Recoverability of the adaptive potential of the tonsils in chronic tonsillitis. A Review

Abstract

The emergence of bacterial resistance to antibacterial drugs is one of the most urgent issues of world health. The emergence of new strains of antibiotic-resistant microorganisms associated with more severe diseases is a serious clinical problem. Exacerbation of chronic tonsillitis (CT) and sore throat remain a common cause of unreasonable administration of systemic antibacterial therapy. In most cases, except for streptococcal tonsillitis, antibiotics can be considered an overtreatment, as they are totally inappropriate in treating viral infections. An important point is the negative changes in the microbiome of the patient's body, which have a negative impact on health, and abnormal changes can last longer and be more severe than the disease itself. Given the higher activity of the tonsils in childhood and their effect on the normal development of the immune system, approaches to surgical treatment should be very thoughtful and balanced. One of the urgent problems of otorhinolaryngology remains the search for pathogenetically based, effective, and safe methods of treating CT. In non-surgical therapy, drugs that can both restrain the inflammatory response and modulate the immune response are of great interest. The article highlights the possibilities of modern herbal medicine in the non-surgical treatment of CT. The presented herbal medicinal products are included in the clinical guidelines, and their use is pathogenetically justified.