Non-drug technologies in the complex therapy of chronic adenoiditis

Abstract

Introduction. In pediatric otorhinolaryngology, chronic adenoiditis is one of the most common diseases and leads to the search for effective methods of treatment. In this regard, it is of interest to study the use of additional physiotherapeutic methods of influence in complex therapy.Objective. To increase the effectiveness of the treatment of chronic adenoiditis in children using low-frequency ultrasonic cavitation in combination with photochromotherapy in complex therapy.Materials and methods. 104 patients with chronic adenoiditis aged 3 to 15 years were examined. By randomization by the envelope method, patients were divided into 3 groups depending on the treatment: the control group, the group with the use of only low-frequency ultrasonic cavitation as conventional therapy, and the group in combination with photochromotherapy, daily for seven days with a duration of one session of five minutes. Comparative evaluation of indicators was carried out before the start of therapy (day 0) and on the 7th day of treatment. The state of the nasopharynx was assessed using a flexible nasopharyngoscope, as well as the structure of the middle ear and auditory tube during acoustic impedancemetry.Results. There was a decrease in the size of the pharyngeal tonsil in patients with grade III adenoid hypertrophy by 46%, compared with the control group using only low-frequency ultrasonic cavitation, and by 54% in the group where photochromotherapy was added. Mucopurulent discharge from the surface of the pharyngeal tonsil decreased by 18% and 21%, purulent by 40% and 41%, respectively, compared with the control group. The positive effect in the second group was 3.3 times higher [CI 0.75; 14.6] compared with the control group, and in combination with photochromotherapy it was 3.6 times higher [CI 0.85; 15.5].Conclusions. The inclusion of low-frequency ultrasonic cavitation and photochromotherapy in the complex treatment of chronic adenoiditis makes it possible to achieve positive results earlier and reduce the number of adenotomies.