On the local treatment of exacerbation of tonsillopharyngitis
https://doi.org/10.21518/ms2024-485
Abstract
Introduction. Anatomical and topographic features of abundant pharyngeal innervation, causing pronounced symptoms of exacerbations of tonsillopharyngitis and significantly reducing the well-being of patients, will determine the improvement of treatment.
Aim. To evaluate the possibility of using a nonsteroidal anti-inflammatory drug with the flurbiprofen in complex exacerbations of chronic tonsillopharyngitis.
Materials and methods. The clinical observation of 117 patients with exacerbation of chronic tonsillopharyngitis was carried out. By random sampling, all patients were divided into 2 groups, where persons of the main group (n = 61) for standard conservative therapy took a tableted nonsteroidal anti-inflammatory drug with the active substance flurbiprofen 1 tablet with a 3-6-hour time interval during.
Results and discussion. On day 3 of the therapy, a more pronounced improvement in both the severity of clinical complaints and pharyngoscopy data was noted to a greater extent in patients of the main group: a decrease in the severity of edema of the palatine tonsils by 1.6 points, vascular injection by 1.8 points, edema of the palatine arches by 2.2 points, hyperemia of the mucous membrane by 3.7 points. In the Conrol group (n = 56), there was a decrease in the severity of edema of the palatine tonsils by 1.4 points, vascular injection by 1.2 points, edema of the palatine arches by 1.7 points, hyperemia of the mucous membrane by 2.4 points. During the 7-day course of treatment, psychological health was restored by 24.8 points in the control group and by 32.3 points in the main group. An increase in vital activity was noted by 18.7 points in the control group and by 34.2 points in the main group, a clear increase in physical activity by 19.6 points and 7.6 points in the main and control groups, respectively.
Conclusions. Earlier relief of inflammatory symptoms of exacerbations of tonsillopharyngitis and restoration of patient well-being when a nonsteroidal anti-inflammatory drug was included in complex therapy confirmed its good efficacy and safety.
About the Authors
I. A. KarpovRussian Federation
Igor A. Karpov - Dr. Sci. (Med.), Associate Professor, Professor of the Department of Plastic Surgery and Cosmetology of the Institute of Additional Professional Education.
64, Vorovskiy St., Chelyabinsk, 454092
M. A. Lengina
Russian Federation
Maria A. Lengina - Cand. Sci. (Med.), Associate Professor of the Department of Otorhinolaryngology.
64, Vorovskiy St., Chelyabinsk, 454092
A. M. Korkmazov
Russian Federation
Arsen M. Korkmazov - Cand. Sci. (Med.), Associate Professor of the Department of Otorhinolaryngology.
64, Vorovskiy St., Chelyabinsk, 454092
N. V. Kornova
Russian Federation
Natalia V. Kornova - Cand. Sci. (Med.), Associate Professor of the Department of Otorhinolaryngology.
64, Vorovskiy St., Chelyabinsk, 454092
V. I. Popadyuk
Russian Federation
Valentin I. Popadyuk - Dr. Sci. (Med.), Professor, Dean of the Faculty of Continuing Medical Education, Head of the Department of Otorhinolaryngology, Institute of Medicine.
6, Miklukho-Maklai St., Moscow, 117198
References
1. OzkayaParlakay A, Uysal M, Kara A. Group A streptococcal tonsillopharyngitis burden in a tertiary Turkish hospital. Turk J Pediatr 2012;54(5):474-477. Available at: https://turkjpediatr.org/article/view/1671.
2. Meegalla N, Downs BW. Anatomy, Head and Neck, Palatine Tonsil (Faucial Tonsils). In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024. Available at: https://pubmed.ncbi.nlm.nih.gov/30855880/.
3. Bartlett A, Bola S, Williams R. Acute tonsillitis and its complications: an overview. J R NavMed Serv. 2015;101(1):69-73. https://doi.org/10.1136/jrnms-101-69.
4. Korkmazov MY, Yastremsky AP, Kornova NV, Lengina MA, Korkmazov AM. Therapeutic and diagnostic approaches in the treatment of chronic tonsillitis. Meditsinskiy Sovet. 2022;16(20):90-99. (In Russ.) https://doi.org/10.21518/2079-701X-2022-16-20-90-99.
5. Дайхес НА, Баранов АА, Лобзин ЮВ, Намазова-Баранова ЛС, Козлов РС, Поляков ДП и др. Острый тонзиллит и фарингит (острый тонзиллофарингит): клинические рекомендации. М.; 2021. 51 с. Режим доступа: https://cr.minzdrav.gov.ru/recomend/306_2.
6. Артюшкин СА, Еремина НВ, Рязанцев СВ, Карнеева ОВ, Крюков АИ, Кунельская НЛ и др. Хронический тонзиллит: клинические рекомендации. М.; 2021. 47 с. Режим доступа: https://cr.minzdrav.gov.ru/recomend/683_1.
