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Complex Approach to Diagnosis of Nasal Cavity and Nasopharyngeal Pathologies in Children. Initial Results

https://doi.org/10.15690/pf.v19i1.2345

Abstract

Background. Nasal cavity and nasopharyngeal pathology are crucial and common issue in pediatric otorhinolaryngology. One of the major reasons for the nasal breathing difficulties are adenoids, allergic rhinitis, acute rhinitis, rhinosinusitis, nasal septum deviation. All these diseases can occur individually and in combination with each other, while clinical signs can be similar.

Objective. The aim of the study is study and estimate the condition of nasal breathing and sense of smell in children with different nasal and nasopharyngeal pathology.

Methods. The study included 128 children, all children were divided into 3 groups comparable by gender and age. Children with confirmed acute ENT organ disease were included in the 1st group, children with allergic disease exacerbation were included in the 2nd group, and clinically healthy children (control group) were included in the 3rd group. Survey methodology: rhinomanometry (RMM), rhinoresistometry (RRM), olfactometry.

Results. It was revealed that nasal resistance in children with allergic diseases exacerbation is significantly higher both before and after anemisation of nasal mucosa with a solution of nasal decongestants than in children of the control group (according to the RRM). The air flow rate increases by average of 25% in children with various ENT organs diseases, and in children with allergic diseases — by average of 43% after anemisation of the nasal mucosa. The obtained data shows the role of nasal mucosal edema in patients with allergic diseases during exacerbation. Analysis of our RMM and RRM data suggests the importance of further use of these methods in children.

Conclusion. The obtained results will allow us to optimize the diagnosis approach and personalize the management of patients with various nasal cavity and nasopharynx pathologies. Nowadays, the study is ongoing.

About the Authors

Leyla S. Namazova-Baranova
Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital, Russian Academy of Sciences; Pirogov Russian National Research Medical University; Belgorod State National Research University
Russian Federation

MD, PhD, Professor, Academician of the RAS; eLibrary SPIN: 1312-2147

10 Fotievoy Str., 119333 Moscow; +7 (499) 400-47-33


Disclosure of interest:

Not declared



Viktor A. Gankovskiy
Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital, Russian Academy of Sciences
Russian Federation

PhD; eLibrary SPIN: 2745-7739

10 Fotievoy Str., 119333 Moscow; +7 (499) 400-47-33


Disclosure of interest:

Not declared



Irina V. Zelenkova
Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital, Russian Academy of Sciences
Russian Federation

eLibrary SPIN: 6206-6040


Disclosure of interest:

Not declared



Svetlana G. Gubanova
Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital, Russian Academy of Sciences
Russian Federation

PhD, eLibrary SPIN: 8275-0163

Moscow


Disclosure of interest:

Not declared



Alexander V. Pashkov
Central State Medical Academy of Department of Presidential Affairs of Russian Federation
Russian Federation

MD, PhD, Professor; eLibrary SPIN: 2779-8496

Moscow


Disclosure of interest:

Not declared



George A. Karkashadze
Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital, Russian Academy of Sciences
Russian Federation

MD, PhD; eLibrary SPIN: 6248-0970

Moscow


Disclosure of interest:

Not declared



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Review

For citations:


Namazova-Baranova L.S., Gankovskiy V.A., Zelenkova I.V., Gubanova S.G., Pashkov A.V., Karkashadze G.A. Complex Approach to Diagnosis of Nasal Cavity and Nasopharyngeal Pathologies in Children. Initial Results. Pediatric pharmacology. 2022;19(1):20-26. (In Russ.) https://doi.org/10.15690/pf.v19i1.2345

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ISSN 1727-5776 (Print)
ISSN 2500-3089 (Online)