Rebound congestion and rhinitis medicamentosa: Nasal decongestants in clinical practice. Critical review of the literature by a medical panel

Mortuaire, G.; Gabory, L. de; François, M.; Massé, G.; Bloch, Frédéric; Brion, N; Jankowski, R.; Serrano, É.

doi:10.1016/j.anorl.2012.09.005

Cited by 73 publications

(72 citation statements)

References 34 publications

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“…Certains auteurs préconisent l'usage des corticoïdes locaux à base de flunisolide en courte cure d'une semaine sous forme d'aérosols associés à une antibiothérapie locale [16,17]. Des vasoconstricteurs locaux ou par voie générale, phénoliques et non phénoliques, vont permettre une rétraction de la muqueuse pour faciliter le drainage [18].…”

Section: Discussionunclassified

Sinusite ethmoïdo-fronto-maxillaire d’origine dentaire

Bouguezzi

Souid

Ali

et al. 2015

Med Buccale Chir Buccale

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Résumé -Introduction :Les sinusites maxillaires sont des infections fréquentes de la sphère ORL. On retrouve une étiologie dentaire dans environ 40 % des cas. L'extension des infections dentaires dans le sinus maxillaire est possible en raison de la proximité des racines des dents postérieures avec le bas fond sinusien. Observation : Un patient âgé de 27 ans était hospitalisé pour une tuméfaction frontale et orbitaire accompagnée d'une odontalgie ipsi-latérale. Les examens mettaient en évidence une pansinusite antérieure ethmoïdo-fronto-maxillaire d'origine dentaire. Le diagnostic et la prise en charge nécessitaient un bilan radiologique précis. Le traitement intéressait conjointement la cause dentaire et la sinusite. Une méatotomie moyenne associée à un élargissement du canal nasofrontal était réalisée afin de restaurer la fonction sinusienne. L'évolution était favorable. Commentaires et conclusion : Ce cas est atypique par son origine dentaire. Il illustre l'extension inhabituelle d'une infection d'origine dentaire dans le sinus maxillaire et le sinus frontal.Abstract -Ethmoido-fronto-maxillary sinusitis of dental origin: a case report. Introduction: Maxillary sinusitis is a common infection of the ENT sphere. A dental origin is found in about 40% of cases. The roots of the posterior maxillary teeth are adjacent to the sinus floor; extensions of dental infections are therefore possible to the nearby sinus. Case report: A 27-year-old patient was admitted for a frontal and orbital tumefaction associated with homolateral odontalgia. Investigations revealed fronto-ethmoido-maxillary sinusitis of dental origin. Conventional radiographs and CT scans were required for the diagnosis and proper management. Dental treatments combined with oral antibiotics to treat the infection were required. Endoscopic meatotomy associated with the enlargement of the nasofrontal duct was necessary to complete the treatment and restore adequate sinusal function. The evolution was favorable. Comments and conclusion: This case is atypical due to its dental origin; it illustrates an unusual extension of an odontogenic infection to the maxillary and frontal sinus.

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Section: Discussionunclassified

Sinusite ethmoïdo-fronto-maxillaire d’origine dentaire

Bouguezzi

Souid

Ali

et al. 2015

Med Buccale Chir Buccale

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“…The 2011 French Society of Otorhinolaryngology guidelines [2] stress that rebound has been described only in experimental contexts with healthy volunteers and might be no more than progression of the disease for which the vasoconstrictor was prescribed. Other hypotheses involve either repeated ␣-2 receptor stimulation, inducing intense vasoconstriction with mucosal ischemia and interstitial edema, or else ␣-2 receptor down-regulation, inducing relative dilation and a tachyphylaxic effect leading to increased need of decongestants, or again accessory affinity for ␤ adrenergic receptors which, when stimulated, induce secondary vasodilation once the ␣ effect has worn off [12,13].…”

Section: Benefit Of Ephedrine and Pseudoephedrine As Nasal Decongestantsmentioning

confidence: 97%

Benefits, limits and danger of ephedrine and pseudoephedrine as nasal decongestants

Laccourreye

Werner²,

Giroud

et al. 2015

European Annals of Otorhinolaryngology, Head and Neck Diseases

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Due to their vasoconstrictive action on the nasal mucosa, ephedrine and pseudoephedrine are highly efficient amines for relief of nasal congestion. As with any vasoconstrictor and as underscored by the French Society of Otorhinolaryngology in its 2011 guideline, these molecules should not be used in patients under the age of 15. Furthermore, due to unpredictable severe cardiovascular and neurological adverse events that may occur even at low dose and in the absence of any pre-existing pathology, they should not be prescribed for the common cold, and ENT physicians must carefully weigh the risk/benefit ratio in patients with allergic rhinitis. Distribution should be regulated and over-the-counter sales banned.

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“…Адрено рецепторы становят-ся невосприимчивыми к топическим деконгестантам, развивается так называемая тахифилаксия, в результате чего пациенту приходится увеличивать дозировку пре-парата для получения должного эффекта [8,9]. В конеч-ном итоге эти процессы приводят к вазодилатации и венозному застою в полости носа [5,10,11]. В большей степени это касается кавернозной ткани нижних носовых раковин.…”

Section: школа оториноларингологаunclassified

“…Несмотря на давнюю историю заболевания, концеп-ция «рикошета» до сих пор ставится под сомнение, а диагностические критерии МР остаются весьма неопре-деленными, так как в большинстве случаев заложенность носа, являющаяся основным симптомом в постановке диагноза, относится к весьма субъективным клиническим признакам [5]. В связи с этим постараемся ответить хотя бы на некоторые вопросы, касающиеся МР.…”

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Drug-Induced Rhinitis: Questions and Answers

Шиленкова¹

2017

Med. sov.

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Rebound congestion and rhinitis medicamentosa: Nasal decongestants in clinical practice. Critical review of the literature by a medical panel

Abstract: Nasal decongestants are recommended for the management of acute rhinosinusitis to reduce the consequences of often disabling nasal congestion. They are also recommended during rhinoscopic examination and for preparation of the nasal mucosa prior to endonasal surgery.

Cited by 73 publications

References 34 publications

Sinusite ethmoïdo-fronto-maxillaire d’origine dentaire

Sinusite ethmoïdo-fronto-maxillaire d’origine dentaire

Benefits, limits and danger of ephedrine and pseudoephedrine as nasal decongestants

Drug-Induced Rhinitis: Questions and Answers

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