No1-2(3) 2020
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DOI 10.37219/2528-8253-2020-1-38 |
Yurochko F, Kopanska D
Anticongestion therapy of sinusitis in children |
Yurochko Fedir
Lviv Regional Children’s Specialized Clinical Hospital
Pediatric otolaryngologist
PhD
E-mail: fyuroch@yahoo.com
Kopanska Dzvenislava
Lviv Regional Children’s Specialized Clinical Hospital
E-mail: dzwenyslava@gmail.com |
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Abstract
Sinusitis is one of the most common respiratory diseases in children.
Swelling of the nasal mucosa and paranasal sinuses accompanies sinusitis;
but this is not only a symptom, edema leads to blockage of the normal sinus
drainage pathway, which is key in the pathogenesis of sinusitis.
Decongestants are considered a key treatment for sinusitis because they
improve the function of the sinuses. According to EPOS-2012, treatment of
acute sinusitis in children up to 5 days includes nasal lavage,
decongestants, and in the absence of effect within 10 days, endonasal
corticosteroids are added to the treatment.
Decongestants are prescribed from the onset of sinusitis in children. They
not only alleviate the annoying manifestations of nasal congestion, but also
keep unlocked paranasal sinuses, prevent the progression of sinusitis to
bacterial and prevent complications.
In the treatment of sinusitis, we successfully combine the benefit of
decongestants (rapid, relatively shortterm anti congestion) with the effect
of endonasal corticosteroids (slow, relatively long-acting anti congestion).
The article shows our algorithm of topical sinusitis treatment. |
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Keywords
decongestants, sinusitis. |
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