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Effects of topical sprays on allergy-induced nasal obstruction in children
Mehmet Yaşar1, Ismail Önder Uysal, Emine Elif Altuntaş
1Department of Otolaryngology, Kayseri Training and Research Hospital, 38010 Kayseri, Turkey. drmyasar@hotmail.com
Insights
Mometasone furoate and azelastine nasal sprays effectively reduce nasal congestion and improve nasal cavity volume in children with allergic rhinitis, outperforming isotonic sea water spray.
Area of Science:
- Pediatric Allergy and Immunology
- Otolaryngology
- Pharmacology
Background:
- Allergic rhinitis frequently causes nasal obstruction in children.
- Effective management of nasal congestion is crucial for improving quality of life.
Purpose of the Study:
- To compare the efficacy of mometasone furoate nasal spray, azelastine nasal spray, and isotonic sea water nasal spray.
- To evaluate their impact on nasal obstruction in pediatric patients.
Main Methods:
- A randomized study involving 60 children (7-16 years) with allergic rhinitis.
- Assessment of nasal passage volume using acoustic rhinometry.
- Comparison of treatments: azelastine, mometasone furoate, and isotonic sea water.
Main Results:
- Both azelastine and mometasone furoate significantly reduced nasal congestion.
- These active treatments led to a greater increase in nasal cavity volume compared to isotonic sea water.
Conclusions:
- Mometasone furoate and azelastine are effective treatments for allergic rhinitis in children.
- These agents successfully decrease nasal congestion and enhance nasal volume.
Objectives:
This study aims to evaluate the efficacy of mometasone furoate nasal spray, intranasal azelastine, and isotonic sea water nasal spray in the management of allergy-induced nasal obstruction.
Patients And Methods:
Between October 2007 and August 2008 60 patients (37 males, 23 females; mean age 9.8±2.6 years; range 7 to 16 years) with a history of allergic rhinitis were included in the study. Laboratory assays including the skin prick test, nasal smear, phadiatop, total immunoglobulin E (IgE), and complete blood count test were performed. The patients were classified into three groups including 20 in each, according to the topical treatment administered. Patients in group 1 received azelastine, group 2 received mometasone furoate nasal spray, and group 3 received isotonic sea water nasal spray. Nasal passage volume was calculated using an acoustic rhinometry device.
Results:
Azelastine and mometasone furoate decreased nasal congestion and increased nasal cavity volume more effectively, compared to isotonic sea water nasal spray.
Conclusion:
Mometasone furoate and azelastine which decrease nasal congestion and increase nasal volume are effective in the management of allergic rhinitis in children.
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