No2(4) 2021
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DOI 10.37219/2528-8253-2021-2-60 |
Bezshapochny S, Hychak I
Treatment of adenoid inflammation in children |
Bezshapochny Sergey B.
Ukrainian Medical Stomatological Academy
Head of Department of Otorhinolaryngology with Ophthalmology
Doctor of Medical Sciences, Professor.
Email: bezshapochny@ukr.net
ORCID ID: https://orcid.org/0000-0002-8726-2024
Scopus Author ID: 6603471609
Hychak Iryna S.
Ukrainian Medical Stomatological Academy
Department of Otorhinolaryngology with Ophthalmology
Email: irinagrishina@yahoo.com
ORCID ID: 0000-0001-5796-6808 |
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Abstract Topicality: Inflammation of the adenoid
tonsil is one of the common causes of ENT diseases in children.
Among the causes of adenoiditis (nasopharyngitis) are infectious - viral and
bacterial, allergic and gastric acid irritation in laryngopharyngeal reflux.
The aim of our research was to study the effectiveness of topical
application of a combination of xylometazoline hydrochloride 0.05% and
miramistin 0.01% in the treatment of pediatric patients with pharyngeal
tonsillitis.
Materials and methods: We selected 60 patients aged 5 to 14 years
with endoscopically confirmed adenoid vegetations of I-II stage with
inflammation. Patients were divided into 2 groups – main and control.
Patients in the control group received saline irrigation therapy 4 times a
day, patients in the main group received saline lavage 4 times a day and
intranasal administration of a combination of xylometazoline hydrochloride
0.05% and miramistin 0.01% three times a day for 7 days. Patient status was
analyzed using a Likert scale questionnaire and objective endoscopic
examination.
Results: During treatment, a positive effect was observed in both
groups. However, starting from the second visit (on the 3rd day of
treatment) there was a faster decrease in symptoms in children of the main
group compared to the control, on the 7th day the difference between the
groups was subjective – 5.9 points, and objective – 2.5 points in favor of
the main group. Therefore, intranasal administration of a combination of
xylometazoline hydrochloride 0.05% and miramistin 0.01% helps reduce edema,
redness, exudation, improves nasal breathing and in combination with saline
irrigation therapy is an effective means for topical treatment of children
with inflammatory diseases of the pharynx. |
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Keywords
adenoiditis, nasopharyngitis, xylometazoline, miramistin. |
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