The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Angotoeva I.B.

Russian Medical Academy of Continuing Professional Education

Kosyakov S.Ya.

Russian Medical Academy of Continuing Professional Education

Shevkhuzheva I.B.

Russian Medical Academy of Continuing Professional Education

Rhinitis. The reason is not in the nose?

Authors:

Angotoeva I.B., Kosyakov S.Ya., Shevkhuzheva I.B.

More about the authors

Journal: Russian Rhinology. 2020;28(4): 215‑221

DOI: 10.17116/rosrino202028041215

Read: 4674 times

Download PDF (RU)
Contact the author
Table of contents

RHINITIS. THE REASON IS NOT IN THE NOSE?
RHINITIS. THE REASON IS NOT IN THE NOSE?

To cite this article:

Angotoeva IB, Kosyakov SYa, Shevkhuzheva IB. Rhinitis. The reason is not in the nose? Russian Rhinology. 2020;28(4):215‑221. (In Russ.)
https://doi.org/10.17116/rosrino202028041215

Подписка 2026 Российская ринология (Russian Rhinology)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
Close metadata
Abstract:

AIM OF STUDY

To study the clinical and diagnostic features of rhinitis against the background of nasopharyngeal reflux (NPR).

PATIENTS AND METHODS

1089 patients with symptoms of laryngopharyngeal reflux (LPR) were examined in the period from 2014 to 2019. Patients were questioned using the «Reflux Symptom Index» questionnaire. Reflux changes in the larynx were assessed by a scale of reflux signs during endoscopy with a 90º laryngoscope with a diameter of 1 cm. Rhinitis symptoms were assessed by patients on a 5-point VAS scale before and after antireflux therapy. All patients underwent anterior active rhinomanometry using a RINO-SYS Otopront rhinomanometer.

RESULTS

There was a statistically significant decrease in rhinitis symptoms against the background of antireflux treatment (p<0.05), a statistically significant decrease in the mean scores of each rhinoendoscopic symptom and their sum before and after antireflux therapy (p<0.05).

CONCLUSIONS

Due to the lack of highly specific and highly sensitive diagnostic methods, as well as the difficulty of conducting invasive instrumental objective examinations confirming the presence of NPR, the combination of symptoms of rhinitis and LPR can serve as a predictor of the presence of NPR and a reason for empiric antireflux therapy..

Keywords:

chronic non-infectious rhinitis
laryngopharyngeal reflux
nasopharyngeal reflux

Authors:

Angotoeva I.B.

Russian Medical Academy of Continuing Professional Education

Kosyakov S.Ya.

Russian Medical Academy of Continuing Professional Education

Shevkhuzheva I.B.

Russian Medical Academy of Continuing Professional Education

Received:

07.05.2020

Accepted:

07.06.2020

Close metadata

References:

