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In this regard, the aim of our research was to increase the effectiveness of prevention and 
treatment of chronic tonsillitis by studying the effect of pathology of the nasal cavity and paranasal 
sinuses on the occurrence and maintenance of the inflammatory process in the tonsils.
Patients and research methods. We examined 110 people. 20 people made up the control group 
(practically healthy people). With a pathology of the nasal cavity of a non-inflammatory nature: with 
vasomotor rhinitis - 30 people, with a curvature of the nasal septum - 20 people; with an inflammatory 
pathology: with acute sinusitis - 20 people, with exacerbation of chronic sinusitis - 20 people. All 
patients underwent a comprehensive otolaryngological examination, general clinical, immunological, 
rhinological research methods were also performed and the functional activity and functional reserve 
of the palatine tonsils were determined with statistical processing of the data obtained.
After a complete examination, the patients were divided into groups of patients with chronic 

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compensated tonsillitis and chronic decompensated tonsillitis, who subsequently underwent 
conservative and surgical treatment.
Patients with deviation of the nasal septum, vasomotor rhinitis and chronic tonsillitis underwent 
surgical treatment in the volume of septoplasty and laser vasotomy, respectively. Control examination 
was carried out 14 days and one year after the operation. Patients with acute sinusitis, exacerbation of 
chronic sinusitis and chronic tonsillitis underwent conservative treatment (antibacterial, antihistamines, 
vasoconstrictor drugs, maxillary sinus puncture, physiotherapy). Control examination was carried out 
after 14 days.
Research results and their discussion. After conducting this study, we can conclude that after 
surgical interventions for the curvature of the nasal septum, the functional activity of the tonsils 
increases slightly. And with an exacerbation of chronic sinusitis and vasomotor rhinitis, after 
undergoing appropriate treatment, the activity of the tonsils increases. In patients with acute sinusitis 
and chronic tonsillitis, the functional activity of the tonsils remained practically unchanged.
Since there are no changes in the functional activity of the tonsils after conservative treatment of 
acute sinusitis, it is inappropriate to rely on the treatment of only sinusitis with the existing pathology 
of the tonsils. And, conversely, with a long-standing chronic process in the nasal cavity and paranasal 
sinuses, it is advisable to treat them as the first stage before performing tonsillectomy.
Conclusion. Restoration of normal nasal breathing and sanitation of the chronic focus of infection 
in the paranasal sinuses lead to an improvement in the functional activity of the palatine tonsils, 
which, in turn, improves the general condition of the body and can be considered one of the ways to 
prevent the onset, development and maintenance of chronic inflammation in the palatine tonsils, i.e. 
chronic tonsillitis.

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