Study of the Ultrasound Therapy on the Pediatric Chronic Tonsillitis

Abstract

Objectives: This study aimed to treat pediatric chronic tonsillitis by using ultrasound, not doing tonsillectomy so that obstructive sleep apnea and the other symptoms caused by tonsillar hypertrophy can be improved. Methods: In this study we included 100 patients with chronic tonsillitis who were of age of 3–15 from 2014 to 2016 at otorhinolaryngology head and neck surgery department of Pyongyang medical university. Of all these ultrasonic groups (standard group) included 70 patients and crypt irrigating group (control group) included 30 patients. Ultrasonic generator (Russian, Лор-1) was placed just under the angulus-mandibulae towards the palatine tonsil. Five crypts on the surface of the palatine tonsils was irrigated with 5 ml of 5% solution of chloramphenicol. Chi-test was used for statistical analysis. Results: The decreased rate of the number of patients with repetitive angina in standard group after treatment was 83.7%; it was higher than 16.3% in control group. On the standard group, the sizes of tonsils become much smaller after therapy (82.2% of before, control 57.1%; 33.3% lower than standard). Pathologically, after ultrasonic therapy, counts and sizes of lymph follicles decreased (82.3% of before). Conclusions: Results show significant improvements in signs and local findings, and proves that ultrasound helps the tissue absorb the chronic inflammatory exudatives to make small the size of tonsils following size of lymph follicles by showing that standard group is much better than control group.

Keywords: Chronic tonsillitis in children, ultrasound therapy, tonsillar hypertrophy

Cite this Article

Kuk-Chol Ho, Hye-Sun Choe, Tae-Myong Kim, Mun-Sik O., Jong-Sim Kim. Study of the Ultrasound Therapy on the Pediatric Chronic Tonsillitis. Research & Reviews: Journal of Medical Science and Technology. 2020; 9(3): 46–50p.