A NOVEL CONSERVATIVE MULTIMODAL APPROACH FOR THE TREATMENT OF CHRONIC TONSILLITIS

Chronic tonsillitis remains a common otorhinolaryngological condition characterized by recurrent inflammation, persistent microbial biofilms, and frequent exacerbations. Conventional conservative therapy often provides only temporary relief, while surgical treatment is associated with functional loss and potential complications. To evaluate the clinical effectiveness of a patented multistep conservative treatment method for chronic tonsillitis aimed at deep intralacunar sanitation, suppression of microbial biofilms, and prolongation of clinical remission. The study included patients with clinically confirmed chronic tonsillitis. The proposed treatment protocol consisted of staged intralacunar sanitation using ozonated isotonic solution combined with low-frequency ultrasound exposure, application of a thiol-containing mucolytic agent, adsorption therapy with polyvinylpyrrolidone solution, controlled micro-drying of the tonsillar surface, and subsequent local application of an ozone-based gel followed by a mucoadhesive protective coating. Clinical and pharyngoscopic parameters were assessed before and after treatment. The use of the patented method resulted in significant reduction of pathological lacunar content, improvement of pharyngoscopic signs, and a decrease in the frequency of exacerbations. The method demonstrated high clinical effectiveness and contributed to prolonged remission without the use of systemic antibiotics or surgical intervention. The proposed patented conservative approach represents an effective, organ-preserving method for the treatment of chronic tonsillitis and may be recommended for wide clinical application.慢性扁桃体炎仍是一种常见耳鼻咽喉科疾病，以复发性炎症、持续性微生物生物膜（biofilm）形成及频繁急性发作为主要特征。常规保守治疗往往仅能取得暂时缓解效果，而手术治疗则可能伴随功能丧失与潜在并发症风险。本研究旨在评估一种专利性多步骤保守治疗方案用于慢性扁桃体炎的临床疗效，该方案目标为实现扁桃体隐窝深部清洁、抑制微生物生物膜及延长临床缓解期。研究纳入经临床确诊的慢性扁桃体炎患者。所提出的治疗流程包括：采用经臭氧处理的等渗溶液联合低频超声辐照分期实施扁桃体隐窝清洁、应用含巯基黏液溶解剂、聚维酮（polyvinylpyrrolidone）溶液吸附疗法、对扁桃体表面进行可控微干燥处理，随后局部涂抹臭氧基凝胶并覆盖黏膜黏附性保护涂层。分别于治疗前后评估临床指标与咽镜（pharyngoscopic）检查参数。应用该专利疗法后，患者病理性隐窝内容物显著减少、咽镜检查体征得到改善，且急性发作频率降低。该疗法展现出优异的临床有效性，无需使用全身性抗生素或实施手术干预即可延长患者临床缓解期。所提出的专利性保守治疗方案是一种有效的器官保留型慢性扁桃体炎治疗手段，具备临床广泛推广应用的价值。