Медицинский совет (Nov 2019)
Nasal cavity care in newborns and young children with rhinitis: current trends
Abstract
The article describes the features of the structure and functioning of the nasal mucosa in newborns and young children. The remarkable thing is that the nasal cavity and paranasal sinuses serve as a particular air conditioner that provides almost 100% hydration, heating, filtering and catchment of foreign particles. The development of pathology and functional disorders in the newborns and young children have serious consequences, such as respiratory distress or discomfort, sleep cycle disorder, an increased risk of obstructive sleep apnea and difficulties with feeding. The authors analysed the role and efficacy of nasal irrigation taking into account the solution concentration and the type of irrigation device, and reported the effect of elimination-irrigation therapy on mucociliary clearance and trophic epithelium of the nasal mucosa. It has been proved that the standard treatment (antibiotics, mucolytics and local nasal decongestants) for acute rhinosinusitis in children is more effective, if the treatment protocol includes irrigation of the nasal cavity with isotonic solution, and not without adverse events, in contrast to decongestants, which use increases the risk for tachyphylaxis. The authors determined the role of irrigation and elimination therapy in the prevention of pathology of the nasal cavity and paranasal sinuses and in the complex therapy for acute and exacerbation of chronic rhinosinusitis in newborns and young children. The most common mistakes in caring for the nasal cavity in newborns and young children are highlighted. The article identifies the main indications for the use of Otrivin Baby aspirator and drops, and clarifies the main positions for using Otrivin Baby aspirator. It also describes the advantages of using Otrivin Baby device, which includes an aspirator and sterile isotonic solution drops for safe and effective care for the nasal cavity in newborns and young children with rhinitis.
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