International Medical Journal, Vol. 22., Iss. 1, 2016, P. 81−86.
LOCAL HYPOTHERMIA IN TREATMENT OF VASOMOTOR RHINITIS
Kharkiv Medical Academy of Postgraduate Education, Ukraine
N. E. Zhukovsky National Aerodynamic University, Ukraine
Modern standard of conservative therapy for vasomotor rhinitis provides successful treatment in 30−40 % of cases. The effectiveness of conservative therapy increases at its combined use with the methods of physical therapy. Management of local hypothermia provides complex effect on the cooled tissues, i.e. analgesic, spasmolytic, anti−inflammatory and reparative−regenerative, providing suppression of vasomotor reactions underlying vasomotor rhinitis. To improve the results in treatment of vasomotor rhinitis, combined method of standard conservative therapy and local hypothermia method of the nasal cavity was used. The results of treatment of 62 patients with vasomotor rhinitis were studied in the comparative aspect. The comparison group consisted of 30 patients with vasomotor rhinitis, in whom conservative therapy included nasal steroids and antihistamines according to the protocol. The main group consisted of 32 patients in whom similar conservative therapy was supplemented by local hypothermia of the nasal cavity. The original device, equipped with automatic regulation of the temperature, which fully controls the process of entering the preset cooling mode, strictly maintaining this temperature level during the entire period of operation, was used for local hypothermia. The main criterion for evaluating the results of treatment was the degree of improvement in nasal breathing function by the method of active rhinomanometry. The investigation showed that immediately after the treatment the function of nasal breathing in the majority patients with vasomotor rhinitis was significantly improved, but the degree of improvement was more pronounced in patients from the main group: the level of the index of summary flow significantly increased in patients from the comparison group to 64 %, in patients from the main group − 86 % and the rate of total resistance decreased by 57 % and 65 %, respectively, although the patients subjectively evaluated this improvement in a relatively lesser extent.
Key words: local hypothermia device, vasomotor rhinitis, nasal breathing, anterior rhinomanometry.