Complex Approach to the Diagnosis of Children with Nasal and Nasopharyngeal Pathology. Key Results

Background. Nasal and nasopharyngeal pathology is one of the most important widespread challenge in pediatrics pediatric otorhinolaryngology. Prolonged nasal breathing difficulty can be caused by various diseases their combinations. It requires multidisciplinary approach to diagnosis with involvement modern examination methods pathogenetic treatment. Objective. The aim study develop complex technology for management children pathologies. Methods. included 240 aged from 6 18 years. All patients were divided into 3 groups, comparable sex age: Group 1 – 85 confirmed ENT-organ disease, 2 — 104 allergic control group 51 somatically healthy who did not have any or diseases. Examination procedures: diagnostic endoscopy, rhinomanometry (RMM), rhinoresistometry (RRM), olfactometry. Results. obtained results (RRM, RMM) shown that air flow rate cavity increased due resistance decrease. was higher lower all ENT-organs compared group. decreased groups (significantly aggravation airways diseases) as well 2) after anemisation mucosa decongestants. Apparently, it associated only anatomical features (nasal septum deviation), but also inflammatory nasopharynx (adenoid hypertrophy inflammation, persistent swelling at rhinitis). We would like present algorithm pathologies according results. following practical guidelines been proposed: 1) complaints on prolonged difficulties require otorhinolaryngologist examination, endoscopy nasopharynx; case deviation difficulties, necessary perform functional evaluating choose adequate treatment method; 3) use RRM, RMM help optimal disease (allergic rhinitis, hay fever, etc.), adenoid and/or diseases; 4) chronic should examined allergist, and, if necessary, undergo comprehensive allergological examination. Conclusion. developed innovative represents personalized modern, objective diagnosing state. presented allow us establish tactics within a short time. these studies clinical practice will monitor therapy efficacy (including pharmacotherapeutic strategies) children. Timely prevent chronization pathological process ENT-organs. This especially crucial childhood provides best chance growth development.