The dynamics of the clinical and functional state of patients with vasomotor rhinitis during cold-plasma vasotomy of the lower nasal shells in combination with therapeutic physical factors



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Abstract

Objective: to evaluate the clinical efficacy of the combined use of low-intensity laser therapy and transcranial electrical stimulation in the postoperative period after cold plasma vasotomy in patients with vasomotor rhinitis.

Materials and methods. A prospective, controlled, comparative and randomized study was performed involving 137 patients with vasomotor rhinitis, who were divided into 4 groups after cold plasma coblation using the simple fixed randomization method. The first group received only basic therapy (BT). Patients of the second group received a course of LILI in addition to BT. The third group of patients received TES procedures. In the fourth group, LILI in combination with TES was used against the background of BT. The efficacy of the course application of physical factors was assessed by the dynamics of complaints, reactive postoperative inflammatory manifestations, the PARM index and the SNOT-22 questionnaire.

Results. Additional course application of physical factors in the postoperative period contributed to increased regression of the frequency of complaints of patients with vasomotor rhinitis. Changes in objective parameters characterizing the functional state of the mucous membrane largely confirmed the dynamics of subjective symptoms of vasomotor rhinitis. The complex use of LILI and TES contributed to the maximum restoration of the parameters of the functional state of the mucous membrane of the nasal cavity. Conclusion. Additional use of LILI and TES contributes to accelerated regression of clinical manifestations of vasomotor rhinitis and objective parameters characterizing the functional state of the mucous membrane of the nasal cavity after cold plasma coblation in the postoperative period

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About the authors

Sergey N. Nagornev

Russian Scientific Center of Surgery named after academician B.V. Petrovsky

Author for correspondence.
Email: drnag@mail.ru
ORCID iD: 0000-0002-1190-1440
SPIN-code: 2099-3854

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Moscow

Tatyana Georgievna Pelishenko

ФГБУ «Клиническая больница № 1» Управления делами Президента Российской Федерации

Email: doctor217@mail.ru
ORCID iD: 0000-0001-6597-2167
SPIN-code: 4176-8850

кандидат медицинских наук, заведующий отделением оториноларингологии и челюстно-лицевой хирургии

Russian Federation, Москва, Староволынская ул., дом 10

Svetlana Aleksandrovna Belkina

ФГБУ «Клиническая больница № 1» Управления делами Президента Российской Федерации

Email: doctor_belkina@mail.ru
ORCID iD: 0009-0000-9498-6031
Russian Federation, Москва, Староволынская ул., дом 10

