Chronic inflammation of the pharynx
Pharyngitis – Elite Treatment in Europe
ENT Diseases -2005
Chronic inflammation of the pharynx is divided into:
- chronic simple (catarrhal)
- hypertrophic granulosa
- chronic atrophic pharyngitis.
The emergence of chronic pharyngitis, in most cases due to local irritation of the mucous membrane glotki.V some cases, the cause of the disease may be metabolic disease (diathesis in children, adult diabetes, etc.), congestion in cardiovascular diseases, diseases of blood-forming organs, etc. Among the local causes are more likely to meet recurrent acute inflammation of the pharynx, chronic inflammation of palatine tonsils and the other, nose and paranasal sinuses, smoking, damage to the throat, nasal congestion for a long shutdown.
Hypertrophic form of pharyngitis is characterized by thickening and loosening of connective tissue stroma of both the mucosal and submucosal layer. Serous exudate, impregnating the mucosa, gradually organized and replaced by cellular elements. The mucous membrane becomes thicker and thicker. Mucous glands and goblet increased, their secretion is increased, the excretory ducts of mucous glands enlarged. Lymphoid education, scattered in the normal mucosa in the form of subtle granules, greatly enlarged and thickened, often through the merger of the granules. Epithelium, are breaking the mucous membrane becomes thicker. Hypertrophic process may primarily relate to the mucous membrane of the posterior pharyngeal wall – granulosa throat or to the side of her department – the lateral hypertrophic pharyngitis.
In atrophic mucosa of chronic pharyngitis thinned, its lymphoid tissue, and submucosal layer is partially replaced by connective tissue fibers. The magnitude of the mucous glands and their number is reduced. The number of vessels is also reduced, the walls are often thickened and narrowed the gaps, sometimes obliterated. Covers the mucous membrane of the epithelium, mostly horny, sometimes desquamated. Symptoms characterized by a sense of rawness, tickling, increased tearing, which calls for almost constant coughing, expectoration, especially in the morning.
In hypertrophic pharyngitis, all these phenomena are more pronounced than in the simple form of the disease. The main complaint in atrophic pharyngitis is a feeling of dryness in the throat, difficulty swallowing frequently, often bad breath. Patients often want to drink a sip of water, especially during prolonged conversations.
A simple chronic catarrhal process is characterized by hyperemia faringoskopicheski, some swelling and thickening of the mucosa of the pharynx, in some places the surface of the back wall is covered with mucus.
In hypertrophic pharyngitis granulosa observed changes are more pronounced. Mucosa is intensely hyperemic and thickened, more noticeable stagnation, characterized by rounded or elongated structures limfadenoidnyh red ot1 – 5 mm, or as nearly identical red beans.
For lateral hypertrophic pharyngitis is characterized by hypertrophy limfadenoidnoy tissue located in the lateral folds of the pharynx. In this case the appearance of the rest of the mucous membrane of the pharynx usually corresponds to the picture moderate hypertrophic process.
Atrophic pharyngitis is characterized by thinning and dryness of mucous membranes, it is usually pale pink, can be brilliant and have a lacquered look.
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