RU2308989C1 - Method for treating chronic highmoritis - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: in early post-surgical period one should affect with light diode red radiation through artificially applied anastomosis that connects the antrum of Highmore cavity with nasal cavity. Beforehand one should wash the antra with furacillin solution. Then it is necessary to introduce a distal edge of a flexible light guide of light diode apparatus AFS/K into antral cavities. Wave length is 0.63-0.64 mcm, radiation power is 120 mW, the diameter of a light spot ranges 3-5 cm, exposure period corresponds to 5 min, the course of therapy consists of 5 seances. The innovation enables to inhibit the processes of lipid peroxidation and increase the level of antioxidant tissue protection.

EFFECT: higher efficiency of therapy.

1 ex, 2 tbl

Description

The invention relates to medicine, namely to a physiotherapeutic method of treating chronic sinusitis using LED phototherapy in otorhinolaryngology.

Known methods of intracavitary low-energy sinus irradiation with a helium-neon laser (GNL) (1).

Intracavitary laser physiotherapy was carried out after washing the paranasal sinuses with a monofilament fiber, the distal end of which was inserted into the sinus (maxillary or frontal) through a catheter, as well as into the nasal cavity and nasopharynx. Laser physiotherapy was carried out using commercially available GNL LG-38 with a wavelength of 0.633 μm and an energy exposure of 10 J / cm. The course of treatment ranged from 2 to 9 sessions (an average of 5).

The disadvantages of the analogue is the following.

1. The effect of an intracavitary helium-neon laser is not effective enough without its simultaneous use with antibiotics, sulfonamides, desensitizing and other means.

2. With laser physiotherapy, a later normalization of blood biochemical parameters in patients with chronic sinusitis was noted as a criterion for effective treatment.

The method of LED phototherapy is taken as a prototype in the treatment of diseases of the ear, throat and nose (2). We performed LED therapy with the AFS apparatus in the treatment of allergic rhinitis, both using projection techniques for exposing the skin of the external nose and the projection area of its sinuses, as well as endonasal, irradiating the mucous membrane of the nasal cavity and nasopharynx.

The disadvantage of the prototype is: exposure to radiation of the LED device of the AFS of various wavelengths affects the skin of the projection region of the maxillary sinus, but this is practically not possible due to the powerful barrier to the LED radiation in the form of its bone wall.

The aim of this invention is to develop a method of exposure to the red light spectrum directly on the mucous membrane of the maxillary sinus cavity using LED phototherapy with the AFS / K device.

This goal is solved by the fact that after performing an endonasal maxillary sinusotomy and applying an artificial anastomosis in the lower nasal passage connecting the maxillary sinus cavity with the nasal cavity, in the early postoperative period, the maxillary sinus cavity was washed with furatsillin solution and the distal end of the flexible fiber guide A of the LED device was introduced with a wavelength of 0.63-0.64 microns, a maximum output radiation power of 120 mW, a diameter of the light spot from 3 to 5 cm to illuminate the mucous membrane of the cavity aymorovoy sinus red light spectrum, duration of exposure of 5 minutes was 5 treatment sessions.

Concrete example

Under observation were 7 patients aged 20 to 57 years with various forms of chronic sinusitis.

Example. Patient T., 47 years old, was hospitalized in the ENT department of AOKB with a diagnosis of Chronic left-sided sinusitis, purulent form. After the examination, the patient underwent an operation - left-sided endonasal sinusotomy with the imposition of an artificial anastomosis in the lower nasal passage connecting the maxillary sinus cavity with the nasal cavity, through which the sinus was washed with furacilin solution and the flexible light guide K of length A was inserted into the sinus cavity with a flexible light guide K of length A waves 0.63-0.64 microns, with a maximum output radiation power of 120 mW, a diameter of the light spot from 3 to 5 cm, and mucous membrane was illuminated by maxillary sinus. The exposure time was 5 minutes, the course of treatment was 5 sessions.

Simultaneously with LED phototherapy of the maxillary sinus cavity, a study of biochemical blood parameters was carried out to assess the effectiveness of the treatment in comparison with patients who underwent intraorgan electrophoresis with CaCl ₂ in the maxillary sinus region (Table 1).

The dynamics of lipid peroxidation after treatment (table 1).

Table 1 Indicators in nmol / l Indicators before treatment in nmol / l Electrophoresis with CaCl ₂ Intracavitary LED therapy Lipid hydroperoxides (normal - 28.5 ± 0.6) 33.02 ± 0.10 30.61 ± 0.10 29.41 ± 0.11 Diene conjugates (norm - 29.98 ± 0.61) 32.58 ± 0.11 31.03 ± 0.12 30.55 ± 0.11 Malondialdehyde (normal - 5.79 ± 0.12) 7.65 ± 0.09 6.75 ± 0.09 6.19 ± 0.10

LED phototherapy helped to reduce the inflammatory process in the maxillary sinus, which was confirmed by inhibition of lipid peroxidation and an increase in the level of antioxidant tissue protection (Table 2).

The dynamics of antioxidant defense after treatment (table 2).

table 2 Indicators in mcg / ml Indicators before treatment in mcg / ml Electrophoresis with CaCl ₂ Intracavitary LED therapy Tocopherol acetate (normal - 22.05 ± 0.55) 19.02 ± 0.08 20.11 ± 0.09 21.32 ± 0.08 Ceruloplasmin (normal - 22.0 ± 0.37) 19.91 ± 0.07 20.62 ± 0.06 21.61 ± 0.07

Information sources

1. Pluzhnikov MS, Lopotko A.I. Low-energy laser radiation in rhinology // Russian rhinology. -1995, - No. 3-4, - p. 42-47.

2. Nasedkin A.N., Grachev S.V., Abrahamyan J.N. et al. Comparison of clinical indicators of the effectiveness of the use of laser therapy and LED phototherapy in the treatment of diseases of the ear, throat and nose // Health and medical equipment. - 2005, - No. 8 (22), - p. 45.

Claims (1)

A method of treating chronic sinusitis by exposure to LED phototherapy, characterized in that the exposure to LED red radiation is carried out in the early postoperative period through an artificially imposed anastomosis connecting the maxillary sinus cavity with the nasal cavity, the sinuses are first washed with furacilin solution, then the distal end face is inserted into the sinus cavity optical fiber of the LED device AFS / K, with a wavelength of 0.63-0.64 μm, a radiation power of 120 mW, a diameter of the light spot from 3 to 5 cm, exposure 5 minutes