Modern methods to the diagnosis and treatment of acute rhinosinusitis

Modern methods to the diagnosis and treatment of acute rhinosinusitis

I.M. Kirichenko^1,2, N.S. Kozlova²

¹Peoples’ Friendship University of Russia, Moscow

²ON CLINIC Arbat LLC, Moscow

Acute rhinosinusitis is quiet a common disease in most countries, which generally occurs in the setting of viral infections. In acute viral infection of the nasal cavity and paranasal sinuses, the ciliated epithelium loses its cilia and its ability to purify and protect. As a result, mucous membrane gets swelling and inflammation. Discharge congestion is an appropriate growing medium for bacteria, which leads to the occurrence of acute bacterial rhinosinusitis (ABRS). Prescribing antibiotics for mild to moderate ABRS is not justified and contributes to increased antibiotic resistance. The use of topical medication that reduces mucosal swelling and improve the outflow of inflammatory secretions from the nasal sinuses, helps to relieve the symptoms of inflammation and improve the patients’ condition. Sinuforte based on cyclamen europaeum extract causes reflex hypersecretion in the mucous membrane. Mucus secretion is improved due to the direct osmotic actio n of the drug components, as well as due to the stimulation of hypersecretion, in combination with decongestant effect, thereby facilitating nasal breathing and secretion evacuation from the sinuses. Studies conducted in Russia and abroad on the use of Sinuforte in acute rhinosinusitis have shown that the drug contributes to the symptoms’ resolution, reduces the time of disease progression and the need for antibiotics or increases their effect.

Keywords: mucosa, paranasal sinuses, acute rhinosinusitis, mucociliary clearance, antibiotic resistance.

For citation: Kirichenko I.M., Kozlova N.S. Modern methods to the diagnosis and treatment of acute rhinosinusitis. RMJ. 2021;3:34–38.