which the girl noticed improvement. After 3 weeks of chronic nonspecific phenomenon tonsillitis steadfastly subsided, the amygdala decreased significantly and reached normal size. Over the next 5 years observation of the patient of the effects of chronic nonspecific tonsillitis no, sore throats are sore. The need for surgical treatment there.Ave.3. Patient K., 36 years old, recovering from a sore throat for 3 years suffering from chronic nonspecific tonsillitis with frequent exacerbations, periodically there is a feeling of “parabosco, headache and temperature to 39C. In the midst of disease according to the guidelines began to apply the claimed method of treatment 2-3 times a day, “squeezing of the tonsils turbid liquid with flecks of blood.” In the future, after the recovery in the month continued this treatment, applying it 1-2 times a week. Last year and a half unspecified chronic tonsillitis patients don't care Angin was not.Thus, the application of the proposed method, which is easily reproducible, achieved sustainable results of treatment of patients: there is no need for both surgical and conservative treatment of chronic nonspecific tonsillitis, which rack can be cured without medication. While patients with chronic nonspecific tonsillitis cease to disturb the natural exacerbation and relapse, including extreme degree of their manifestation - of angina.In conclusion, it should be noted that the existing methods of treatment of chronic nonspecific tonsillitis fail to account for the idea of the Mm system, underestimate the ability of the microorganism, in particular the role of mechanisms in local immunity in the development of the disease (Ariel B. M. Morphogens process feeling “sore throat” characterizes the beginning breakdown of local protective mechanisms and activation persistent in tonsils infection. The inventive method of treatment holds the indices of local immunity at a high level, preventing the development of pathogenic microorganisms. You can not ignore the negative attitude of patients to drug therapy, in particular antibiotics, and from a medical point of view, having other more effective treatment, this position should be welcomed, because it primarily inhibits formation of antibiotic-resistant strains of pathogens. A method for the treatment of chronic nonspecific tonsillitis by affecting the tonsils, characterized in that the patient 2-3 times a week under visual control in turn brings the tips of the middle fingers from the side of the mouth under the same tonsils and makes each of them 2-3 davashe-sliding movement in the upward direction.
FIELD: medicine, otolaryngology.
SUBSTANCE: the present innovation deals with introducing neomycin sulfate antibiotic in granules prepared by the following technique. Tablet of neomycin sulfate 1.0g should be put into a vial with 100 ml distilled water till tablet's decomposition. Then vial's content should be shaken and kept till suspension sedimentation. In a day one should take 1 ml of supernatant liquid to be put into another vial and diluted with distilled water at 1:100 ratio. This procedure should be repeated 4 times more, moreover, during the last procedure one should apply alcohol for dilution. Then one should transfer the drop of alcoholic solution into a vial with granules out of milk sugar to then shaken and kept open for 1 d till granules" drying up. The suggested preparation should be applied per 1 granule under the tongue, moreover, multiplicity and duration of the above-suggested intake should be matched individually by patient's sensitivity and obtaining the clinic effect. The method enables to improve the value of tonic threshold audiometry by about 30-50 dB, decrease perception threshold of vocal range frequencies and widen the range towards high frequencies.
EFFECT: higher efficiency of therapy.
SUBSTANCE: method involves carrying out chromatographic examination of middle ear exudates lovage for determining volatile fatty acids concentration. Test closure of tympanic membrane perforation is carried out with polyethylene terephthalate for 2 weeks. Then the film is removed and one more chromatographic examination of middle ear exudates lovage is carried out. Volatile fatty acids concentration in the first lovage sample being equal to or greater than 0.82 mmole/l and growing to or higher than 1.22 mmole/l after the test closure of tympanic membrane perforation, the operation is considered to be contraindicated.
EFFECT: high accuracy of prognosis; reduced risk of transplant rejection and chronic purulent otitis media exacerbation.
SUBSTANCE: device has light guide having illumination source and system for removing pathological content. The device also has endoscope connected to video camera and video monitor, and expanding hoop having metal plates on its rim. Metal tubes rigidly joined to each other are mounted between them. One of the tubes is connected to system for removing pathological content and having suction unit and the second tube has irrigator system and system for supplying antibiotic solution. The tubes are joined with flexible hoses.
EFFECT: enhanced effectiveness of treatment; accelerated operation method.
2 cl, 1 dwg
FIELD: medicine, otorhinolaryngology.
