Washing the lacunae of the tonsils

Syringe or hardware lavage of tonsil lacunae in Moscow at the K+31 clinic is performed by qualified experienced ENT doctors, which allows you to achieve excellent health results in a comprehensive program for the treatment of infectious and inflammatory pathologies of the throat.

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About the disease

One of the most common ENT pathologies are infectious and inflammatory diseases of the pharynx. Medicinal rinsing of the lacunae of the palatine tonsils (tonsils) allows you to remove purulent masses and reduce the infectious load on the body, which contributes to a speedy recovery and the prevention of complications.

You can undergo the procedure at the K+31 multidisciplinary medical center in Moscow. The clinic has modern expert-class equipment and high-quality medicines. For all services, including washing of tonsil lacunae, the price is affordable for all patients.

About the disease
Where are the tonsils located and what happens during the disease?

Tonsils are made up of lymphoid tissue and are part of the lymphatic system in the body. There are five tonsils in the throat - paired pharyngeal and palatine tonsils, one lingular. Together they form the so-called lymphatic pharyngeal ring, a real protective gate on the path of infectious agents.

When pathogens enter the nasopharynx and oropharynx, they settle on the surface of the tonsils, where they are neutralized by lymphocytes and washed away by saliva when swallowed. A healthy person does not notice this process. However, in some cases the body can no longer cope with the infectious load. With hypothermia and a decrease in immunity, pathogenic elements do not receive resistance from the immune system, begin to multiply intensively and spread the inflammatory process to neighboring structures. The tonsils greatly increase in size, begin to hurt, and dead lymphatic, epithelial cells and pathogens accumulate in the recesses of the lymphoid tissue, lacunae and crypts, forming purulent plugs - a constant source of further infection of the body.

If the tonsils are not freed from plaque in time, the infection enters the blood and spreads throughout the body. Frequent complications of prolonged untreated tonsillitis are damage to the kidneys, heart muscle, and genitourinary system.

Benefits of rinsing

Widespread gargling does not bring the same effect as washing the lacunae of the tonsils with a syringe or a special device. The procedure allows for immediate relief of the condition, accelerates recovery after an acute period of inflammatory disease, and achieves long-term remission in the chronic form.

Main advantages of the technique:

  • An effective way to avoid surgical treatment is tonsillectomy (tonsillectomy)
  • Wide range of indications, including pregnant women, nursing mothers, children, people with drug allergies
  • No complications, side effects
  • Rinsing is effective and has the ability to instantly alleviate the patient’s condition with massive purulent plugs
  • Eliminating the inflammatory focus, restores the immune system

More about the procedure

Indications for the procedure

The presence of purulent caseous plugs in the recesses of the lymphoid tissue is the main reason for prescribing sanitation. If previous conservative treatment has not produced any results, the procedure will improve the condition.

Main indications:

  • Frequent sore throats, relapses of chronic tonsillitis, tonsillopharyngitis 3 or more times a year
  • Constant pain in the throat
  • Enlarged lymph nodes in the neck combined with sore throat and dense plugs in the lacunae
  • Symptoms of general intoxication - weakness, constant headache, nausea, loss of appetite

Medicinal lavage of tonsil lacunae is performed in children from 6-7 years of age. The indications and restrictions for small patients are the same as for adults.

Contraindications and restrictions

Children under 6 years of age are a limitation for performing sanitation of the tonsils with this method, because young children cannot consistently control the gag reflex and withstand discomfort during the procedure.

Manual or mechanical rinsing of tonsil lacunae is contraindicated for:

  • Acute inflammatory process
  • High body temperature, fever, infectious respiratory processes
  • Injuries, ulcers of the mucous membrane
  • Exacerbation of chronic pathologies
  • Tuberculosis
  • Oncological neoplasms
  • Pathologies of the lower jaw joint
  • Convulsive syndrome, some mental pathologies

A relative limitation to the procedure is a condition in which a person has an increased gag reflex. In this case, the doctor recommends coming to the session on an empty stomach, and also taking medications that reduce the sensitivity of the mucous membranes to the irritant.

Preparation for sanitation of tonsils

No complicated preparation for the procedure is required on the patient’s part. To reduce the likelihood of a gag reflex, the last meal should be taken no later than 6 hours before the session. This should be a light dish. Drinking a lot of liquid is also not recommended.

If there are suspicions of other pathologies in the pharynx or diseases of the internal organs, the doctor will prescribe a preliminary examination. This may include:

  • General clinical tests of blood and urine
  • Ultrasound of the thyroid gland, internal organs
  • Throat swab, bacterial culture

On the day of the procedure, the patient is advised to avoid being outside in cold weather and not to perform heavy physical work.

Сколько длится сеанс и сколько процедур необходимо

Очищение одной стороны ручным способом выполняется около 10 минут, вакуумное промывание лакун миндалин длится 5-7 минут.

Для лечебного очищения гланд одного сеанса недостаточно. В зависимости от вида и стадии патологии, доктор может назначить ручное или вакуумное очищение курсом от 4 до 10 сеансов ежедневно или с перерывом в 1-2 дня.

Result and recovery

After the session, pain in the throat area is possible. This is normal and does not require treatment. Doctors recommend not drinking hot drinks, eating spicy, hot food or anything that can irritate the throat for a day after the procedure. Alcohol should be prohibited throughout the treatment.

