К вопросу о течении послеоперационного периода у пациентов с вазомоторным ринитом при применении топических стероидов в ходе предоперационной подготовки

Abstract

The obstruction of nasal breathing due to vasomotor rhinitis is quite a common cause of visits to the ENT doctor. Today, it is believed that therapeutic measures should begin with the identification of possible causes that result in the formation of nasal hyperreactivity, and the treatment of the underlying disease. Medical treatment of vasomotor rhinitis can begin with the prescription of topical corticosteroids and antihistamines. The long-term observations have shown that the use of decongestants and topical steroids in the preoperative period reduces reactive phenomena in the nasal cavity after surgical treatment. To objectify the empirical observations, the authors have examined 20 patients after surgical intervention for vasomotor rhinitis in the scope of submucosal vasotomy. In the postoperative period, the patients were recommended regiminal and restrictive measures, and prescribed antihistamines and local irrigation therapy with warm saline. The authors assessed the transport function of the nasal cavity mucous membrane by the study of mucociliary transport rate in the test with coal dust and the respiratory function of the nasal cavity by the volumetric flow rate using anterior active rhinomanometry. The study revealed that the use of decongestants and topical steroids in the preoperative period reduces the reactive events in the postoperative period and shortens the patient’s rehabilitation period.