SUBSTANCE: the present innovation deals with treating chronic perforating otitis at great defects of tympanic membrane. One should perforate a strip of tragus' autocartilage or concha auriculae to form a transplant as a netting at hole sizes being 2 mm, not more. The transplant obtained should be applied onto intact structures of ossicula and tympanic residues. The transplant should be covered with a temporal fascia to apply the residues of meatotympanic fragment above it. The method enables to simplify myringoplasty due to simplified preparation of a transplant.
EFFECT: higher efficiency.
FIELD: medicine, esthetic surgery.
SUBSTANCE: one should perform anesthesia of posterior surface of concha auriculae and area of mastoid process, fulfill cutaneous incision at posterior surface of concha auriculae along the edge of its helix, exfoliate skin at posterior surface of concha auriculae, isolate cartilage to loosen parotid muscle, dissect the latter, perform the application of concho-mastoid suture by capturing the periosteum of mastoid process and cartilage of concha auriculae, suture the cartilage for its total depth, moreover, the ligature should pass under the skin of anterior surface of concha auiricular, then one should form counter-helix, perform hemostasis, suture in cutaneous wound with a blanket uninterrupted suture with catgut. In peculiar case, at forming counter-helix one should at first apply the suture in area of counter-helix' pedicles, and only then - in its upper part. In peculiar case, if cartilage has got considerable elasticity one should additionally apply 1-2 sutures in the middle part of counter-helix mentioned.
EFFECT: decreased number of post-operational complications and relapses.
2 cl, 6 dwg, 1 ex
FIELD: medicine, otorhinolaryngology.
SUBSTANCE: the present innovation deals with treating dry perforated otitis media. Method for treating tympanic membrane perforation should be carried out due to applying medicinal preparations, moreover, one should apply Curiosin gel daily for 7 d with an auricular probe supplied with a cotton tampon onto perforation edges. The innovation provides shortened terms of rehabilitation in patients.
EFFECT: higher efficiency of therapy.
SUBSTANCE: method involves emitting acoustic and speech signals of various and analyzing response data. Patients having single cochlear implant are trained for skills in localizing sound source from hearing beginning from producing triangular clicks emitted by two speaker devices with amplitude ratio equal to 100:10. Next to it, signal amplitude change pattern is set dynamically in two channels from 100% to 10% with signal amplitude changes done in inversely proportional manner. Then, localization skills are transferred to speech signals and training exercises are given by sending the signals to two speaker devices retaining amplitude proportion equal to 100:10. The acoustic and speech signals are produced with the same amplitude changes and fixed localization not earlier than in three weeks after the first usage of cochlear implant and later with frequency not less than twice a year during the first year and once a year in the following period. The number of the right answers and patient response time are determined. Analysis results are compared to those earlier received from given patient. The number of the right answers and patient response rate statistically significantly growing, rehabilitation dynamics is considered to be satisfactory. The number of the right answers not exceeding 58-60%, acoustic orientation rehabilitation is considered to be incomplete.
EFFECT: enhanced effectiveness of treatment.
FIELD: medicine, otorhinolaryngology.
SUBSTANCE: one should form external auditory meatus and tympanic cavity. On inspecting the elements of tympanic cavity one should mobilize rudimentary incus. Then one should screen tympanic cavity by applying periosteal fragment and finely porous round plate of titanium nickelide onto the incus.
EFFECT: more reliable tympanic screening.
SUBSTANCE: method involves remove posterosuperior external acoustic meatus wall bone fragment by knocking it off together with tympanicord using a chisel taken from microsurgical instrument set. Then it is moved forward as a whole. After having done the hearing improvement operation, it is laid on its original place.
EFFECT: enhanced effectiveness in recreating posterosuperior external acoustic meatus wall integrity after the operation.
SUBSTANCE: method involves applying analog-to-digital input signal transformation expressed as word, dividing transformed signal spectrum into odd and even frequency bands, summing odd bands, carrying out digital-to-analog transformation of resulting summed signal and training its perception by preliminarily getting familiar with the word shown for listening and following testing. Spectrum division is based on tonotopic frequency distribution law over cochlea axis. Frequency bands having odd numbers are arranged in equal distances along basilar membrane length in agreement with normal tonotopic frequency distribution law over cochlea axis. At least three odd spectrum bands are summed up. Training is carried out by multiple repetition of the word shown for listening until unambiguous correlation to the known word meaning given in preliminary acquaintance takes place. The same words are to be shown in testing and training.
EFFECT: partially retained speech spectrum.