[The choice of the treatment strategy for the patients presenting with chronic tonsillitis of streptococcal etiology and subfebrility of long duration]. / Vybor lechebnoi taktiki u bol'nykh khronicheskim tonzillitom streptokokkovoi étiologii i dlitel'nym subfebrilitetom.

The objective of the present study was to develop the optimal therapeutic strategy for the management of the patients with chronic tonsillitis (CT) of streptococcal etiology accompanied by subfebrility of long duration (LDS). The clinical characteristic of the patients presenting with this condition is presented together with the results of their treatment by different methods. It is shown that bilateral tonsillectomy is the most efficient approach to the management of the patients presenting with chronic tonsillitis of streptococcal etiology and subfebrility of long duration.

[Acute and chronic laryngitis in the subjects engaged in the voice and speech professions]. / Ostrye i khronicheskie laringity u professionalov golosa.

Laryngitis is one of the commonest causes of dysphonia in the subjects engaged in the voice and speech professions. This condition can be either associated with the professional activities or related to voice fatigue. It is a common practice to distinguish between acute and chronic forms of occupational laryngitis. The main factors responsible for development of both conditions include the non-observance of directions concerning the protection and hygiene of the speaking and singing voice. The present study included 478 (100%) subjects engaged in the voice and speech professions presenting with the diagnosis of acute or chronic occupational laryngitis who applied for medical assistance to our Phoniatric Care Department. The clinical state of their larynx was evaluated with the use of the videoendostroboscopic technique. Acute laryngitis was diagnosed in 103 (21.5%) of the examined subjects while the remaining 375 (78.5%) ones presented with chronic laryngitis. A characteristic feature of acute occupational laryngitis documented in 38 (36.9%) examined professional voice users with this condition (practically healthy in all other respects) was the development of this disorder as a result of overloading the speech organs. On the contrary, viral and/or bacterial laryngitis revealed in 65 (63.1%) of the patients was preceded by acute respiratory symptoms. A total of 62 (16.5%) patients suffered from chronic occupational laryngitis attributable to overloading of the organs of speech during protracted periods. The remaining 313 examined professional voice users were found to present with various forms of chronic laryngitis including catarrhal laryngitis in 175 (46.7%) of them, edematous-polypoid and atrophic forms in 32 (8.5%) and 19 (5.1%) subjects respectively. The main etiological factors underlying the development of all the tree forms of chronic laryngitis were smoking, chronic tonsillitis, gastroesophageal reflux disease, bronchial asthma, and diabetes mellitus.

[A comparative study of conservative treatment schemes in chronic tonsillitis in children]. / Sravnitel'noe izuchenie nekotorykh skhem konservativnogo lecheniia khronicheskogo tonzillita u detei.

Three schemes of conservative treatment of chronic tonsillitis in children are compared. Chelidonium majus L. tincture improved tonsillar function, cellular and humoral immunity, nonspecific resistance, promoted a reduction in the number of recurrences.