Section: 
Science articles
Science articlesA new approach to the treatment of chronic centers of oropharyngeal infection in individuals with polymorbid background
O. V. Vertakova (1), A. B. Kiselev (1), V. A. Chaukina (1), O. V. Andamova (1), I. V. Podvolotskaya (1), A. S. Avtushko (1)
(1) State Budgetary Educational Institution of Higher Vocational Education Novosibirsk State Medical University of the Ministry of Healthcare of the Russian Federation, Novosibirsk, Russia
UDK: 616.321+616.31-022+616.322-002.2]-08-039.73
DOI: https://doi.org/10.18692/1810-4800-2017-1-21-26
ABSTRACT
Patients, sent for sanation of chronic centers of infection, significantly differ in somatic health condition and age. In many cases, comorbidity contributes to generation of pharynx symptoms, limits the choice of pharmaceutical preparations, becomes an obstacle for application of physical therapy factors. The authors present the results of clinical study of the effectiveness of a new approach to the treatment of patients with polymorbid somatic pathology, with combined course for chronic tonsillitis and chronic pharyngitis and bacterial and fungoid pharynx mucosa dysbiosis. The principal distinctive feature of the proposed therapy is the authors’ development of temporary intralacunar fixation of antimicrobial agents in palatine tonsils combined with oral administration of the active form of Bifidum MC-42 and contact and distant phototherapy. Type of study: simple open comparative randomized study. Object of study: the individuals at the age of 30 years plus with therapeutic and dental pathology. The used methods are bacteriological, cytological, clinical and otolaryngological evaluation. Subjective sensations (scored), vegetating or budding forms of candida, species and quantitative composition of bacterial oropharyngeal microflora, objective indicators of cytological study on the 11th and 30th day of follow-up observation are taken as effective criteria.
The complex assessment of the state of chronic centers of oropharyngeal infection before and after treatment within 30 days in patients with polymorbid background pathology showed reliably better quality of palatine tonsils sanitation and restoration of barrier function of oropharynx mucosa in case of application of lacunar antimicrobial therapy with «temporary medical dressings» on palatine tonsils, oral administration of the active form of Bifidum adolescentis MC-42, regional phototherapy.
Publication date:
10.02.2017
Keywords:
chronic centers of oropharyngeal infection; chronic tonsillitis; chronic pharyngitis; liquid probiotics; Bifidum adolescentis MC-42. For citation:
Vertakova O. V., Kiselev A. B., Chaukina V. A., Andamova O. V., Podvolotskaya I. V., Avtushko A. S. A new approach to the treatment of chronic centers of oropharyngeal infection in individuals with polymorbid background. Rossiiskaya otorinolaringologiya. 2017;1:21–26. https://doi.org/10.18692/1810-4800-2017-1-21-26