A lesion of hyperkeratosis of the epithelium of the pharyngeal lymphatic tissue is called pharyngeal keratosis. The palatine tonsils are the site of this disease, so it can also be called tonsillar keratosis. This disease is common in young adults aged 15 to 40 years old, with no significant difference between men and women, and most do not have a taste for alcohol or tobacco.
Etiology
Bacteriological examination often reveals buccal ciliates (Leptorix Buccalis) and smoke-colored A-shaped fungi, so the disease is thought to be caused by fungal parasites, called “pharyngeal fungal disease”, or tonsillar fungal disease. Experts believe that local chronic inflammation, infection or mechanical irritation can lead to high epithelial hyperplasia and superficial keratinization; or these conditions are conducive to the multiplication of corrosive fungi (such as cheek ciliates, etc.), resulting in the development of this disease. According to clinical observation, this disease mostly occurs in people who suffer from caries and poor oral hygiene, and often have a history of repeated pharyngeal infections and local application of antimicrobials. Therefore, it is believed that chronic inflammation and irritation may be the factors that induce this disease. In addition, it is also believed that the epithelial tissue malnutrition caused by systemic disease causes the epithelial surface layer to keratinize, leading to the development of this disease.
Symptoms
The disease develops slowly, without systemic symptoms, and local symptoms are not significant. Some patients, depending on the extent of the lesion, may have dryness, discomfort, itching, foreign body sensation, or even pain in the pharynx; or cough, hoarseness and bad breath.
[Examination].
The surface of the tonsils and other lymphoid tissues are scattered with creamy white or yellowish white keratinized material with nail-like or fragment-like heads, which are more in number and have a shoot-like protrusion from the fossa. There was no obvious inflammatory reaction in the surrounding tissues. The roots of the keratinized material are firmly adhered to its surrounding tissues and are not easily removed. In addition to the palatine tonsils, keratotic lesions are also commonly found in the lateral pharyngeal bundle, lingual tonsils and nasopharynx.
Diagnosis】The diagnosis can be confirmed according to the examination, but must be differentiated from the following diseases;
1. Tonsil stones: Smaller ones can fill the small fossa and resemble keratosis. However, the stones are mostly large, hard and non-sporadic.
2, purulent tonsillitis: microscopic examination can also be seen keratinized epithelial cells, but keratinization is not visible to the naked eye when the white pinpoint or plaque, should still be diagnosed as chronic tonsillitis.
3, pharyngeal leukoplakia: sometimes also resembles keratosis, if necessary, a biopsy should be made to distinguish it.
Treatment】
1.Improve general health, correct metabolic disorders, and take multivitamins internally. It is reported that patients with this disease have low levels of vitamin B and C in the blood, which can be given as treatment.
2, improve the living environment, keep the mouth and pharynx clean. Available 2% soda solution, boric acid solution, etc. rinse the mouth.
3.Local patching method.
①Paste the drug directly on the jaw opposite to the tonsils to clear heat and detoxify, reduce swelling and disperse nodules. Commonly used such as tonsillitis ointment (original name: “tonsillopharyngeal elimination”, “tonsillitis elimination”). It is a purely traditional Chinese medicine patch that acts directly on chronic tonsillitis, which has a therapeutic effect when it is in acute attack and a clearing effect when it is not in acute attack. Its advantages.
1, the curative effect is remarkable, can make the sore throat quickly disappear or reduce;
2, the body temperature and white blood cells have a regulatory role, so that the rapid return to normal;
3, fast drug permeation (under the action of corticosteroid agent), can improve the bioavailability of drugs, reduce the total amount of drugs, improve the effectiveness of drugs, shorten the course of the disease;
4.Avoid the danger, pain and inconvenience of non-gastrointestinal (injection) drug delivery;
5.The effect is long-lasting and direct, so that the drug forms a highly concentrated area locally in the lesion;
6.Avoid the first pass effect of the liver, the interference and degradation of gastrointestinal factors, and reduce individual differences;
7, no blood concentration peak phenomenon, avoid systemic toxic side effects;
8, painless, non-invasive, safe and convenient.