Chronic Tonsillitis

Chronic Tonsillar Infection

Chronic Tonsillitis

Definition of Chronic Tonsillitis

Chronic tonsillitis is a condition that persists for more than two weeks and is more common in adolescents and adults. Chronic sore throat, enlarged tonsils, bad breath smell and enlarged neck lymph nodes can be detected in the patient. Chronic tonsillitis occurs, probably due to antibiotic-resistant bacteria or due to altered immune response. According to research, people exposed to radiation have an increased risk of chronic tonsillitis. It is a permanent inflammation of the tonsils that occur after recurrent tonsil infections. In chronic tonsillitis, the causative microorganism is located in the tonsils.

Factors that facilitate chronic tonsillitis

The following factors increase the risk of chronic academic inflammation:

- Allergy
- Poor oral hygiene
- Smoking
- Recurrent nasal infection and discharge behind the nasal passage

If deep crypts and pit areas are present on the tonsil surface, epithelial debris and food debris can accumulate and cause tonsil stone (magma) formation. Therefore, halitosis and chronic tonsillitis may occur. Tonsil surgery and laser tonsillectomy can be performed.

Often there is no complete response to medical treatment or frequent recurrences may occur.

Tonsillitis can be caused by various viruses or by bacteria. Bacteria-induced tonsillitis is more severe and can lead to serious complications if there is no appropriate treatment.

Tonsils are the first protective barriers of our immune system against respiratory microbes. They give the first reaction and contain a significant amount of white blood cells that fight microbes. After puberty, the role of the tonsils in the immune system is relatively reduced.

Tonsillitis is more common in children and adolescents. Crowded and poorly ventilated environments where viruses and bacteria can easily spread are also a risk factor. Other risk factors include; smoking (including passive smoking), malnutrition, stress, fatigue, chronic mouth breathing due to impaired nasal breathing, diseases affecting the immune system and use of immunosuppressive drugs.

Nasal Congestion Facilitates Chronic Throat Infections!

Nose is a very important respiratory organ that purifies, heats, humidifies and transmits pressure to the lower airways. People with nasal obstruction, dry, particle-rich, allergen-rich, direct cold air through the throat to direct the lower respiratory tract.

Above is an intranasal endoscopic photograph of the patient with nasal obstruction breathe by mouth and with cartilage curvature of the nose to the left (deviation of the nasal septum) and hypertrophy of the right inferior turbinate (turbinate hypertrophy). This patient also had a deviation of the posterior nasal septum (nasal septal spur formation) contacting the inferior turbinate. After septoplasty and turbinate radiofrequency, the patient's symptoms of chronic throat infection, decreased sleep quality, decreased dry mouth, and decreased headache were observed.

Symptoms of Chronic Tonsillitis

Frequent attacks of infection, chronicity of the infection becomes permanent in the tonsils, recurrent sore throat, bad breath, tonsils to grow very difficult to eat and obstruct the respiratory tract, tonsil abscess, swelling in the neck lymph glands are the main findings.

Symptoms of tonsillitis:

- Red and swollen tonsils

- Throat ache

- Fire

- Yellow-white plaques on tonsils

- Painful and sensitive lymph node growths in the neck

- Ingestion, anorexia

- Mouth Odor

- Voice changes

- Nausea, vomiting and abdominal pain, especially in children; It shaped.

Treatment  of Chronic Tonsillitis

Monthly penicillin injections can be used as preventive antibiotic treatment in frequently recurring infections, but it is generally preferred to remove tonsils.


Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47