References

  1. Bhargava D, Bhargava K, Al-Abri A, Al-Bassam W, Al-Abri R. Non allergic rhinitis: prevalence, clinical profile and knowledge gaps in literature. Oman Med J. 2011 Nov;26(6):416-20. doi: 10.5001/omj.2011.106. PMID: 22253950; PMCID: PMC3251201.
  2. Lopatin A.S. Treatment of vasomotor rhinitis: international trends and Russian practice. Medical Council. 2012;11:83-87.
  3. Arefieva N.A., Vishnyakov V.V., Karpishchenko S.A. et al. Vasomotor rhinitis: pathogenesis, diagnostics and principles of treatment (clinical guidelines). Moscow, 2014:25.
  4. Wheeler P.W., Wheeler S.F. Vasomotor rhinitis. Am Fam Physician. 2005;72(6):1057-1062.
  5. Avdeeva K.S., Fokkens W.J., Segboer C.L., Reitsma S. The prevalence of non-allergic rhinitis phenotypes in the general population: A cross-sectional study. Allergy. 2022;77(7):2163-2174.
  6. Baroody F.M., Gevaert P., Smith P.K. et al. Nonallergic Rhinopathy: A Comprehensive Review of Classification, Diagnosis, and Treatment. J Allergy Clin Immunol Pract. 2024;12(6):1436-1447.
  7. Desai V., Sampieri G., Namavarian A., Lee J.M. Cryoablation for the treatment of chronic rhinitis: a systematic review. J Otolaryngol Head Neck Surg. 2023;52(1):37. doi: 10.1186/s40463-023-00645-6.
  8. Lopatin A.S. Rhinitis: a guide for doctors. Moscow: Litterra. 2010: 432.
  9. Ivanov N.I., Zakharova G.P., Shabalin V.V. Laser correction of the inferior nasal turbinates in increasing the effectiveness of surgical treatment of patients with vasomotor rhinitis. Bulletin of otolaryngology. 2024;89(3): 89-90.
  10. Craig J.R., Mason W., Laumet G. et al. Sensory and Autonomic Fibers in Anterior Ethmoid, Posterior Nasal, Posterolateral Nasal Nerves. Laryngoscope. 2025;135(8):2702-2712.
  11. Dykewicz M.S., Wallace D.V., Amrol D.J. et al. Rhinitis 2020: A practice parameter update. J Allergy Clin Immunol. 2020 Oct;146(4):721-767.
  12. Litvitsky P.F. Disorders of regional blood flow and microcirculation. Regional blood circulation and microcirculation. 2020;19(1)(73):82-92.
  13. Berest I.E. Halotherapy in patients with vasomotor rhinitis after surgical treatment. Issues of balneology, physiotherapy and therapeutic physical culture. 2020;97(4):31-36.
  14. Tsarapkin G.Yu., Kravchuk A.P., Ogorodnikov D.S. Modern methods of surgical treatment of hypertrophic and vasomotor rhinitis. Russian Rhinology. 2021;29(1):31-36.
  15. Artemyeva-Karelova AV Surgical treatment of vasomotor rhinitis taking into account the anatomical features of the nasal turbinate mucosa. Russian Otolaryngology. 2018;1(92):16-20.
  16. Krivopalov AA, Ryazantsev SV, Ivanov NI, Zakharova GP Advantages of laser surgery in rhinology. Russian Rhinology. 2022;30(4):276-281.
  17. Skorokhod AA, Tupikin DV Traditional and innovative methods in otolaryngology. Modern Science. 2020;2-2:238-242.
  18. Abdullah B., Singh S. Surgical Interventions for Inferior Turbinate Hypertrophy: A Comprehensive Review of Current Techniques and Technologies. Int J Environ Res Public Health. 2021 26;18(7):3441. doi: 10.3390/ijerph18073441.
  19. Passali D., Loglisci M., Politi L. et al. Managing turbinate hypertrophy: coblation vs. radiofrequency treatment. Eur Arch Otorhinolaryngol. 2016;273(6):1449-53. doi: 10.1007/s00405-015-3759-6.
  20. Svistushkin V.M., Starostina S.V., Toldanov A.V. Possibilities of coblation in otorhinolaryngology: analytical review. Eur Arch Otorhinolaryngol. 2022;279(4):1655-1662.
  21. Albazee E., Al-Sebeih K.H., Alkhaldi F. et al. Coblation tonsillectomy versus laser tonsillectomy: a systematic review and meta-analysis of randomized controlled trials. Eur Arch Otorhinolaryngol. 2022;279(12):5511-5520.
  22. Starodubov V.I., Razumov A.N., Ponomarenko G.N. Formation and development of restorative medicine in Russia: the role of the Russian Academy of Sciences. Issues of balneology, physiotherapy and therapeutic physical culture. 2024;101(5):5–12.
  23. Ponomarenko G.N. Restorative medicine: fundamental principles and development prospects. Physical and Rehabilitation Medicine. 2022;4(1):8–20.
  24. Volkovskaya AN, Zhaburina MV, Borzov EV Efficiency of low-intensity laser therapy in rhinosurgical patients. Chief Physician. 2022;11:47–50.
  25. Naumenko AN, Shustova TI, Naumenko NN et al. Functional state of the autonomic nervous system in patients with upper respiratory tract pathology in the pre- and postoperative periods. Russian Otolaryngology. 2008;6(37):91–94.
  26. Shustova TI, Naumenko AN Transcranial electrical stimulation in the treatment of patients with ENT pathology. Current issues in modern natural science. 2008;6:85–89.
  27. Ryabova M.A., Ulupov M.Yu., Shumilova N.A., et al. Possibilities of gentle surgical treatment of vasomotor rhinitis in the elderly. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2020;26(4):50-58.
