Efficacy and safety of adenotomy in children with persistent allergic rhinitis

Abstract

Introduction. This article analyzes the effectiveness and safety of complex treatment of children with diseases of the lymphoepithelial pharyngeal ring against the background of persistent allergic rhinitis.Objective. Study the efficacy and safety of adenotomy in children with persistent allergic rhinitis.Materials and methods. 124 children participated in the study. Two groups were formed: a control group of children receiving medical treatment and a main group – complex (medical and surgical treatment). When contacting the polyclinic, an examination was carried out by an otorhinolaryngologist. An allergist-immunologist confirmed the diagnosis of persistent allergic rhinitis, assessed the quality of life of children, using a questionnaire for patients with allergic diseases in pediatrics PRQLQ together with an otorhinolaryngologist. The condition of the dental system was evaluated by a pediatric dentist. A pediatrician conducted a physical examination of all children one, three and six months after the start of the study.Results and discussion. After comprehensive (surgical and drug) treatment, children experienced a significant decrease in nasal obstruction, a decrease in the incidence of respiratory diseases, as well as increased physical activity and improved emotional status, inflammatory phenomena in the pharynx and nasopharynx decreased by 70.9% according to visual analog scales compared to the day of discharge from the hospital. Analysis of the results of the study showed that conservative treatment in combination with surgical intervention on the lymphoid structures of the pharynx in the presence of indications in patients with persistent allergic rhinitis is safe and more effective than using only a therapeutic approach.Conclusions. Thus, the preliminary results of the observed period demonstrate the effectiveness and safety of surgical intervention on the lymphoid structures of the pharynx in children with persistent allergic rhinitis. The complex method of treatment of combined pathology is safe and effective and has a beneficial effect on the somatic status and quality of life of children.