Abstract

Traditionally, the diagnosis of chronic tonsillitis is based on the assessment of clinical signs. It should also be born in mind that the morphological examination of the tonsils is an invasive method and can only be used to confirm the diagnosis after tonsillectomy, and not as a routine examination of patients with chronic tonsillitis. Morphological changes in palatine tonsils during chronic tonsillitis are represented by the proliferation of connective tissue in the thickness of the lymphoid tissue, the presence of necrotic foci, damage to the walls of capillary vessels, and disturbances in the crypt epithelium. In the case of the toxic-allergic form of chronic tonsillitis, the process of inflammation in the palatine tonsils proceeds more actively than in the simple form of chronic tonsillitis. However, these changes are not specific. Morphological changes are usually verified by examining the tissue of the tonsils their removal.

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