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Professor S. Karpishchenko, MD; Professor G. Lavrenova, MD; O. Malay; A. Milchakova Acad. I.P. Pavlov First Saint Petersburg State Medical University

Halitosis is a state reflecting the presence of infectious diseases of the mouth, respiratory and digestive organs. Chronic tonsillitis rates first among the ENT causes of halitosis. The algorithm of actions by an ENT physician when suspecting that a patient has this disease involves the following stages: diagnosis of halitosis (ENT examination, halitometry, and a questionnaire); etiological treatment (systemic and local drug therapy); physiotherapy procedures; individual nonspecific activation of body defenses; psychological assistance; motivation for self-help, and training in its main techniques. A total of 29 patients aged from 20 to 64 years with chronic compensated tonsillitis and halitosis were followed up. To diagnose halitosis, all the patients underwent halitometry using the Breathometer Mint, a compact wireless device synchronized with a smartphone via Bluetooth Mint, which measures the amount of volatile sulfur compounds (VSCs) produced by the oral anaerobic bacteria as part per billion (ppb). All the examinees had moderate halitosis and, according to halitometric data, were in zones B and C (92–156 and 157–275 ppb of VSCs, respectively). All the patients agreed to receive a long therapy cycle: mechanical cleansing of the tonsils (a washing cycle of the lacunae of the tonsils); drug treatment with deodorizing agents and oral antiseptics; cryotherapy in patients receiving adaptogens. This scheme has shown its effectiveness in most patients

chronic tonsillitis

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  1. Lavrenova G.V., Karpischenko S.A., Kulikova O. A. Lor patologija kak prichina halitoza // Ros. otorinolaringol. – 2015; 4: 65–9.
  2. Reproducibility and sensitivity of oral malodor measurements with a portable sulphide monitor // J. Dent. Res. – 1991; 70 (11): 1436–40.
  3. Halitosis measurement by an industrial sulphide monitor // J. Periodontol. – 1991; 62 (8): 487–9.
  4. Morita M., Wang H. Association between oral malodour and adult periodontitis: a review // J. Clin. Periodontol. – 2001; 28 (9): 813–9.
  5. Furne J., Majerus G., Lenton P. et al. Comparison of volatile sulfur compound concentrations measured with a sulfide detector vs.gas chromatography // J. Dent. Res. – 2002; 81 (2): 140–3.
  6. Tulupov D.A., Bahmutov D.N., Karpova E.P. Galitoz pri hronicheskoj lor-patologii u detej // Vestn. otorinolaringol. – 2013; 5: 59–61.