SU1477414A1 - Method of treating inflammatory diseases of accessory nasal sinuses - Google Patents

Abstract

This invention relates to the field of medicine, namely otolaryngology. The purpose of the invention is to reduce the treatment time by introducing the chlorophyllipt oil solution into the middle nasal passage, followed by ultrasound sound in the projection area of the lateral border of the pear-shaped aperture or endonasally on the lower turbinate and the beginning of the middle nasal passage, while sound continuous mode, stationary position of the radiator, with an intensity of 0.4-0.8 W / cm ² , duration of 10-15 minutes. The method allows reducing the amount of the drug, enhancing the elimination of staphylococcus from the nidus and reducing the hospital stay in the treatment of inflammatory diseases of the sinuses of the nose.

Description

(21) 4205848 / 28-14

(22) 03/04/87

(46) 07.05.89. Bul 8 37 (71) Kharkov Research Institute of Microbiology, vaccines and serums to them. I.I.Mechnikova and the Ukrainian Institute for Advanced Physicians

(72) N.A. Moskovchenko, V.L. Nadtok, E.A.Kulikova and A.A.Grishko

(53) 615.84 (088.8)

(56) Tsyganov A.I. Ultrasound in otorhinolaryngology, - Kiev: Naukova Dumka, 1978, p. 191.

(54) METHOD FOR THE TREATMENT OF INFLAMMATORY DISEASES OF ADDITIMAL NASAL HOSPITAL

(57) The invention relates to the field of medicine, namely to otolaryngology. The purpose of the invention is to reduce

treatment time is achieved by introducing an oily solution of chlorophyllipt into the middle nasal passage, followed by ultrasound sound in the projection area of the lateral border of the pear-shaped aperture or endonasally on the inferior nasal conch and the beginning of the middle nasal passage, while sounding is performed at a frequency of 880 kHz in a continuous mode The stationary position of the radiator with an intensity of 0.4-0.8 W / cm2, with a duration of 10-15 minutes. The method allows to reduce the amount of the drug, to increase the elimination of staphylococcus from the nidus and to reduce the period of stay in the hospital in the treatment of inflammatory diseases of the paranasal sinuses.

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The invention relates to medicine, namely to otolaryngology.

The purpose of the invention is to reduce the time of treatment of inflammatory diseases of the nose.

The method is carried out as follows.

Phonophoresis of the chlorophyllipt is carried out by external or endonasal methods by administering a 2% oil solution of the drug on the turunda in the middle nasal passage and subsequent ultrasound sound. The possibility of applying one method or another depends on the option of installing an ultrasonic emitter of the LOR-1A, LOR-2, and LOR-3 devices. With external sounding, the radiator of any apparatus is installed on the skin of the cheek in the area of the projection of the lateral border of the pear-shaped hole in the seat than in the position of the patient (apertura pirifornis).

Technical characteristics: radiation intensity of ultrasonic vibrations of 0.4-0.8 W / cm2 (depending on the individual tolerance of ultrasound), working frequency 880 kHz, operation mode of the device - continuous, position of the radiator - stationary, long session 10-15 min. Course - 7-8 sessions.

When applying the end-point technique, technical features and

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the amount of the preparation is the same, and the location of the ultrasound emitter with the preparation applied on it is endonasal in the area of the lower oblique shell and the beginning of the middle nasal passage.

This version of phonophoresis is possible only on LOR-2 and LOR-3 devices, in sets to which there are special endonasal radiators with a tip and with certain anatomical features of the patient's nose (rather wide nasal passages),

Example 1. Ill B. The diagnosis of right-sided acute suppurative sinusitis of staphylococcal etiology (bacteriologically confirmed). In the treatment complex, the patient underwent phonophoresis chlorophyllipt: a turunda with chlorophyllipt was placed in the middle nasal passage, followed by voicing. The ultrasonic radiation power is 0.4 W / cmg, the operating frequency is 880 kHz, the operating mode is continuous, the position of the radiator is fixed on the skin of the cheek in the projection area of the lateral border of the pear-shaped aperture, the exposure time is 10 minutes.

It was noted that after the second procedure, no pus was obtained during the puncture of the right maxillary sinus, headaches disappeared. After the fourth session, nasal breathing was restored.

By the same moment, according to bacteriological research data, the chickpea is completely eliminated from the staph aureus that was sown earlier from the maxillary sinus and nasal cavity.

Pr and m1 e r 2, Patient P. Diagnosis bilateral chronic purulent-hyperplastic sinusitis. Received 3 sessions of endonasal phonophoresis of phillipt chlorine, conducted immediately after the puncture of the maxillary sinus.

