The objective of the present study was to undertake the statistical analysis of the methods employed to treat
tonsillitis in the children with a view to optimizing adequate dispensary observation, planned
conservative therapy and surgical treatment of the patients presenting with chronic
tonsillitis. The analysis of the excerpts from the annual reports presented by the head of the otorhinolaryngological department of the Children's City Clinical Hospital No 9 involved the patients admitted for the pre-planned and urgent treatment of paratonsillar
abscess between 1990 and 2010. It was shown that the number of children with paratonsillar
abscess increased during this period from 5.8 to 12.0%. At the same time, the number of such patients undergoing surgery for the treatment of toxico-allergic forms (TAF-I and TAF-II) decreased from 26.7 to 8.7-11.6% of their total number admitted to the department for the treatment of pharyngeal pathology. These diseases developed in the children frequently ill with chronic
tonsillitis after its recurrent exacerbations. Importantly, all these children were registered in the dispensaries of district out-patient clinics at the places of residence and repeatedly underwent courses of
conservative therapy of chronic
tonsillitis that either resulted in the temporary improvement of their health conditions or produced no effect whatever. Nevertheless, no district otorhinolaryngologist recommended
tonsillectomy to a child with chronic
tonsillitis. It is concluded that adequate regular medical check-ups in combination with the planned courses of
conservative treatment and hospitalization of the patients in due time for the surgical treatment (
tonsillectomy) permit to reduce the frequency of complications of such an insidious disease as chronic
tonsillitis.