Z.Kh. ABDULKERIMOV², Kh.T. ABDULKERIMOV ^1,2, T.Kh. ABDULKERIMOV ¹, K.I. KARTASHOVA¹

¹Ural State Medical University, 3 Repin Str., Ekaterinburg, Russian Federation, 620028

²Yekaterinburg City Clinical Hospital No. 40, 189 Volgogradskaya Str., Ekaterinburg, Russian Federation, 620028

Abdulkerimov Z.Kh. ― postgraduate student of the Otorhinolaryngology Department, tel. (343) 240-04-76, e-mail: ENT_USMA@mail.ru

Abdulkerimov Kh.T. ― Doc. Med. Sc., Professor, Head of the Otorhinolaryngology Department, tel. (343) 240-04-76, e-mail: abdulkerimov@mail.ru

Abdulkerimov T.Kh. ― resident doctor of the Department of Surgical Stomatology and Maxillofacial Surgery, tel. (343) 240-04-76, e-mail: ENT_USMA@mail.ru

Kartashova K.I. ― Cand. Med. Sc., Associate Professor of the Otorhinolaryngology Department, tel. (343) 240-04-76, e-mail: kartashovaki@mail.ru

 Objective: to explore the possibilities of a new electrophysical method for the treatment of nasal obstruction in chronic vasomotor rhinitis, through a dynamic correction of sympathetic nervous system activity (DCSNSA).

Materials and methods: the article presents the results of examination and treatment of 58 patients with chronic vasomotor rhinitis.

Results: the issues of non-invasive dynamic correction of the sympathetic nervous system activity are considered. New data are obtained on the relationship between the condition of the upper and lower respiratory tract after sympato-correction in patients with chronic vasomotor rhinitis. Improved quality of nasal breathing and respiratory function as a whole, and normalized activity of the ciliary apparatus of the nasal cavity mucosa ― to varying degrees was seen in all patients after DCSNSA. Conclusions: Dynamic correction of the sympathetic nervous system activity enables to improve nasal breathing, in the absence of pain syndrome, postoperative and rehabilitation periods. Decreased nasal mucosa resistance leads to a proportional improvement of the external respiration function.

Key words: sympathetic nervous system, chronic vasomotor rhinitis, respiratory tract.

(For citation: Abdulkerimov Z.Kh., Abdulkerimov Kh.T., Abdulkerimov T.Kh., Kartashova K.I. Changes in the resistance of mucous membrane of upper respiratory tract and external respiration function during the dynamic correction of the sympathetic nervous system activity in patients with chronic vasomotor rhinitis. Practical Medicine. 2018)

REFERENCES

1. Daynyak L.B. Vazomotornyy rinit [Vasomotor rhinitis]. Moscow: Meditsina, 1966.
2. Lopatin A.S. Diagnosis and treatment of rhinitis and rhinosinusitis in pregnant women. Rossiyskiy allergologicheskiy zhurnal, 2006; 1: 6-12 (in Russ.).
3. Lopatin A.S., Varvyanskaya A.V. Vasomotor rhinitis: pathogenesis, clinic, diagnostics and possibilities of conservative treatment. Atmosfera: Pul’monologiya i allergologiya, 2007; 2(25): 33-38 (in Russ.).
4. Balle V.H., Pedersen U., Engby B. Allergic perennial and non-allergic. vasomotor rhinitis treated with budesonide nasal spray. Rhinology, 1980; 18(3): 135-142.
5. Bende M. Treatment of rhinitis medicamentosa. Am.J. Rhinol., 1996; 10(5): 323-325 doi: 10.2500/105065896782159639.
6. Dolovich J., Kennedy L., Vickerson F. et al. Control of the hypersecretion of vasomotor rhinitis by topical ipratropium. J. Allergy Clin. Immunol., 1987; 80: 27-280doi: 10.1016/0091-6749(87)90031-5.
7. Lal D., Corey J.P. Vasomotor rhinitis update. Curr. Opin. Otolaryngol. llnnd Neck Surg. i 2004; 12(23): 243-247 doi: 10.1097/01.moo.0000122310.13359.79.
8. Abdulkerimov Kh. T., Kolesnikova A. V., Kartashova K. I. Sostoyanie problemy antibiotikorezistentnosti osnovnykh respiratornykh patogenov v Ekaterinburge [The state of the problem of antibiotic resistance of the main respiratory pathogens in Yekaterinburg]. V Peterburgskiy forum otorinolaringologov Rossii. September 21-23, 2016; Saint Petersburg.
9. Zabolevaniya organov dykhaniya pri beremennosti, pod. red. A.G. Chuchalina i R.S. Fassakhova [Respiratory diseases during pregnancy. Under. ed. A.G. Chuchalin and R.S. Fassakhov]. Moscow: Atmosfera, 2010.
10. Mareev O.V. Differentsial’naya diagnostika khronicheskogo gipertroficheskogo rinita pri pomoshchi lazernoy doplerovskoy floumetrii [Differential diagnosis of chronic hypertrophic rhinitis using laser Doppler flowmetry]. Materialy XVII s»ezda otorinolar. Rossii. Nizhniy Novgorod, 7-9 June, 2006. Saint Petersburg, 2006. Pp. 304–305.
11. Piskunov G.Z. Klinicheskaya rinologiya. 3-e izd., dop. [Clinical rhinology. 3rd ed., Add.]. Moscow: OOO “MIA”, 2017. 750 p.: il.
12. Banov C.H., Lieberman P. Efficacy of azelastine nasal spray in the treatment of vasomotor (perennial nonallergic) rhinitis. Ann. Allergy AsthmaImmunol., 2001; 86(1):28-35 doi: 10.1016/s1081-1206(10)62352-6.
13. Abdulkerimov Kh.T., Kartashova K.I. O primenenii novogo elektrofizicheskogo sposoba lecheniya sensonevral’noy tugoukhosti s dinamicheskoy korrektsiey aktivnosti simpaticheskoy nervnoy sistemy [On the application of the new electrophysical method of treatment of sensorineural hearing loss with dynamic correction of the activity of the sympathetic nervous system]. XVIII S»ezd otorinolaringologov Rossii; April 26-28, 2011. Saint Petersburg; 2: 7-12, available at: http://doctor.by/images/stories/lor/library/tom_2.pdf (accessed: 13.07.2017).