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1.
Vestn Otorinolaringol ; 85(1): 74-78, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32241994

RESUMO

Allergic rhinitis, according to modern data, affects up to a quarter of the population of developed countries. The disease affects not only the nasal mucosa, but also affects the receptors and mediators of inflammation in the bone marrow. A significant decrease in the quality of life of patients against the background of exacerbation of allergic rhinitis makes us look for new approaches to both the treatment of attacks and their prevention. Correction, including surgical, of concomitant pathology of the nasal cavity and paranasal sinuses significantly improves the quality of life of patients with allergic rhinitis. For a long time, surgical treatment of concomitant pathology of the nasal cavity in children was extremely limited due to the risk of damage to the growth zones and, as a consequence, a high probability of recurrence of deformation of the structures of the nose and paranasal sinuses. With the development of endoscopic methods of surgical treatment of the nasal cavity and paranasal sinuses, operations with minimal invasiveness and, as a consequence, safe at any age were introduced into practice. Surgical intervention on the structures of the lymphoid pharyngeal ring in children with allergic rhinitis is causing heated debate in the pediatric community to date. The article considers modern approaches to the diagnosis and treatment of allergic rhinitis in children. Topical problems of conservative and surgical treatment are discussed. Special attention is paid to the safety of various treatment regimens. The discussed practical issues of tactics of treatment of allergic rhinitis are relevant for both pediatric allergists and ENT pediatricians.


Assuntos
Seios Paranasais , Rinite Alérgica , Criança , Humanos , Cavidade Nasal , Mucosa Nasal , Qualidade de Vida
2.
Vestn Otorinolaringol ; 82(5): 61-63, 2017.
Artigo em Russo | MEDLINE | ID: mdl-29072668

RESUMO

This article reports a rare observation of the development of chronic polypous pansinusitis with deformation of the external nose in a 8 year-old child presenting with primary ciliary dyskinesia syndrome. The patient underwent multiple surgical interventions in the preceding period. The key argument in favour of the definitive diagnosis was the results of investigation of ciliated epithelium biopsy taken from the nasal cavity and bronchi in combination with the data obtained by diagnostic endoscopy of the nasal cavity and nasopharynx supplemented by computed tomography. The proposed treatment strategy including endoscopic endonasal pansinusotomy, antibacterial therapy taking into consideration the sensitivity of the seeded microorganism, and hormonal therapy proved optimal for the management of the given patient.


Assuntos
Síndrome de Kartagener , Pólipos Nasais , Deformidades Adquiridas Nasais , Procedimentos Cirúrgicos Otorrinolaringológicos , Infecções por Pseudomonas , Pseudomonas aeruginosa/isolamento & purificação , Sinusite , Antibacterianos/administração & dosagem , Biópsia/métodos , Criança , Endoscopia/métodos , Feminino , Humanos , Síndrome de Kartagener/complicações , Síndrome de Kartagener/diagnóstico , Síndrome de Kartagener/fisiopatologia , Depuração Mucociliar , Mucosa Nasal/patologia , Pólipos Nasais/diagnóstico , Pólipos Nasais/etiologia , Pólipos Nasais/fisiopatologia , Pólipos Nasais/cirurgia , Deformidades Adquiridas Nasais/etiologia , Deformidades Adquiridas Nasais/cirurgia , Procedimentos Cirúrgicos Otorrinolaringológicos/efeitos adversos , Procedimentos Cirúrgicos Otorrinolaringológicos/métodos , Infecções por Pseudomonas/diagnóstico , Infecções por Pseudomonas/tratamento farmacológico , Reoperação/métodos , Sinusite/diagnóstico , Sinusite/microbiologia , Sinusite/fisiopatologia , Sinusite/cirurgia , Tomografia Computadorizada Espiral/métodos , Resultado do Tratamento
3.
Vestn Otorinolaringol ; (5): 76-9, 2014.
Artigo em Russo | MEDLINE | ID: mdl-25588494

RESUMO

The objective of the present study was to evaluate the influence of the combination of 0.1% xylometazoline with seawater (Rinomaris, "Jadran", Croatia) on the state and functional activity of the ciliary epithelium of the nasal cavity. The results of the study confirm the safety of this treatment and the possibility of its application in routine clinical practice.


Assuntos
Cílios/efeitos dos fármacos , Imidazóis/efeitos adversos , Descongestionantes Nasais/efeitos adversos , Mucosa Nasal/efeitos dos fármacos , Água do Mar/efeitos adversos , Adolescente , Criança , Combinação de Medicamentos , Humanos , Imidazóis/administração & dosagem , Imidazóis/farmacologia , Descongestionantes Nasais/administração & dosagem , Descongestionantes Nasais/farmacologia , Resultado do Tratamento
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