The authors reviewed the results of domestic studies of the therapeutic efficacy and preventive capabilities of the irrigationelimination therapy product line based on the seawater Aqualor. The article describes rationality and expediency of using these products in children and adults with various ENT pathologies. Particular attention is given to the possibility of using hypertonic saline solutions as an alternative to topical decongestants, especially in childhood.

По результатам исследований Всемирной организации здравоохранения часто болеющие (ЧБД) дети переносят более 6 эпизодов ОРВИ за год. В Российской Федерации каждый 4-5-й ребенок может быть отнесен к этой группе, что составляет более 60% всех заболеваний детского возраста [1]. Наиболее часто встречающейся патологией у этих детей являются острые респираторные и вирусные инфекции с последующим присоединением инфекционных и ЛОР-заболеваний. Необходимо помнить, что для часто болеющих детей характерны высокая заболеваемость не только в осенне-зимний период, но и в течение всего года, затяжное течение воспалительного процесса, склонность к рецидивированию или переходу процесса в хроническую форму, вследствие чего особый интерес практических врачей обращен к лечению таких детей и профилактике заболеваемости.

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The results of the study of the effectiveness of monotherapy in 60 children aged 2,5 to 18 years with acute postviral rhinosinusitis (APRS) Polydexa with phenylephrinum using objective methods (nasal cavity smears on the flora and smears-prints from the nasal mucosa) are presented. Dynamic observation showed that in the course of treatment there was a rapid relief of the symptoms of the disease, the absence of pathological progression of APRS and negative phenomena. The normalization of microflora and cytological pattern in smears-prints from the nasal mucosa was also noted.

Introduction. Viral infection is the main cause of damage to the ciliated epithelium of the nasal cavity mucosa, which in turn leads to disruption of mucociliary transport, increased viscosity and mucus hypersecretion in the sinuses and deceleration of its evacuation. Smokers suffer from chronic obstructive pulmonary diseases, in particular obstructive bronchitis. Their cough symptom complex sharply increases in acute respiratory viral infection (ARVI), especially when the mucociliary airway system is affected. The etiotropic treatment of this combined pathology is a therapy capable of affecting the entire mucociliary system of the upper and lower respiratory tract, including a drug based on ivy leaf extract, with the active ingredient of the saponin group.Aim of the study. To determine the effectiveness of phytopreparation in preventing exacerbation of chronic bronchitis of smokers in patients with acute viral rhinosinusitis.Materials and methods. Complex examination of 20 active smokers suffering from acute viral rhinosinusitis (AVR), including computed tomography of the lungs, was conducted. The randomized study included the use of phytopreparations in the complex therapy of acute rhinosinusitis in patients with obstructive bronchitis.Results and discussion. Use of medicines based on ivy extract in the complex treatment of acute rhinosinusitis in smokers allowed to achieve reduction of AVR symptom complex complicated by exacerbation of chronic bronchitis by the 5th day of the disease. Dynamics of cough complaints reduction in comparison groups reflects the beneficial effect of ivy extract in smokers with ARVI, complicated by AVR, and in the absolute majority of cases allows avoiding bacterial complications.Conclusion. The conducted study proved the effectiveness of Gedelix in the complex treatment of viral acute rhinosinusitis in smokers. In the absolute majority of cases (80% of the total number of patients in the group) it was possible to avoid long-term exacerbation of chronic bronchitis and bacterial complications.

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Introduction. Patients with nasal polyposis are predisposed to diffuse intraoperative bleeding, that could highly impair surgical field visualization. The absence of a universal technique of improving surgical field visualization became a reason for searching the specific hemostatic methods.Objective: to evaluate the efficiency of sphenopalatine artery and/or its branches coagulation as a method of hemostasis in endoscopic surgery for nasal polyposis and to describe the surgical anatomy of sphenopalatine artery.Materials and methods. Endoscopic coagulation of sphenopalatine artery and/or its branches was performed among 30 patients with nasal polyposis. Surgical field visualization was graded by Boezaart and Wormald scales before and after coagulation.Results and discussion. Intraoperative attempts to achieve the hemostasis using warm (490С) saline irrigation and then application of xylometazoline (0.1%-10ml) and lidocaine (10%-4ml) were ineffective among 28 patients with initial grade 8 and among 2 patients with grade 9 according to Wormald scale. Sphenopalatine artery and/or its branches coagulation was effectively performed in these patients, obtaining the hemostasis in 100% of cases (р < 0,001). The initial surgical field grade improved to grade 5 by Wormald scale in 9 patients (30%), to grade 6 in 17 patients (56,7%) and to grade 7 in 4 patients (13,3%). Only one artery (trunk of sphenopalatine artery) was observed in 18 patients (60%), crossing the sphenopalatine foramen, and 2 arteries (posterior septal artery and posterior lateral nasal artery) – in 12 patients (40%). Endoscopic examination revealed no signs of mucosal atrophy in postoperative period.Conclusion: The appropriate choice of hemostatic technique depends on grades of surgical field visualization. If there is a grade 8–9 by Wormald scale, endoscopic coagulation of sphenopalatine artery and/or its branches is an effective and safe method to improve surgical field visualization.