  28. Shabalin V.V., Zakharova G.P., Ivanov N.I. Modern approaches to assessing the motor activity of cilia of the upper respiratory tract epithelium. Russian Otolaryngology. 2022;21(6)(121):103-109.
  29. Kolesnikov V.N., Fomicheva E.V. Use of anterior active rhinomanometry for the diagnosis of vasomotor rhinitis. Trends in the development of science and education. 2016;12-1:31-34.
  30. Yücel H., Eşmen S.E. Evaluation of nasal mucociliary clearance by saccharine test in rheumatoid arthritis. Braz J Otorhinolaryngol. 2022;88 Suppl 5(Suppl 5):S42-S46.
  31. Kulyakin E.V. Evaluation of the quality of life of patients with postnasal drip in vasomotor rhinitis before and after surgical treatment. Medical Journal. 2022;3(81):88-93.
  32. Bachmann W. Clinical functional diagnosis of obstructed nasal respiration. HNO. 1983;31(9):320-326.
  33. Smirnova O.V., Goncharova N.S. The influence of the lipid peroxidation-antioxidant protection system indicators on the quality of life of patients with chronic rhinitis of different phenotypes. Bulletin of respiratory physiology and pathology. 2024; 92: 77-84.
  34. Moskvin S.V. Fundamentals of laser therapy. Series "Effective laser therapy". Vol. 1. Moscow-Tver: OOO "Izdatelstvo" Triada ", 2016: 896.
  35. Moskvin S.V., Khadartsev A.A. Methods of effective laser therapy in the treatment of patients with bronchial asthma (literature review). Bulletin of new medical technologies. Electronic publication. 2019; 5: 117-148.
  36. Krechina E.K., Shidova A.V., Moskvin S.V. Comparative analysis of the effectiveness of low-intensity pulsed and continuous laser radiation of the red and infrared spectrum ranges on microcirculation in patients with chronic periodontitis. Bulletin of new medical technologies. 2008;15(1):162-166.
  37. Nechipurenko NI, Prokopenko TA, Pashkovskaya ID The main mechanisms of action and biological effects of low-intensity laser radiation. News of medical and biological sciences. 2021;21(4):200-207.
  38. Gilyalov MN, Ismagilov Sh.M. Functional disorders of the autonomic nervous system in pathology of the nose and paranasal sinuses. Bulletin of otolaryngology. 2015;89(4):18-21.
  39. Yurkov A.Yu., Shustova TI Study of the neurovegetative component of the pathogenesis of ENT diseases in the St. Petersburg Research Institute of Ear, Throat, Nose and Speech. Russian Otolaryngology. 2012;6 (61):168-174.
  40. Karkusova MD Biological effects of serotonin (review article). Bulletin of new medical technologies. Electronic publication. 2022;16(6):133-139.
  41. Bardoni R. Serotonergic 5-HT7 Receptors as Modulators of the Nociceptive System. Curr Neuropharmacol. 2023;21(7):1548-1557.
  42. Coffeen U., Ramírez-Rodríguez G.B., Simón-Arceo K. et al. The Role of the Insular Cortex and Serotonergic System in the Modulation of Long-Lasting Nociception. Cells. 2024;13(20):1718. doi: 10.3390/cells13201718.
  43. Lopatin A.S., Varvyanskaya A.V. Vasomotor rhinitis: pathogenesis, clinical features, diagnostics and possibilities of conservative treatment. Atmosphere. Pulmonology and Allergology. 2007;2:33-38.
  44. Lal D., Corey J.P. Vasomotor rhinitis update. Curr Opin Otolaryngol Head Neck Surg. 2004;12(3):243-247.
  45. Stepanov E.N. The role of impaired microcirculation of the nasal mucosa in the pathogenesis of various forms of chronic rhinitis. Practical Medicine. 2011;3-1(50):11-14.
  46. Shustova TI, Naumenko AN Transcranial electrical stimulation in the treatment of patients with ENT pathology. Actual issues of modern natural science. 2008;6:85-89.
  47. Naumenko AN Transcranial electrical stimulation in postoperative treatment of patients with nasal cavity pathology: diss. … candidate of medical sciences. SPb., 2009:82.
  48. Lebedev VP, Sergienko VI Transcranial electrical stimulation as an activator of reparative regeneration: from experiment to clinic. Transcranial electrical stimulation: experimental and clinical studies. V.2. SPb., 2005: 293-301.
  49. Wang Y., Gupta M., Poonawala T. et al. Opioids and opioid receptors orchestrate wound repair. Transl Res. 2017;185:13-23.
  50. Evdokimova NV, Trukhmanov MS Transcranial electrical stimulation in pediatrics: modern concepts (scientific review). Preventive and clinical medicine. 2022. No. 3 (84). P. 65-71.
  51. Tarasova DN, Skvortsov VV, Levitan BN Transcranial electrical stimulation in the treatment of gastric ulcer and duodenal ulcer. Attending physician. 2024. Vol. 27. No. 2. P. 21-24.
  52. Ulashchik VS Combined physiotherapy: general information, interaction of physical factors. Issues of balneology, physiotherapy and therapeutic physical culture. 2016;6:4–11.
  53. Bykov E.V., Makunina O.A., Kharina I.F. Modern scientific and methodological approaches to the assessment of psychophysiological functional states. Scientific and sports

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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