7. Gizinger OA, Korkmazov MY, Shchetinin SA. The specific aspects of anamnesis of children with chronic adenoiditis. Rossiiskaya Otorinolaringologiya. 2017;(3):24-29. (In Russ.) https://doi.org/10.18692/1810-4800-2017-3-24-29.
8. Stelter K. Tonsillitis and sore throat in children. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2014;13:Doc07. https://doi.org/10.3205/cto000110.
9. Korkmazov MYu, Lengina MA, Korkmazov AM, Kornova NV, Beloshangin AS. Treatment and prevention of various forms of laryngitis on the background of acute respiratory infections. Meditsinskiy Sovet. 2022;16(8):79-87. (In Russ.) https://doi.org/10.21518/2079-701X-2022-16-8-79-87.
10. Windfuhr JP, Toepfner N, Steffen G, Waldfahrer F, Berner R. Clinical practice guideline: tonsillitis II. Surgical management. Eur Arch Otorhinolaryngol. 2016;273(4):989-1009. https://doi.org/10.1007/s00405-016-3904-x.
11. Shchetinin SA, Korkmazov MYu, Giesinger OA, Kochengina SA, Sokol EV. Efficiency of therapy of chronic recurrent adenoiditis for the children of resident in city Chelyabinsk on results front active rhinomanometria and cytokine profile of washings of from the surface of oesophageal amygdale. Vestnik Chelyabinskoy Oblastnoy Klinicheskoy Bolnitsy. 2015;(3):59-63. (In Russ.) Available at: https://elibrary.ru/yjjnhh.
12. Korkmazov MYu. Chronic tonsillitis and analysis of physical methods of exposure. Vestnik Oto-Rino-Laringologii. 2006;(S5):299-300. (In Russ.) Available at: https://elibrary.ru/sicbel.
13. Nurieva NS. The stomatologic complications arising after carrying out of complex treatment of malignant formations of an oral cavity and drinks. Stomatologiya. 2012;(1):35-39. (In Russ.) Available at: https/Www.mediasphera.ru/issues/stomatologiya/2012/1/downloads/ru/030039-1735201219.
14. Giesinger OA, Korkmazov MU, Shchetinin SA. Immunostimulatory therapy for chronic adenoiditis for children. Vrach. 2015;(9):25-28. (In Russ.) Available at: https://elibrary.ru/ukxagz.
15. Kiparisova DG, Kiparisov YuS, Nurieva NS. Impact of oral hygiene on the development of oropharyngeal neoplasms. Opuholi Golovy i Sei. 2015;5(2): 39-44. (In Russ.) https://doi.org/10.17650/2222-1468-2015-5-2-39-44.
16. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https://doi.org/10.1136/bmj.n71.
17. Kiparisov YuS, Nurieva NS. Experimental study of the effectiveness of fixation of forming and replacement prostheses of acquired defects of the maxillofacial region. Clinical Dentistry (Russia). 2018;(1):68-71. (In Russ.) https://doi.org/10.37988/1811-153X_2018_1_68.
18. Bessonova EA, Nurieva NS. Classical and digital option to index assessment of the oral hygiene. Stomatologiya. 2022;101(6):14-17. (In Russ.) https://doi.org/10.17116/stomat202210106114.
19. Pelucchi C, Grigoryan L, Galeone C, Esposito S, Huovinen P, Little P, Verheij T. Guideline for the management of acute sore throat. Clin Microbiol Infect. 2012;18(Suppl. 1):1-28. https://doi.org/10.1111/j.1469-0691.2012.03766.x.
20. Landon BE, Bayram C, Harrison C. Primary Care Visits in the USA and Australia 2000-2016. J Gen Intern Med. 2023;38(3):675-682. https://doi.org/10.1007/S11606-022-07729-5.
21. Jaaskelainen J, Renko M, Kuitunen I. The impact of national guidelines on the diagnostics of sore throat in children. BMC Pediatr. 2024;24(1):503. https://doi.org/10.1186/s12887-024-04982-x.
22. Bykova VP. Structural foundations of mucosal immunity of the upper respiratory tract. Russian Rhinology. 1999;(1):5-9. (In Russ.) Available at: https://elibrary.ru/utzkmn.
23. Guseva AL, Levina YuV, Derbeneva ML. Differential diagnosis of acute tonsillopharyngitis. Consilium Medicum. 2020;22(11):16-20. (In Russ.) https://doi.org/10.26442/20751753.2020.11.200422.
