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No1-2(3) 2020

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DOI 10.37219/2528-8253-2020-1-38

Yurochko F, Kopanska D
Anticongestion therapy of sinusitis in children
Yurochko Fedir
Lviv Regional Children’s Specialized Clinical Hospital
Pediatric otolaryngologist

Kopanska Dzvenislava
Lviv Regional Children’s Specialized Clinical Hospital


Sinusitis is one of the most common respiratory diseases in children. Swelling of the nasal mucosa and paranasal sinuses accompanies sinusitis; but this is not only a symptom, edema leads to blockage of the normal sinus drainage pathway, which is key in the pathogenesis of sinusitis.
Decongestants are considered a key treatment for sinusitis because they improve the function of the sinuses. According to EPOS-2012, treatment of acute sinusitis in children up to 5 days includes nasal lavage, decongestants, and in the absence of effect within 10 days, endonasal corticosteroids are added to the treatment.
Decongestants are prescribed from the onset of sinusitis in children. They not only alleviate the annoying manifestations of nasal congestion, but also keep unlocked paranasal sinuses, prevent the progression of sinusitis to bacterial and prevent complications.
In the treatment of sinusitis, we successfully combine the benefit of decongestants (rapid, relatively shortterm anti congestion) with the effect of endonasal corticosteroids (slow, relatively long-acting anti congestion). The article shows our algorithm of topical sinusitis treatment.


decongestants, sinusitis.


  1. Beste DJ, Capper DT, Shaffer K, Kehl KS, Kajdacsy-Balla A. Antimicrobial effect of rabbits in usitis after temporary ostial occlusion. Am J Rhinol. Nov-Dec 1997;11(6):485-9. doi: 10.2500/ 105065897780914974.
  2. Corey JP, Houser SM, Ng BA. Nasal congestion: a review of its etiology, evaluation and treatment. Ear Nose Throat J. 2000 Sep;79(9):690-3.
  3. Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroodyet F, et al. European Position Paper on Rhinosinusitis and Nasal Polyps 2012. Rhinol
    Suppl. 2012 Mar;23:3 p preceding table of contents, 1-298.
  4. Gwaltney JM, Jones JG, Kennedy DW. Medical Management of Sinusitis: Educational Goals and Management Guidelines. The International Conference on Sinus Disease. Ann Otol Rhinol Laryngol Suppl. 1995 Oct;167:22-30.
  5. Jang Won Lee, Ji Yong Yoo, Seung Jae Paek, Won-Jong Park, Eun Joo Choi, Moon-Gi Choi, et al. Correlations between anatomic variations of maxillary sinus ostium and postoperative complication after sinus lifting. J Korean Assoc Oral Maxillofac Surg. 2016 Oct;42(5):278-283.
    doi: 10.5125/jkaoms.2016.42.5.278.
  6. Kennedy D, Bolger WE, Zinreich SJ. Diseases of sinuses. London: B.C.Decker; 2001. 430 p. 7. Lampl KL. The Role of OTC Decongestants in
    theTreatment of Rhinosinusitis Medscape Posted: 9/24/2003; Updated: 9/26/2003 Available from:
  7. Runkle K. Decongestants, antihistamines and nasal irrigation for acute sinusitis in children. Paediatr Child Health. 2016 Apr;21(3):143-4.
    doi: 10.1093/pch/21.3.143.
  8. Shaikh N, Wald ER. Decongestants, antihistamines and nasal irrigation for acute sinusitis in children. Cochrane Database Syst Rev. 2014 Oct 27;2014(10):CD007909. doi: 10.1002/14651858. CD007909.pub4.
  9. Skoner DP. Complications of allergic rhinitis. J Allergy Clin Immunol. 2000 Jun;105(6 Pt 2):S605-9. doi: 10.1067/mai.2000.106150.
  10. Smith MJ. Evidence for the diagnosis and treatment of acute uncomplicated sinusitis in children: A systematic review. Pediatrics. 2013 Jul;132(1):e284-96. doi: 10.1542/peds.2013-1072.
  11. Yilmaz G, Varan B, Yilmaz T, Gurakan B. Intranasal budesonide spray as an adjunct to oral antibiotic therapy for acute sinusitis in children. Eur Arch Otorhinolaryngol. 2000;257(5):256-9. doi: 10.1007/s004050050234.
  12. Wald ER, Applegate KE, Bordley C, Darrow DH, Glode MP, Marcy S M, et al. Clinical Practice Guideline for the Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years. Pediatrics. 2013 Jul;132(1):e262-80. doi: 10.1542/peds.2013-1071.
  13. Yurochko FB. [Nasal congestion: a simple symptom is not an easy decision]. Meditsina Svitu. 2008: (3). Available from: archive/2008/march/article-3.php. [Article in Ukrainian].

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