Technical characteristics: ultrasound power of 0.6 W / cm, working frequency 880 kHz, continuous operation mode, radiator position - fixed endonasal in the area of the turbinate and anterior sections of the middle nasal passage, exposure 15 min.

The full clinical effect is achieved in 3 sessions. Discharged in satisfactory condition with the recommendation to complete the course of phonophoresis on an outpatient basis.

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In the study of the follow-up data (for a period of 1 to 2.5 years), no patient recurred.

PRI me R 3. Patient P. Diagnosis: nauseous acute purulent sinusitis on the left. Before entering for 1 month, he was unsuccessfully treated with outpatient broad-spectrum antibiotics and puncture of the maxillary sinus. Pathogenic staphylococcus and Proteus rettgein were excreted from the nose. On the second day after the therapeutic puncture, the patient was started on endonasal phonophoresis chlorophyllipt.

Parameters: power 0.4 W / cm1, working frequency 880 kHz, operating mode - continuous, radiator position - fixed in the projection area of the lateral border of the pear-shaped aperture, exposure time 10 min. The course of treatment is 7 procedures. As a result of treatment, after the second procedure, a significant decrease in the amount of nasal secretion disappeared, symptoms of general intoxication disappeared, after the fourth session, no puncture was obtained in the maxillary sinus puncture, nasal breathing was restored, however, to consolidate the achieved effect, the course of phonophoresis of the phonofillipt was continued up to seven sessions.

The control bacteriological examination of the nasal detachment — no seeding growth.

Example 4. Patient G. Diagnosis: exacerbation of chronic purulent hemisinuitis on the left (frontal, ethmoiditis, antritis).

Bacteriological examination of nasal discharge — stoph. epidermidis, from the washing fluid of the maxillary sinus Pseudomona aeruginosa.

In the treatment complex I received endonasal phonophoresis chlorophyllipt. From the second session, the power of the ultrasound radiation was increased to 0.8 W / cm2 and the ultrasound emitter was installed at two points (additionally in the area of the grid labyrinth projection), the other technical characteristics are the same. As a result, the exacerbation of chronic rhinosinitis was stopped and a persistent clinical effect was achieved by the fifth session.

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80 patients with acute and acute chronic sinusitis of staphylococcal etiology (bacteriologically confirmed) with the diagnosed purulent and purulent-hyperplastic form of sinusitis were under observation.

Monitoring of the effectiveness of treatment is carried out on the basis of clinical observations, as well as bacteriological and cytological studies of the detached from the maxillary sinuses obtained during puncture.

The phonophoresis of chlorophyll lipta was performed on all the patients on the JIOF-2 and LOR-3 devices, with the need to change the ultrasound emitters if necessary.

The data of the proposed method of treatment indicates an earlier elimination of the microbial agent from the pathological focus. Already on the 6th day, staphylococcus was sown only in 33% of patients, and the mass of contamination significantly decreased, and by the time of discharge (10th day) the microflora was not seeded in the test material in 80% of patients, and in 30% of them non-pathogenic flora, which could not be achieved in patients treated by traditional methods.

A similar picture is observed in the cytological examination of the contents of the maxillary sinus, where there was a rapid decrease in the number of neutrophilic leukocytes, the appearance of cells of the cylindrical epithelium, both in the form of individual cells, and in the form of gelatinous formations.

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The inclusion of phonophoresis chlorophyllipt

in complex conservative treatment of acute and exacerbated chronic purulent and purulent-hyperplastic forms of sinusitis in earlier periods leads to the elimination of inflammatory

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effects in the paranasal sinuses: in patients after 2-3 procedures, swelling of the nasal mucosa decreases and the purulent discharge in the middle nasal course disappears, the phenomena of general intoxication disappear.

The hospital stay is reduced by an average of 2-3 / 2 days.

Phonophoresis chlorophyllipt is well tolerated by patients. This method can be used in outpatient clinics.

Thus, the use of the proposed method for the treatment of inflammatory diseases of the paranasal sinuses allows to reduce the amount of the drug used per course of treatment, as compared with traditional methods, to increase the percentage of elimination of pathogenic staphylococcus from the nidus, to reduce the patient's stay in the hospital by an average of 2.5 days .

Claims (1)

Invention Formula A method for the treatment of inflammatory diseases and paranasal sinuses, including the effect of ultrasound on the paranasal sinuses, characterized in that, in order to shorten the treatment time, an ointment of chlorophyllipt is introduced into the middle nasal passage, followed by ultrasound sound in the projection of the lateral border of the pear-shaped openings or endonasally to the inferior nasal concha and the beginning of the middle nasal passage, while sounding is carried out at a frequency of 880 kHz in a continuous mode; l intensity of 0.4-0.8 W / cm ', a duration of 10 - 35 min.