The so-called pediatric laryngitis is the pediatric pharyngitis that everyone often hears about. This disease is very harmful and the causes are relatively complicated. For example, some children have bad living habits. For example, children often pick their noses with their hands, which will cause this disease. Pediatric pharyngitis may also be caused by harsh environmental factors. In addition, there are also disease factors such as upper respiratory tract infection. 1. Symptoms of pharyngitis in children 1. Hoarseness: Children with pharyngitis will have the symptom of hoarseness, which may even affect normal voice in severe cases. 2. Swelling and pain in the throat: Children usually feel pain and a foreign body sensation in the throat, which is more serious when speaking. 3. Excessive phlegm: Due to inflammation of the throat, the secretions in the throat increase, so the child always has coughing and excessive phlegm. 2. The harm of pharyngitis in children 1. Hoarseness or even permanent voice change Most children with pharyngitis have the symptom of hoarseness. Some parents think that it is just due to their children's poor immunity and frequent colds. If not treated in time, it may even cause the child's voice to change permanently. 2. Many complications If children with pediatric pharyngitis do not receive timely treatment, they may develop rhinitis, otitis media and other adjacent organ diseases, creating a vicious cycle. 3. Examination of pediatric pharyngitis 1. Oropharyngeal examination: The patient sits upright and breathes naturally with his mouth open. The doctor sits opposite and examines the oral cavity first with a tongue depressor in hand. He then gently presses down the front 1/3 of the tongue to lower the back of the tongue and expose the oropharynx. He observes the changes in the morphology of the soft palate, uvula, palatoglossal arch, palatopharyngeal arch, tonsils, lateral and posterior pharyngeal walls, and the color and moisture of the mucosa, and the presence of lymph follicle hyperplasia. 2. Indirect nasopharyngeal endoscopy: The patient sits upright, tilts his head slightly back, opens his mouth naturally and breathes calmly through his nose. The doctor holds the tongue depressor to press down the back of the tongue, holds the nasopharyngeal mirror in the right hand and gently extends it between the uvula and the posterior pharyngeal wall, adjusts the angle of the mirror, and observes the nasopharynx. 3. Indirect laryngoscopy: The patient sits upright, tilts his head back slightly, opens his mouth and sticks out his tongue. The doctor wraps the front 1/3 of the tongue with gauze, pinches the tongue with the left thumb and middle finger, gently pulls the tongue outward and downward, pushes the upper lip with the index finger, holds the indirect laryngoscope with the left hand in a writing posture, with the mirror facing forward and downward, and the back of the mirror close to the front of the uvula, pushing the soft palate up. 4. Throat swab culture and bacterial sensitivity test: used to clearly diagnose the pathogens and bacteria of pharyngeal infection, and is of great significance for the diagnosis of the specific type of pharyngitis. |
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