Issue: 2023, Vol. 28, No. 4

I. S. Sultanov, I. Е. Boboshko, L. А. Zhdanova, Е. V. Borzov

PECULIARITIES OF CLINICAL COURSE OF CHRONIC ADENOIDITIS IN PRESCHOOLERS WITH VARIOUS TYPES OF PSYCHOCONSTITUTION

Keywords

chronic adenoiditis, psychosomatic constitution, introverts, extraverts, reducing resistance, dispensary observation.

Abstarct

Objective – to reveal the peculiarities of clinical course of chronic adenoiditis (CA) in children aged 4–7 years with various types of psychosomatic constitution in order to increase the effectiveness of dispensary observation in such patients. Material and methods. 217 children aged 4–7 years with verified CA diagnosis were enrolled in the study. In dependence on the type of psychosomatic constitution children were divided into two groups: introverts and extraverts. Patients were clinically examined, the data from the medical history was copied, and survey of parents was conducted also. Results and discussion. CA debut in introverts was fixed at the age of 3–4 years, the prescription of the disease to this age was about one and half years, the diagnosis was verified earlier than in extraverts, and more late development of glue ear (GE) was marked. Complaints connected with snore, syndrome of obstructive sleep apnea and violation of sound reproduction took the first place in introvert children. In extravert children CA debut was fixed at the age of 4–5 years, the prescription of this disease was less than six months with early GE development. Clinical manifestations in them were connected with combination of postnasal syndrome and night cough, frequent purulent otitis media and severe hearing loss. Conclusion. The difference of CA clinical course in preschoolers with various constitutional types should be taken into account in dispensary observation organization in such patients.

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