Chronic Pharyngitis: Causes,symptoms and treatment

Chronic pharyngitis can cause a significant problem in daily life, starting from  throat discomfort in the morning to alteration of voice .Chronic inflammatory condition of the pharynx characterized by hypertrophy of mucosa, seromucinous glands, subepithelial lymphoid follicles and even the muscular coat of the pharynx.

Two Types of Chr. Pharyngitis-

  • Chronic Catarrhal Pharyngitis
  • Chronic  Granular Pharyngitis ( Hypertrophic )

Causes ( Etiology ) Of Chronic Pharyngitis-

  • Persistent infection in the surrounding structures of pharynx like sinus, tonsils, nose etc including dental sepsis.
  • Mouth breathing exposes pharynx to air which has not been filtered ,humidified and adjusted. These are usually result of nasal polyp, rhinitis, turbinate hypertrophy,adenoids,tumors. It can also be due to protruded teeth or habitual mouth breathing.
  • Environmental Pollution
  • Faulty voice production as seen in certain professions like singers and over use of voice. Can also occur in case of pharyngeal neurosis

Symptoms-

  • Discomfort or pain in the throat- prominent in the morning
  • Foreign body sensation ( something stuck to throat ) sensation- patient has constant desire to clear his throat.
  • Tiredness of Voice-  voice may lose quality and even crack.
  • Cough-  irritable throat. Simply opening of mouth can cause retching and gagging

Signs-

 

pharyngitis tonsillitis

Throat in Chr. pharyngitis

  • Congestion of posterior wall of pharynx, engorgement of vessels, pillars may be thickened.
  • Increased mucus secretion.
  • Posterior pharyngeal wall may be studded with reddish nodules in case of Granular pharyngitis.
  • Lateral pharyngeal  bands may enlarge and uvula may be elongated and hypertrophied.

Treatment:-

  1. Etiological factor or causative agent must be eradicated for resolution of Pharyngitis. Eg. Stop smoking, abstain from alcohol and cold, irritant food.
  2. Voice rest is essential
  3. Speech therapy where faulty voice production is seen
  4. Warm Saline gargles may be soothing  and even relieves pain and irritation.
  5. Mandl’s paint can be applied to mucosa of pharynx

Surgical – Cautery of Lymphoid granules – Electrocautery  or Diathermy.

Actual case of Chronic pharyngitis-

pharyngitis

Source- Disease Of ENT, PL Dhingra and lecture notes

32 Comments
  1. March 8, 2012
  2. April 1, 2012
    • April 1, 2012
      • November 27, 2012
        • November 27, 2012
          • November 30, 2012
          • November 24, 2015
          • December 9, 2015
        • September 26, 2016
      • May 8, 2014
  3. April 13, 2012
  4. December 5, 2012
  5. January 17, 2013
  6. January 19, 2013
  7. February 26, 2013
  8. February 26, 2013
    • December 26, 2013
  9. August 17, 2013
    • August 22, 2013
      • August 25, 2013
        • August 25, 2013
  10. October 25, 2013
  11. December 25, 2013
    • December 26, 2013
      • August 12, 2016
        • August 13, 2016
          • August 19, 2016
  12. October 13, 2014
  13. September 29, 2015
  14. May 3, 2016
  15. May 3, 2016
  16. July 17, 2016

Leave a Reply

Your email address will not be published. Required fields are marked *