Nasal cycle and rhinosinusitis: a new look at the problem

Shilenkova, V. V.; Fedoseeva, O. V.

doi:10.18692/1810-4800-2019-2-70-76

Cited by 6 publications

(3 citation statements)

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“…A single algorithm has been proposed for the diagnosis of CPR, including the collection of patient complaints and anamnesis, endoscopic examination of the nasal cavity to determine the prevalence of the polyposis process, computed tomography of the paranasal sinuses to assess the severity of their lesions, anterior active rhinomanometry to assess the respiratory function of the nasal cavity and bacteriological determination of the microbial spectrum of the paranasal sinuses (Eremenko 2017).…”

Section: Diagnosticsmentioning

confidence: 99%

Modern approaches to the treatment of chronic polypous rhinosinusitis

Bairashevskaia¹,

Kytko²,

Vasil’ev³

et al. 2020

RRP

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Introduction: Today, chronic polypous rhinosinusitis (CPR) occupies a special place among otolaryngological diseases, the incidence rate of which increases every year. To date, the main causes of chronic polypous rhinosinusitis are Staphylococcus aureus and anatomical abnormalities. Diagnostics: Knowledge of a universal algorithm for the diagnosis of this disease, consisting of the collection of anamnesis, endoscopic examination of the nasal cavity, computed tomography of the paranasal sinuses, anterior active rhinomanometry and bacteriological determination of the microbial spectrum, allows diagnosing chronic polyposis rhinosinusitis in time, and, as a consequence, to prescribe a treatment. Treatment: This review describes conservative therapies, including antibiotics and glucocorticosteroids. Today, the main task of doctors is to find the most effective method of administration of glucocorticosteroids to achieve the maximum effect. One of these methods is the introduction of the drug with the help of nebulizer, as in this case, the drug will remain in the perirhinal cavity for a long time and have the maximum effect due to the directed action only in the area of the pathological process. Features of chronic polypous rhinosinusitis in childhood: It should be noted that children under 12 years of age due to the formation of the paranasal sinuses at different stages of ontogenesis will be characterized by different forms of chronic polyposis rhinosinusitis. That is why they should be known and taken into account when making a diagnosis and prescribing a treatment. Conclusion: Today, the frequency of chronic rhinosinusitis increases exponentially, which makes the question of the modern approach to its treatment the most relevant. It is possible that additional research in this area will solve the issue of searching for both the optimal path of therapy and treatment of CPR in children.

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Section: Diagnosticsmentioning

confidence: 99%

Modern approaches to the treatment of chronic polypous rhinosinusitis

Bairashevskaia¹,

Kytko²,

Vasil’ev³

et al. 2020

RRP

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“…Российская оториноларингология/Russian Otorhinolaryngology Rossiiskaya otorinolaringologiya 2020;19;1(104) составляет от 2,5 до 3,3 часа. При неклассическом носовом цикле наблюдаются нерегулярные четкие флюктуации носового сопротивления в одной половине носа или одновременно в двух половинах [5,6]. При нарушениях деятельности ВНС малейшее раздражение нервных окончаний слизистой оболочки полости носа или отдаленных, связанных с ней зон (переохлаждение, резкий запах), ведет к расширению кровеносных сосудов носа, внезапной заложенности носа, обильным выделениям, чиханию, т. е. к признакам вазомоторного ринита [7].…”

Section: из практикиunclassified

Revising the issue of post-surgical period in the patients with vasomotor rhinitis using topical steroids during pre-surgical preparation

Dvoryanchikov¹,

Tipikin²,

Shelikhovskaya³

et al. 2020

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The obstruction of nasal breathing due to vasomotor rhinitis is quite a common cause of visits to the ENT doctor. Today, it is believed that therapeutic measures should begin with the identification of possible causes that result in the formation of nasal hyperreactivity, and the treatment of the underlying disease. Medical treatment of vasomotor rhinitis can begin with the prescription of topical corticosteroids and antihistamines. The long-term observations have shown that the use of decongestants and topical steroids in the preoperative period reduces reactive phenomena in the nasal cavity after surgical treatment. To objectify the empirical observations, the authors have examined 20 patients after surgical intervention for vasomotor rhinitis in the scope of submucosal vasotomy. In the postoperative period, the patients were recommended regiminal and restrictive measures, and prescribed antihistamines and local irrigation therapy with warm saline. The authors assessed the transport function of the nasal cavity mucous membrane by the study of mucociliary transport rate in the test with coal dust and the respiratory function of the nasal cavity by the volumetric flow rate using anterior active rhinomanometry. The study revealed that the use of decongestants and topical steroids in the preoperative period reduces the reactive events in the postoperative period and shortens the patient’s rehabilitation period.

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“…Нарушение носового дыхания при ринитах может носить как периодический, так и постоянный характер, быть односторонним или двусторонним и являться результатом обструкции носовых ходов, вызванной отеком или гиперплазией слизистой оболочки, полипами или патологическим секретом [2]. Отделяемое из полости носа может быть слизистым, слизисто-гнойным, гнойным и отходить при сморкании либо стекать по задней стенке глотки.…”

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Difficult nasal breathing in the ENT-practice: how to help?

Ryazantsev¹,

Pavlova²

2020

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The article discusses the most common causes of diseases that cause difficulty in nasal breathing. According to the analysis of medical documentation, diseases accompanied by nasal obstruction and rhinorrhea are the most common human diseases. The priority role in the development of the clinical symptoms of rhinitis is played by the release of inflammatory mediators – histamine and bradykinin. Histamine in rhinitis mediates a cascade of pathological reactions, as a result of which local vasodilation develops, accompanied by swelling of the mucous membranes; nasal congestion; increased permeability of the vascular wall; exudation of blood plasma; irritation of nerve endings; triggering reflex mechanisms by stimulating trigeminal histamine receptors. Peculiarities of the course of intermittent and persistent forms of allergic rhinitis, the pathogenesis of allergic inflammation are considered. To reliably eliminate abundant rhinorrhea, combined with nasal congestion, the authors recommend the use of a combined nasal spray, which contains phenylephrine and cetirizine (Phenylephrine + Cetirizine). Based on the analysis of literature data, the effectiveness and safety of the use of the topical form of cetirizine are substantiated. Aspects of the clinical use of the combination of phenylephrine and cetirizine in inflammatory and allergic diseases of the nasal cavity and paranasal sinuses, in the pathogenesis of which the key role is played by swelling of the mucous membrane of the nasal cavity, are examined. It is proved that the new combined nasal spray of domestic production is an effective and safe method for treating patients with manifestations of various forms of rhinitis and nasal obstruction.

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Nasal cycle and rhinosinusitis: a new look at the problem

Cited by 6 publications

References 0 publications

Modern approaches to the treatment of chronic polypous rhinosinusitis

Modern approaches to the treatment of chronic polypous rhinosinusitis

Revising the issue of post-surgical period in the patients with vasomotor rhinitis using topical steroids during pre-surgical preparation

Difficult nasal breathing in the ENT-practice: how to help?

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