scholarly journals Modern approaches to the treatment of sore throat

2020 ◽  
pp. 31-34
Author(s):  
A. Yu. Ovchinnikov ◽  
N. A. Mirochnichenkо ◽  
V. A. Ekaterinchev

The larynx is the first part of the respiratory and digestive tract and it performs vital functions. The air stream, passing through the throat and coming into contact with its mucous membrane, is moistened, warmed up and purified. Due to the anatomical structure of the mouth cavity and pharynx, it creates conditions for entry, presence and inactivation of microorganisms, viruses and fungi. Under normal conditions, due to effective protective mechanisms (mucociliary and immune), pathogens are trapped in the upper respiratory tract while the lower sections remain «clean». Acute pharyngitis is a widespread, polyetiological disease of the upper respiratory tract. There are quite a few preconditions for its development. A favorable background for local inflammation is the reduction of specific and non-specific protection factors, which may be observed in the existing chronic inflammation and worsened in diabetes mellitus and metabolic syndrome, with prolonged use of cytostatics and/or glucocorticosteroids and many other immunocompromised conditions. Due to the prevalence of pharyngitis, the development of effective screening and treatment methods is particularly relevant. Given the localized nature of inflammatory process in the pharynx and the possibility of side effects, general anti-inflammatory drugs are used less and less frequently, and local non-steroidal anti-inflammatory drugs are increasingly drawing the attention of physicians. The article discusses the possibilities and effectiveness of the medication based on benzidamine hydrochloride in treating pharyngitis of diverse etiology. The article presents the studies of foreign scientists, as well as dosages and peculiarities of the medication application. Treatment of acute tonsillipharyngitis with local non-steroidal anti-inflammatory drugs is commonly accepted and widely used in the practice of pediatricians, therapists and otorhinolaryngologists and allows to achieve rapid relief of the patient’s condition.

2021 ◽  
Vol 20 (4) ◽  
pp. 96-101
Author(s):  
M. Ronis ◽  
◽  
D. Katovich ◽  
G. Sumeraga ◽  
◽  
...  

Tonsillectomy, cryptolysis of the palatine tonsils, and removal of various formations in the pharyngeal region are the most common elective operations in otorhinolaryngology. Pain in the early postoperative period is still the most frequent complication after these procedures, which can adversely affect the patient’s daily life. Considering the potential analgesic and anti-inflammatory effect of essential oil preparations, as well as their ability to be easily applied locally to the affected mucosal surface, it is worth considering their use to reduce pain and dysphagia in the postoperative period in the upper respiratory tract. The study involved 77 patients who were randomly divided into 2 groups: patients taking a drug containing combined natural essential oils (CNEO) and patients taking a placebo. In the course of the study, a questionnaire was used, according to which patients were interviewed immediately after the operation, then on the 3rd and 10th postoperative days. The results of the study show that the drug does not directly reduce postoperative pain in the pharynx, but in patients in the group with the drug based on combined essential oils, the frequency of taking non-steroidal anti-inflammatory drugs (NSAIDs) was less than in patients in the placebo group, which indirectly proves the effectiveness of the drug based on combined essential oils. Given the fact that the frequency of NSAID use is lower in the CPNEM group, it can be assumed that the study drug reduces the risk of side effects caused by NSAID use, and can also be an alternative method of pain relief for patients who are contraindicated in NSAIDs.


Author(s):  
E. Yu. Radtsig ◽  
A. N. Radtsig ◽  
M. A. Varavina

The article discusses the issues of the protective mechanisms of the mucous membranes of the upper respiratory tract: mucociliary clearance, production of protective proteins and the mucosal immunity system. The data on the significance and relationship of lymphoid structures associated with mucous membranes of various anatomical localization are presented. The mechanisms of action of topical bacterial lysates are considered, their effectiveness in the treatment and prevention of respiratory diseases and their complications is described.


2017 ◽  
pp. 56-59
Author(s):  
N. E. BOIKOVA

The high resistance of infectious agents to antibiotics that doctors currently face in therapy of acute and chronic diseases, especially in ENT-practice makes it possible for experts to search for alternative paths and to select drugs with a broad spectrum of action. These include colloid silver based drugs with proven microbicidal, virucidal and local protective and anti-inflammatory properties


1970 ◽  
Vol 3 (2) ◽  
pp. 265-276 ◽  
Author(s):  
Jack D. Clemis ◽  
Eugene L. Derlacki

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