RU2335309C1 - Method of complex treatment of adenoid disease - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention is referred to medicine, namely - to otorhinolaryngology, physiotherapy. 3 ml of 0.5 % solution of dihydroquercetin administer into palatine tonsils lacunas. Then affect a surface of palatine tonsils with a distal end face of a flexible light guide of light-emitting diode apparatus "АФС/З". The wavelength is 0.53 microns; the maximum power output of radiation 60 mW, diameter of light spot from 3 to 5 cm. Duration of treatment takes 5 minutes on each tonsil. The course of treatment takes 5 sessions. The method provides deep penetration and fast absorption of a medicinal preparation with mucosa of palatine tonsils.

EFFECT: provision of deep penetration and a fast absorption of a medicinal preparation with mucosa of palatine tonsils.

1 ex, 2 tbl

Description

The invention relates to medicine, namely to a physiotherapeutic method of treating chronic tonsillitis using LED phototherapy in combination with an antioxidant in otorhinolaryngology.

A known method of local magnetic laser therapy (MLT) in the treatment of chronic tonsillitis [1].

The method of local magnetic laser therapy (MLT) is carried out by two devices: AMO-ATOS - running magnetic field magnetotherapy with the emitter installed on the maxillary region and LAST-ENT - laser therapy using the pharyngeal technique. The nature of the effect is stable, the exposure is 3-5 minutes per each amygdala, the course is 10-12 days.

The disadvantages of the analogue are:

1. The impact of magnetic laser therapy is not effective enough without its simultaneous use with antibiotics, sulfonamides, desensitizing and other means.

2. Laser physiotherapy is carried out at a low radiation intensity, which leads to a later normalization of blood biochemical parameters in patients with chronic tonsillitis as a criterion for effective treatment.

As a prototype taken the method of LED phototherapy in the treatment of diseases of the ear, throat and nose [2]. LED therapy with the AFS apparatus was carried out in the treatment of allergic rhinitis, both using projection techniques for treating the skin of the external nose and the projection area of its sinuses, as well as endonasal, irradiating the mucous membrane of the nasal cavity and nasopharynx.

The disadvantages of the prototype are:

1. The exposure to radiation from the LED device of the AFS of various wavelengths affects the skin of the projection region of the maxillary sinus is almost impossible due to the powerful barrier to LED radiation in the form of its bone front wall.

The aim of this invention is to develop a method for deeper penetration and faster absorption by the surface of the mucous membrane of the tonsils of the palatine tonsils with a antioxidant effect (0.5% dihydroquercetin solution) under the influence of the green light spectrum during LED phototherapy with the APS / 3 device for chronic tonsillitis.

This goal is solved by pre-filling the palatine tonsil lacunae (6-8 gaps) with a 0.5% solution of dihydroquercetin in a volume of 3 ml, followed by illuminating the surface of the palatine tonsil mucosa with the distal end of the flexible fiber of the AFS / 3 LED device with a wavelength of 0, 53 μm, with a maximum output power of 60 mW, a diameter of a light spot when consecrating the mucous membrane of the palatine tonsil from 3 to 5 cm, a duration of exposure of 5 minutes per each tonsil, the course of treatment was 5 sessions of green light spectrum.

Concrete example

Under observation were 12 patients aged 23 to 49 years with chronic tonsillitis.

Example. Patient U., 43 years old, was hospitalized in the ENT department of AOKB with a diagnosis of Chronic tonsillitis, decompensated form. Paratonsillar abscess on the left. The patient after subsiding of reactive phenomena from the paratonsillar tissue against the background of traditional treatment performed the technique of filling the lacunae of the palatine tonsils (6-8 lacunae) with a 0.5% solution of dihydroquercetin in a volume of 3 ml followed by bleaching the surface of the mucous membrane of the palatine tonsil with the distal end of the flexible light guide of the LED device APS / 3 with a wavelength of 0.53 microns, a maximum output power of 60 mW, a diameter of a light spot from 3 to 5 cm, a duration of exposure of 5 minutes for each amygdala, hens with treatment was 5 sessions with a green spectrum of light. The procedure is carried out in the inspection room.

Simultaneously with LED phototherapy of the surface of the tonsils, a study of blood biochemical parameters was carried out to assess the effectiveness of the treatment in comparison with patients who underwent intraorgan electrophoresis with CaCl ₂ in the submandibular region (Table 1).

The dynamics of lipid peroxidation after treatment (table. 1).

Table 1 Indicators in nmol / l Indicators before treatment in nmol / l (n = 12) Electrophoresis with CaCl ₂ (n = 5) Intracavitary LED therapy (n = 7) Lipid hydroperoxides (normal - 25.0-35.0 nmol / ml) 37.9 ± 0.2 36.9 ± 0.2 33.2 ± 0.2 Diene conjugates (normal - 25.0-40.0 nmol / ml) 51.6 ± 0.3 49.7 ± 0.3 42.7 ± 0.18 Malondialdehyde (normal - 5.0-6.5 nmol / ml) 7.6 ± 0.1 7.1 ± 0.12 6.6 ± 0.1

Dihydroquercetin and LED phototherapy reduced the inflammatory process in the tonsils, which was confirmed by the inhibition of lipid peroxidation and increased the level of antioxidant protection of tissues (Table 2).

The dynamics of antioxidant defense after treatment (table 2).

table 2 The indicators in mcg / ml Indicators before treatment in mcg / ml Electrophoresis with CaCl ₂ Intracavitary LED therapy Tocopherol acetate (normal - 20.0-25.0 mcg / ml) 19.4 ± 0.18 19.7 ± 0.16 23.2 ± 0.18 Ceruloplasmin (normal - 20.0-25.0 mcg / ml) 16.7 ± 0.12 17.7 ± 0.13 20.7 ± 0.19

Information sources

1. Dyakonov A.V., Raygorodsky Yu.M. The effectiveness of the combination of general magnetotherapy and local magnetic laser exposure in the conservative treatment of chronic tonsillitis. // Bulletin of otorhinolaryngology. - 2006. - No. 3. - p.19-22.

2. Nasedkin A.N., Grachev S.V., Abrahamyan J.N. et al. Comparison of clinical indicators of the effectiveness of the use of laser therapy and LED phototherapy in the treatment of diseases of the ear, throat and nose. // Health and medical technology. - 2005. - No. 8 (22). - p. 45.

Claims (1)

A method for the complex treatment of chronic tonsillitis by exposure to LED therapy, characterized in that 3 ml of a 0.5% solution of dihydroquercetin is injected into the cavity of the lacunae of the tonsils before exposure to green LED radiation of the AFS / 3 LED device, then the distal end of the flexible fiber is exposed to the surface of the tonsils APS / 3 LED apparatus with a wavelength of 0.53 microns, a maximum output power of 60 mW, a light spot diameter of 3 to 5 m, an exposure duration of 5 min per m indalina, the course of treatment was 5 sessions.