Laryngitis in children

Usage of polyherbal oil Kyzyl May® in treatment of chronic sub-atrophic and atrophic rhinitis, pharyngitis, and laryngitis in children.

R.G. Khalitova, B.R. Rymzhanov, E.R. Goncharova
Department of Children’s ENT diseases of Kazakh Physicians’ Continuing Education Institute

Chronic sub-atrophic and atrophic processes in mucous tunic of the nose, throat and gorge in children’s practice aren’t rare; they have recidivous and chronic character that requires the application of more effective methods of treatment and prevention.

The main attention in case of treatment of these diseases was drawn to the use of medicines promoting the improvement of metabolic process and weakening of mucosal delivery.

For this purpose we used Kyzyl May polyherbal oil, which has favorable trophic and anti-inflammatory effect promoting the improvement of metabolic process in mucous tunic, improves capillary permeability, and normalizes glandular secretion.

Under our care there were 96 sick children suffering from sub-atrophic and atrophic changes in epipharynx and gorge. Sub-atrophic rhinitis was diagnosed in 30 children; atrophic – at 7; ozena – at 1. In case of atrophic lesions of mucous tunic of nose there was marked more expressed disorder of metabolic processes in mucous, namely, impairment in regeneration ability, formation of necrotic crusts, mucous dryness, capillary fragility, nasal bleedings etc.

Treatment of this group of patients was carried out according to the following schedule: massage of mucous membrane of nose cavity and especially nasal shells with cotton ball saturated with Polyherbal oil (10-15 massing movements) after washing of nose cavity with mineral water “Sary-Agach” or herb infusion (marjoram, sage, chamomile) with the subsequent introduction of Kyzyl May on a turunda into the nasal passages. In 2 hours the turunda was removed. Course of treatment lasted 10-12 days. The treatment was carried out 2 times a year.

Under the influence of polyherbal oil at the majority of patients (29 children) with sub-atrophic and atrophic rhinitis the amelioration was observed: dryness and morbidity in nose disappeared, nasal breathing improved. In case of rhinoscopy the mucous tunic of nose took normal stain, secretion was recovered, crusts disappeared, nasal bleedings stopped. So, good effect was observed in 29 patients, satisfactory result was reached in 6 patients and in 3 children there was no considerable improving.

Good therapeutic effect, simplicity and availability of combined use of herb infusion and polyherbal oil in treatment of sub-atrophic and atrophic rhinitises in children allows to recommend this medicine and treatment method in broad stationary and ambulance practice.

The second group consisted of the children suffering sub-atrophic pharyngitis (34 patients). Polyherbal oil was applied locally in the form of massage of back of the throat 2 times per day within 10-12 days. The course of treatment lasted 15 days. Refresher course of treatment was repeated in half a year.

The positive result (absence of dryness, itch and crusts in gorge, disappearance of the feeling of foreign matter in gorge, improving of overall health) was observed in all children, who had no long-term improving from earlier applied other types of treatment.

The third group consisted of the children suffering from sub-atrophic laryngitis. This disease in children is not often met, but at the same time, this pathology is underexplored and there are no effective remedies. Therefore, search of effective remedies and treatment methods of this throat pathology in children is one of crucial tasks in otolaryngology.

Under our care there were 18 children older than 9 years with disease duration from 1 to 3 years, the main complaints were throat dryness, hoarseness, cough, and itch in throat.

On examination of gorge there were observed different levels of mucous membrane hyperaemia. The mucous membrane looked dry, there was no brightness characteristic for normal mucous membrane of gorge. At many patients vocal and vestibular folds were covered with dense discharge. 4 patients took the course of inhalations with chymotrypsin: 5 mg per inhalation. Each of the patients took 10 procedures. 14 children with sub-atrophic laryngitis took inhalation with chymotrypsin and additional inhalation with polyherbal oil. The course of treatment consisted of 10 inhalations. 2 ml of polyherbal oil per 1 inhalation. The treatment was carried out 2 times a year.

After the course of inhalations some reduction and disappearance of crusts, weakening of mucous membrane hyperaemia was observed on the examination of gorge. Mucous looked more wet and glittering. Subjective sensations: dryness, tickle, etc. decreased only after 6-7 inhalations. In the second group, where the treatment by chymotrypsin and polyherbal oil was used, the disappearance of hydrops and vocal rehabilitation occurred much earlier, after 4-5 inhalations and the effect from therapy remained during a long time (up to 6-8 months).

Thus, the use of chymotrypsin and polyherbal oil led to fast positive result. With that in mind, we consider the application of chymotrypsin and polyherbal oil inhalations rather effective and we recommend it for the children suffering from sub-atrophic laryngitis.

The data received testify that in case of chronic dystrophic processes in mucous membrane of the upper air passages in children, the use of polyherbal oil makes optimum medical impact: improves trophism, removes inflammation, stimulates mucosal delivery, normalizes the functions of air passages. When applying polyherbal oil in ENT practice in case of pathology with atrophic processes it is necessary to pay attention to the features of anatomy and physiology of upper air passages in children.