24. Kunel’skaia VIa, Shadrin GB. The modern approach to diagnostics and treatment of mycotic lesions in ear, nose, and throat. Vestnik OtoRinoLaringologii. 2012;77(6):76-81. (In Russ.) Available at: https://www.mediasphera.ru/issues/vestnik-otorinolaringologii/2012/6/030042-46682012621.
25. Kryukov AI, Turovskii AB, Kolbanova IG, Musaev KM, Karasov AB. Guidelines for the acute respiratory viral infection treatment. RMJ. 2019;8(1):46-50. (In Russ.) Available at: https://www.rmj.ru/articles/bolezni_dykhatelnykh_putey/Osnovnye_principy_lecheniya_ostroy_respiratornoy_virusnoy_infekcii.
26. Korkmazov MY, Angelovich MS, Lengina MA, Yastremsky AP. Fifteen years of experience in plastic liquor fistulas using high-intensity laser radiation. Meditsinskiy Sovet. 2021;(18):192-201. (In Russ.) https://doi.org/10.21518/2079-701X-2021-18-192-201.
27. Korkmazov MYu, Angelovich MS, Lengina MA, Belousov SYu. Clinical case of angiosarcoma of ethmoidal labyrinth and frontal sinus, issues of morphological verification of diagnosis. Vestnik OtoRinoLaringologii. 2022;87(4): 102-106. (In Russ.) https://doi.org/10.17116/otorino202287041102.
28. Vladimirova TYu, Aizenshtadt LV. Mobile solutions in hearing assessment. Vestnik OtoRinoLaringologii. 2021;86(2):4-9. (In Russ.) https://doi.org/10.17116/otorino2021860214.
29. Korkmazov MYu, Kazachkov EL, Lengina MA, Dubinets ID, Korkmazov AM. Cause-effect factors of rhinosinusitis poliposa development. Russian Rhinology. 2023;31(2):124-130. (In Russ.) https://doi.org/10.17116/rosrino202331021124.
30. Reygaert WC. An overview of the antimicrobial resistance mechanisms of bacteria. AIMS Microbiol. 2018;4(3):482-501. https://doi.org/10.3934/microbiol.2018.3.482.
31. Korkmazov AM, Dubinets ID, Lengina MA. Possibilities of topical antioxidant protection of operated cavities in practical otorhinolaryngology. Vestnik OtoRinoLaringologii. 2017;82(S5):14-15. (In Russ.) Available at: https://elibrary.ru/ylwhjs.
32. Beceiro A, Tomas M, Bou G. Antimicrobial resistance and virulence: a successful or deleterious association in the bacterial world? Clin Microbiol Rev. 2013;26(2):185-230. https://doi.org/10.1128/CMR.00059-12.
33. Korkmazov MYu, Kornova NV, Lengina MA, Smirnov AA, Korkmazov AM, Dubinets ID. Effective antibiotic therapy for community-acquired otorhinolaryngological respiratory infection (clinical description). Meditsinskiy Sovet. 2022;16(20):73-81. (In Russ.) https://doi.org/10.21518/2079701X-2022-16-20-73-81.
34. Korkmazov MYu. Theories of bioresonance and the possibility of its application in ENT practice. Rossiiskaya Otorinolaringologiya. 2009;(2):92-96. (In Russ.) Available at: https://elibrary.ru/mgszax.
35. Van Driel ML, De Sutter AI, Thorning S, Christiaens T. Different antibiotic treatments for group A streptococcal pharyngitis. Cochrane Database Syst Rev. 2021;3(3):CD004406. https://doi.org/10.1002/14651858.CD004406.pub4.
36. Korkmazov MYu, Zyryanova KS, Beloshangin AS. Evaluation of the clinical efficacy of a phytotherapeutic drug in the treatment and prevention of relapses of acute rhinosinusitis in children in Chelyabinsk. Meditsinskiy Sovet. 2016;(7):90-93. (In Russ.) https://doi.org/10.21518/2079701X-2016-07-90-93.
37. Fedorova OS, Fedosenko SV, Fedotova MM, Chigrina VP. Antibiotic therapy and awareness of antibiotic resistance problem in medical practice. Profilakticheskaya Meditsina. 2021;24(10):106-118. (In Russ.) https://doi.org/10.17116/profmed202124101106.
38. Poltavskaya EG, Savochkina DN. Analysis of the association of the PRDM12 gene with pain sensitivity in individuals with psychoactive substance dependence. Neurology, Neuropsychiatry, Psychosomatics. 2020;12(1):27-32. (In Russ.) https://doi.org/10.14412/2074-2711-2020-1-27-32.
Review
For citations:
Karpov IA, Lengina MA, Korkmazov AM, Kornova NV, Popadyuk VI. On the local treatment of exacerbation of tonsillopharyngitis. Meditsinskiy sovet = Medical Council. 2024;(18):56-64. (In Russ.) https://doi.org/10.21518/ms2024-485