Dysfunction of the mucous membrane in the pathogenesis of chronic diseases of the nasal cavity

Performing not only respiratory, but also protective, olfactory, aesthetic and a number of other functions, the nose is an important part of the upper respiratory tract. The mucous membrane of the nasal cavity is the first protective barrier of the body that protects against the effects of adverse e...

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Main Authors: G. N. Nikiforova, P. S. Artamonova, E. A. Shevchik
Format: Article
Language:Russian
Published: Remedium Group LLC 2021-12-01
Series:Медицинский совет
Subjects:
Online Access:https://www.med-sovet.pro/jour/article/view/6557
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author G. N. Nikiforova
P. S. Artamonova
E. A. Shevchik
author_facet G. N. Nikiforova
P. S. Artamonova
E. A. Shevchik
author_sort G. N. Nikiforova
collection DOAJ
description Performing not only respiratory, but also protective, olfactory, aesthetic and a number of other functions, the nose is an important part of the upper respiratory tract. The mucous membrane of the nasal cavity is the first protective barrier of the body that protects against the effects of adverse environmental factors, carrying out warming, purification and neutralization of the inhaled air. This mission is provided by the activity of the multilayered columnar ciliated epithelium, consisting of three main types of cells: ciliate, goblet and basal. The main protective mechanism in the nasal cavity is mucociliary clearance, carried out by means of nasal mucus and beating of cilia unidirectional towards the nasopharynx with a frequency of up to 1000 per minute. Violation of the integrity and disruption of the physiological functions of the mucous membrane of the nasal cavity leads to the development of pathological processes, which in turn can lead to a failure in the work of other organs and systems of the body. To date, about 16-18% of all diseases of the ENT organs are chronic forms of rhinitis. According to the ICAR classification, which is based on the pathophysiological mechanisms of the development of rhinitis, allergic and non-allergic forms are distinguished. Common to various forms is the effect of certain factors on the mucous membrane of the nasal cavity and, as a consequence, a violation of the mechanisms of its work.One of the forms of chronic rhinitis, caused by thinning of the mucous membrane and severe disorders of mucociliary transport, is atrophic rhinitis. The main symptoms of the disease are dryness, the formation of crusts in the nasal cavity, periodic bleeding. The approach to the treatment of acute and chronic processes against the background of atrophic changes in the nasal cavity should be comprehensive and aimed at restoring the physiological functions of the mucous membrane and the mechanisms of mucociliary transport.
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spelling doaj.art-dc6e81877f4f458a9041e245fcf8bef32023-04-23T06:56:41ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902021-12-01018949910.21518/2079-701X-2021-18-94-995920Dysfunction of the mucous membrane in the pathogenesis of chronic diseases of the nasal cavityG. N. Nikiforova0P. S. Artamonova1E. A. Shevchik2Sechenov First Moscow State Medical University (Sechenov University)Sklifosovsky Clinical Medicine Institute, Sechenov First Moscow State Medical University (Sechenov University)Sklifosovsky Clinical Medicine Institute, Sechenov First Moscow State Medical University (Sechenov University)Performing not only respiratory, but also protective, olfactory, aesthetic and a number of other functions, the nose is an important part of the upper respiratory tract. The mucous membrane of the nasal cavity is the first protective barrier of the body that protects against the effects of adverse environmental factors, carrying out warming, purification and neutralization of the inhaled air. This mission is provided by the activity of the multilayered columnar ciliated epithelium, consisting of three main types of cells: ciliate, goblet and basal. The main protective mechanism in the nasal cavity is mucociliary clearance, carried out by means of nasal mucus and beating of cilia unidirectional towards the nasopharynx with a frequency of up to 1000 per minute. Violation of the integrity and disruption of the physiological functions of the mucous membrane of the nasal cavity leads to the development of pathological processes, which in turn can lead to a failure in the work of other organs and systems of the body. To date, about 16-18% of all diseases of the ENT organs are chronic forms of rhinitis. According to the ICAR classification, which is based on the pathophysiological mechanisms of the development of rhinitis, allergic and non-allergic forms are distinguished. Common to various forms is the effect of certain factors on the mucous membrane of the nasal cavity and, as a consequence, a violation of the mechanisms of its work.One of the forms of chronic rhinitis, caused by thinning of the mucous membrane and severe disorders of mucociliary transport, is atrophic rhinitis. The main symptoms of the disease are dryness, the formation of crusts in the nasal cavity, periodic bleeding. The approach to the treatment of acute and chronic processes against the background of atrophic changes in the nasal cavity should be comprehensive and aimed at restoring the physiological functions of the mucous membrane and the mechanisms of mucociliary transport.https://www.med-sovet.pro/jour/article/view/6557nasal mucosamucociliary clearancechronic rhinitisatrophic rhinitisdexpanthenoloctenidine
spellingShingle G. N. Nikiforova
P. S. Artamonova
E. A. Shevchik
Dysfunction of the mucous membrane in the pathogenesis of chronic diseases of the nasal cavity
Медицинский совет
nasal mucosa
mucociliary clearance
chronic rhinitis
atrophic rhinitis
dexpanthenol
octenidine
title Dysfunction of the mucous membrane in the pathogenesis of chronic diseases of the nasal cavity
title_full Dysfunction of the mucous membrane in the pathogenesis of chronic diseases of the nasal cavity
title_fullStr Dysfunction of the mucous membrane in the pathogenesis of chronic diseases of the nasal cavity
title_full_unstemmed Dysfunction of the mucous membrane in the pathogenesis of chronic diseases of the nasal cavity
title_short Dysfunction of the mucous membrane in the pathogenesis of chronic diseases of the nasal cavity
title_sort dysfunction of the mucous membrane in the pathogenesis of chronic diseases of the nasal cavity
topic nasal mucosa
mucociliary clearance
chronic rhinitis
atrophic rhinitis
dexpanthenol
octenidine
url https://www.med-sovet.pro/jour/article/view/6557
work_keys_str_mv AT gnnikiforova dysfunctionofthemucousmembraneinthepathogenesisofchronicdiseasesofthenasalcavity
AT psartamonova dysfunctionofthemucousmembraneinthepathogenesisofchronicdiseasesofthenasalcavity
AT eashevchik dysfunctionofthemucousmembraneinthepathogenesisofchronicdiseasesofthenasalcavity