The method of treatment of chronic tonsillitis

 

The proposed method of treatment, refers to an ENT, to the treatment of patients with chronic tonsillitis. The method includes the impact on the amygdala helium-neon laser with a wavelength of 0.63 and exposure time 5 minutes per amygdala. While each pre-gap treated with 1% solution of methylene blue in glycerol and 10 minutes exercise intrecourse laser with output power from fiber 15-20 mW. The method allows to increase the effectiveness of treatment and to reduce the duration of stay of the patient in the hospital. 2 Il., 1 PL.

The invention relates to medicine, namely to the treatment of patients with inflammatory diseases of ENT-organs (chronic tonsillitis), caused by the bacterial flora.

There is a method of medical treatment of chronic tonsillitis, including washing the gaps of the Palatine tonsils antiseptic solution on the Griffin, and the course of treatment is 10-15 sessions [1].

Along with this known use of lasertherapie for the conservative treatment of chronic tonsillitis. This applied optical quantum generator of the “Arctic” with a wavelength of 0.337 MK is the amygdala. The fiber laser oscillator is fed to the mouth of the patient at a distance of 100 mm from the incisors. Then turn on the generator, and the patient himself using a mirror device moves the beam to the Palatine tonsil Thus, the laser beam is defocused optical system installation, simultaneously exposed to both tonsils. Exposure exposure 10 min Irradiation is carried out 6 times a week. The treatment is 14-16 sessions [2].

The disadvantage of the above method is its duration, increasing the term of stay of the patient in the hospital.

This method in its technical essence is the most precise way, which suggest the authors.

We first proposed a method intralumenal photodynamic therapy of chronic tonsillitis. The essence of the method consists in the following. Each pre-gap tonsil treated with 1% solution of methylene blue in glycerol and 10 minutes later with a stiff fiber with a cross-sectional diameter of 1.5 mm is irradiated with helium-neon laser with a wavelength of 0.63 and output power from fiber 15-20 mW when the exposure time for one tonsil 5 minutes.

Using a 1% solution of methylene blue in glycerol as the laser radiation (see Fig.2).

In the interaction of the photon with a molecule of the photosensitizer is education singleentry forms of oxygen, which has universal antimicrobial activity, non-toxic and non-allergenic (see Fig.1).

The authors studied the combined effects of helium-neon laser with a wavelength of 0.63 µm, 20 mW and 1% solution of methylene blue in glycerol on cultures of Streptococcus haemoliticus.

The capture of pathological material from patients and isolation of pure culture of Streptococcus haemoliticus was conducted according to the standard technique. The object of the experiment served daily culture of Streptococcus haemoliticus grown on sugar broth. 0.1% of the microbial suspension was placed in a test tube with a 1% solution of methylene blue. Exposure time was 3, 5 and 10 minutes. In the subsequent microscopy of smears from all three tubes were observed coverage of bacterial cells. Then a suspension of the bacteria in the quantity of one microbial loop were inoculated on blood agar and subjected to laser irradiation. Exposure time was 3, 5 and 10 minutes. Then the Petri dishes were placed in the incubator for 24 hours, then were counting colonies (see table).

The table shows that the smallest number was comeclose no zone of hemolysis on blood agar. When further increasing the exposure of laser radiation to reduce the number of colonies were observed.

Proposed by the authors was how they treated 20 patients (18 women and 2 men) aged from 8 to 55 years. 26.5% of patients before treatment had decompensated form of chronic tonsillitis. The disease duration of the patients ranged from 0.5 years to 10-15 years.

The control group consisted of 35 patients who were not intraocularly laser. These patients treatment was carried out only by a method of washing the gaps of the Palatine tonsils on the Griffon. In this group of patients with compensated form of tonsillitis was 30 people with decompensated 5 people.

Course intralumenal lasertherapie amounted to 5-7 sessions and depended on the form and duration of the disease, and on the dynamics of the clinical picture.

As a result of treatment by the proposed method in 85% of patients showed good and satisfactory results: normalized pharyngoscopy picture, symptoms disappeared tonzillogenna intoxication, are normal indicators of laboratory research. During the 2-year follow-up observation in patients with angina were observed.

In the comparison group (p the th execution

Patient F., 23 years, within 5 years suffer from chronic tonsillitis. Last year three times quinsy. Tried home remedies, ENT doctor in the clinic. Objectively determined congestive hyperemia of the mucosa of the throat, thickening of the Palatine arches. The Palatine tonsils gipertrofirovannyy to 2-nd degree, loosened fused with nebnymi fit in the gaps - pyo-caseous mass. Is determined by the regional lymphadenitis. The patient was conducted intraocularly laser processing tonsils MS. After 4 sessions marked evacuation caseosa of lacunas of tonsils, remitting redness of the pharynx. After 8 sessions normalization laringoscopiei paintings, normalization of laboratory parameters and the improvement of the General condition of the patient.

The average treatment time with lasertherapie compared with the traditional method of treatment is shortened to 3-5 days.

Thus, the effectiveness of treatment using intralumenal lasertherapie in combination with the photosensitizer methylene blue was found to be higher than the traditional method of treatment, it reduces the treatment time and the time of stay of the patient in the hospital.

Bibliography

1. Manual of otolaryngology.//Edited by I. B. a Sold the xt-align:center; margin-top:2mm;">Claims

The method of treatment of chronic tonsillitis, including the effects on the amygdala helium-neon laser with a wavelength of 0.63 and exposure time of 5 min per amygdala, wherein each pre-gap treated with 1% solution of methylene blue in glycerol and 10 min exercise intrecourse laser with output power from fiber 15-20 mW.

 

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FIELD: medicine, surgery, transplantology.

SUBSTANCE: embryonic spleen should be sampled, washed in nutritive medium № 199 to be placed into fresh medium № 199 to obtain homogenate in teflon homogenizer followed by centrifuging; then one should isolate the upper, medium and inferior layers, suck off medium layer and the upper part of inferior layer; the cell mixture obtained should be diluted in nutritive medium № 199 to be then introduced by injections into mesentery of small intestine or rectus muscle of abdomen. The present innovation favors the activation of immune system in patients undergone splenectomic operation and in those in case of surgical immunodefficient state due to high functional and regenerating activity of transferred embryonic splenic cells.

EFFECT: higher efficiency of prophylaxis.

6 dwg, 2 tbl

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