  1. Lopatin AS. Rinit. Patogenticheskie mehanizmy i principy farmakoterapii. M.: Literra; 2013. (In Russ.).
  2. Savlevich EL, Kozlov VS, Doroshchenko NE, Zaseeva TYu, Kubaeva LM. Assessment of the diagnostic algorithm for allergic and non-allergic rhinitis using the database of moscow outpatient units. Kremlevskaja medicina. Klinicheskij vestnik. 2017;4(2):58-64. (In Russ.).
  3. Astafyeva NG, Udovichenko EN, Gamova IV, Perfilova IA, Naumova OS, Kenesarieva ZhM, Vachugova LK, Gapon MS. Allergic and non-allergic rhinitis: a comparative characteristic. Lechaschii Vrach. 2013;4:10-12. (In Russ.).
  4. Dajnjak LB. Vazomotornyj rinit. M.: Medicina; 1966. (In Russ.).
  5. Piskunov GZ, Piskunov SZ. Klinicheskaja rinologija. 3-e izd., dop. M.: Medicinskoe informacionnoe agentstvo; 2017. (In Russ.).
  6. Papadopoulos NG, Bernstein JA, Demoly P, Dykewicz M, Fokkens W, Hellings PW, Peters AT, Rondon C, Togias A. Phenotypes and endotypes of rhinitis and their impact on management: a PRACTALL report. Allergy. 2015;70(5):474-494.  https://doi.org/10.1111/all.12573
  7. Millas I, Liquidato BM, Barros MD, Paes RA, Dolci JE. Evaluation of estrogenic receptors in the nasal mucosa of women taking oral contraceptives. Contraception. 2011;83(6):571-577.  https://doi.org/10.1016/j.contraception.2010.09.008
  8. Jovancevic L, Georgalas C, Savovic S, Janjevic D. Gustatory rhinitis. Current Opinion in Otolaryngology and Head and Neck Surgery. 2012;20(1): 9-14.  https://doi.org/10.1097/MOO.0b013e32834dfb52
  9. Morais-Almeida M, Pite H, Pereira A.M, Todo-Bom A, Nunes C, Bousquet J, Fonseca J. Prevalence and classification of rhinitis in the elderly: a nationwide survey in Portugal. Allergy. 2013;68(9):1150-1157. https://doi.org/10.1111/all.12207
  10. Dutt SN, Kameswaran M. The aetiology and management of atrophic rhinitis. The Journal of Laryngology and Otology. 2005;119(11):843-852.  https://doi.org/10.1258/002221505774783377
  11. Astafyeva NG, Gamova IV, Kobzev DYu, Udovichenko EN, Perfilova IA, Mikhailova IE. Nonsteroidal anti-inflammatory drugs as a cause of exacerbating (worsening) asthma and other respiratory diseases: diagnosis and treatment. Lechaschii Vrach. 2016;5:82-87. (In Russ.).
  12. Schroer B, Pien LC. Nonallergic rhinitis: Common problem, chronic symptoms. Cleveland Clinic Journal of Medicine. 2012;79(4):285-293.  https://doi.org/10.3949/ccjm.79a11099
  13. Babijak VI, Nakatis JA. Professional’nye bolezni verhnih dyhatel’nyh putei i uha. Rukovodstvo dlja vrachei. SPb.: Gippokrat; 2009. (In Russ.).
  14. Savlevich EL, Bodnya OS. Local allergic rhinitis. Questions and answers. Almanac of Clinical Medicine. 2016;44(7):XXVIII. (In Russ.).
  15. Van Cauwenberge P, Bachert C, Passalacqua G, Bousquet J, Canonica GW, Durham SR, Fokkens WJ, Howarth PH, Lund V, Malling HJ, Mygind N, Passali D, Scadding GK, Wang DY. Consensus Statement on the Treatment of Allergic Rhinitis. Allergy. 2000;55(2):116-134.  https://doi.org/10.1034/j.1398-9995.2000.00526.x
  16. Federal’nye klinicheskie rekomendacii po diagnostike i lecheniju allergicheskogo rinita Rossiĭskoĭ associacii allergologov i klinicheskih immunologov. Moskva; 2013. Accessed April 1, 2020. (In Russ.). https://minzdrav.gov-murman.ru/documents/poryadki-okazaniya-meditsinskoy-pomoshchi/2.allergic_rhinitis.pdf
  17. Savlevich EL, Kozlov VS, Zharkikh MA, Chernyshova DA, Ruzakova EA. Analysis of current therapeutic approaches to chronic rhinitis according to the polyclinic data of ambulatory service of moscow. Medicinskij sovet. 2017;16:60-67. (In Russ.).
  18. International rhinitis management group. International consensus report on diagnosis and management of rhinitis. Allergy. 1994;49:1-34. 
  19. Napierkowski J, Wong RK. Extraesophageal manifestations of GERD. The American Journal Of The Medical sciences. 2003;326(5):285-299.  https://doi.org/10.1097/00000441-200311000-00005
  20. Shilenkova VV. Ekstraezofageal,nyj reflyuks u detej. Rossijskaya rinologiya. 2015;23(4):34-38. (In Russ.). https://doi.org/10.17116/rosrino201523434-38
  21. Mudd PA, Amirlak B. Reflux Laryngitis. Medscape; 2019. Accessed June 1, 2020. https://emedicine.medscape.com/article/864864-overview
  22. Kokorina VE, Ozharovskaya OB. Rol, gastroezofageal,noj reflyuksnoj bolezn,i v formirovanii patologii polosti nosa i okolonosovyh pazuh. Rossijskaya rinologiya. 2013;2:81. (In Russ.).
  23. Loehrl TA, Smith TL, Darling RJ, Torrico L, Prieto TE, Shaker R, Toohill RJ, Jaradeh SS. Autonomic dysfunction, vasomotor rhinitis, and extraesophageal manifestations of gastroesophageal reflux. Otolaryngology — Head and Neck Surgery. 2002;126(4):382-387.  https://doi.org/10.1067/mhn.2002.123857
  24. Shaker R, Bardan E, Gu C, Kern M, Torrico L, Toohill R. Intrapharyngeal distribution of gastric acid refluxate. Laryngoscope. 2003;113(7):1182-1191. https://doi.org/10.1097/00005537-200307000-00014
  25. Iannella G, Di Nardo G, Plateroti R, Rossi P, Plateroti AM, Mariani P, Magliulo G. Investigation of pepsin in tears of children with laryngopharyngeal reflux disease. International Journal of Pediatric Otorhinolaryngology. 2015;79(12):2312-2315. https://doi.org/10.1016/j.ijporl.2015.10.034
  26. Hom C, Vaezi MF. Extraesophageal Manifestations of Gastroesophageal Reflux Disease: Diagnosis and Treatment. Drugs. 2013;73(12):1281-1295. https://doi.org/10.1007/s40265-013-0101-8
  27. Belafsky PC, Postma GN, Koufman JA. Validity and reliability of the reflux symptom index (RSI). Journal Voice. 2002;16(2):274-277.  https://doi.org/10.1016/s0892-1997(02)00097-8
  28. Belafsky PC, Postma GN, Koufman JA. The validity and reliability of the reflux finding score (RFS). Laryngoscope. 2001;111(8):1313-1317. https://doi.org/10.1097/00005537-200108000-00001
  29. Ottaviano G, Pendolino AL, Nardello E, Maculan P, Martini A, Russo M, Lund VJ. Peak Nasal Inspiratory Flow Measurement and Visual Analogue Scale in a Large Adult Population. Clinical Otolaryngology. 2019;44(4):541-548.  https://doi.org/10.1111/coa.13329
  30. Patterson N, Mainie I, Rafferty G, McGarvey L, Heaney L, Tutuian R, Castell D, Johnston BT. Nonacid Reflux Episodes Reaching the Pharynx Are Important Factors Associated With Cough. Journal of Clinical Gastroenterology. 2009;43(5):414-419.  https://doi.org/10.1097/MCG.0b013e31818859a3
  31. Scott DR, Simon RA. Supraesophageal Reflux: Correlation of Position and Occurrence of Acid Reflux-Effect of Head-of-Bed Elevation on Supine Reflux. The Journal of Allergy and Clinical Immunology. 2015;3(3):356-361.  https://doi.org/10.1016/j.jaip.2014.11.019
  32. Calvo-Henriquez C, Ruano-Ravina A, Vaamonde P, Martínez-Capoccioni G, Martín-Martín C. Is Pepsin a Reliable Marker of Laryngopharyngeal Reflux? A Systematic Review. Otolaryngology — Head and Neck Surgery. 2017;157(3):385-391.  https://doi.org/10.1177/0194599817709430
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.