Manipulation allows you to stop the toxic effects of pathogens on the body, eliminating the risk of exacerbation and complications. Therefore, the procedure brings noticeable relief to the patient’s condition from the first session.

Within a few days after washing the lacunae of the tonsils, purulent plugs may come away. Recommendations for additional gargling are given by the doctor; you should not use folk and home remedies on your own, so as not to provoke complications.

If, after a therapeutic course of sanitation, pain continues, the discharge of pus from the lacunae, swelling, the ENT doctor decides on a radical method - excision of the tonsils, or tonsillectomy.

Washing methods

Rinsing the lacunae of the palatine tonsils with a syringe

The manual method of sanitation is considered by some to be outdated, but it is still successfully used in ENT practice. For the procedure, a special syringe with a thin tube (cannula) with a blunt rounded end attached to it is used.

Manual sanitation algorithm:

  1. The patient sits on a couch or ENT chair. If the patient has an increased gag reflex, local anesthesia is used. To do this, the oropharynx is irrigated with a lidocaine solution. The drug has an anesthetic effect and reduces the gag reflex
  2. If it is necessary to first take a smear to study pathogenic microflora, the manipulation is performed before washing
  3. ENT doctor draws a solution for sanitation into a syringe
  4. The tip of the cannula is carefully inserted into one of the lacunae, trying not to injure the tonsil tissue
  5. By applying pressure to the syringe piston, a jet is created that enters the depths of the lacuna and washes out all the contents from it and neighboring recesses
  6. A horseshoe-shaped tray is held under the patient’s chin, into which he periodically spits out all the liquid
  7. The procedure is performed twice, on each side of the pharyngeal ring

Manual and vacuum washing of the lacunae of the palatine tonsils is performed with water (temperature no higher than 37℃), antiseptic solutions (miramistin, furatsilin, etc.), antibiotics or antifungal agents, depending on the nature of the disease.

Vacuum rinsing of tonsil lacunae

This progressive treatment method is more effective as it allows for deep and thorough cleaning. It is better tolerated by patients than manual rinsing, as it has a liquid reabsorption system.

Rinsing of the lacunae of the tonsils under negative pressure is performed with the Tonsillor apparatus, in which the generated ultrasonic wave acts in parallel with vacuum discharge. Ultrasound breaks up dense plugs well, simultaneously providing an antimicrobial and anti-inflammatory effect on the tissue of the tonsils, and a vacuum aspirator captures a lot of pathogenic contents of the lacunae, bringing them out. The device allows you to deliver antiseptic agents to the deep layers of the tonsils.

Hardware rinsing of tonsil lacunae with Tonsillor allows you to achieve three goals simultaneously:

  • Remove all pathogenic contents from lymphoid formations with a vacuum aspirator
  • Provide a physiotherapeutic effect on the tonsil area thanks to the therapeutic effects of ultrasound
  • Enhance the therapeutic effect by using antiseptics for rinsing

The procedure follows the following algorithm:

  1. The doctor sets the required operating mode on the device, selecting it for the patient and the nature of the disease
  2. The patient sits in an ENT chair or on a couch. A smear is taken for further analysis in the laboratory
  3. Sensitive people are pre-irrigated with a lidocaine solution in their oropharynx to reduce the urge to vomit
  4. The doctor inserts the nozzle of the Tonsillor device into the patient's oral cavity. Near the tip there is a container for collecting the aspirated mass from the lacunae, which at the same time serves as a limiter to the nozzle
  5. Using a vacuum, the contents of the recesses in the tonsil are sucked out
  6. The doctor changes the attachment on the device. Now the lacunae are exposed to ultrasound for thorough cleaning in the most inaccessible corners of the formation while simultaneously washing them with a medicinal solution
  7. The amygdala on the other side is cleaned using the same algorithm

Often in ENT practice, the manual method of washing lacunae with a syringe and the hardware method are combined in one procedure, increasing efficiency. To do this, first clean the tonsils with a stream of water from a syringe, and then use a device for more thorough and deep cleaning.

Sanitation of tonsils at the K+31 clinic

In “K+31” you can receive qualified, diverse assistance from experienced ENT doctors and undergo treatment. We perform rinsing of tonsil lacunae with Tonzillor in Moscow using modern equipment, carefully observing the treatment regulations of the procedure.

Our advantages:

  • Disposable instruments, the latest multifunctional Tonsillor devices
  • An integrated approach to treatment using therapy, minimally invasive surgical methods, physiotherapy, etc.
  • Democratic prices in Moscow for washing tonsil lacunae and other ENT procedures that are available to all our patients

The low cost of the procedure for washing the tonsils allows you to use this service regularly if necessary. An appointment can be made during a personal visit to the K+31 clinic, by phone or through the feedback form on the website.

Sanitation of tonsils at the K+31 clinic

Our doctors

Sadikov
Ilya Sergeyevich
Head of the Clinic for Otorhinolaryngology, Otorhinolaryngologist
Tetzoeva
Zalina Muratovna
Head of the department of otorhinolaryngology, otorhinolaryngologist
Lapshina
Anastasia Andreevna
Otolaryngologist, audiologist
Lopatin
Andrew Stanislavovich
Chief Specialist in Otorhinolaryngology
Portnyagina
Maria Pavlovna
Audiologist-otorhinolaryngologist
Kaspranskaya
Galina Rustemovna
Otorhinolaryngologist, otoneurologist, audiologist
Budeikina
Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
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