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Varna Medical Forum

Place of the physical factors in treating children with tonsillar hypertrophy and the associated with it symptoms of sleep disordered breathing

Zhenya Ruseva, Mariyana Mihaylova, Hristiana Madzhova

Abstract

Introduction: Tonsillar hypertrophy is one of the most common illnesses among children. The tradition- al treatment involves a series of different drugs. Un- fortunately, the effect is often short-lived, and that re- quires finding other more effective methods that are not so hard on the body.

Goal: To study the effectiveness of a complex of physical factors in treating tonsillar hyperplasia in children and the associated with it symptoms of sleep disordered breathing (SDB).

Materials and methods: 50 children 3-10 years old diagnosed with tonsillar hypertrophy level 3+,4+ and one or several symptoms of SDB with or without behavioral issues, that have gone through the physio- therapy ward with Medical center `Sv. Marina` Var- na. Therapy with ultrasound and polarized, polychro- matic, incoherent low energy light has been carried out.

Results: 78% of the participating children exhib- ited a notable decrease in the size of the tonsils that correlates with a reduction of the symptoms of SDB (p<0.001). The positive results observed in the tracked parameters gives us ground to think , that the applied physiotherapeutic treatment can serve as an  alternative to the drug based treatment, when possible or be carried out alongside it as a means of increasing effec- tiveness in children with tonsillar hypertrophy.

Conclusion: The developed physiotherapeutically methods can not only serve as a means of treatments, but can also be used as a means of prophylaxis in chil- dren that have a higher risk of developing tonsillar hy- pertrophy, to prevent further development of SDB.


Keywords

tonsillar hypertrophy; sleep disordered breathing syndrome (SDB); physical factors

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DOI: http://dx.doi.org/10.14748/vmf.v6i2.3561

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