Clinical experience of pain management in infectious and inflammatory diseases of pharynx
https://doi.org/10.21518/ms2025-195
Abstract
The article presents clinical cases that focus on administration of ketoprofen as a throat wash and flurbiprofen as lozenges in a child with acute viral tonsillopharyngitis and two adult patients with peritonsillar abscesses. The drugs have been shown to provide a rapid and strong analgesic effect. Patients reported a significant reduction in pain within 10–20 minutes after administration of the drugs. It was emphasized that the combined use of a throat wash and lozenges produced a faster effect as compared to the single-drug therapy. The patient with a peritonsillar abscess who received a combination of two drugs demonstrated a complete relief of sore throat a day earlier than a patient who only received lozenges as pain relief therapy. No adverse reactions to the drugs were observed in patients. The presented cases are accompanied by a literature review, which provides information on the epidemiology, causes and mechanisms, as well as methods for treating a sore throat. Otolaryngologists most often see patients with nociceptive pain caused by an infectious and inflammatory factor in their practice. A wide range of drugs from various groups (antiseptics, antibiotics, local anesthetics, etc.) are used to relieve pain, but only a group of non-steroidal anti-inflammatory drugs has a pathogenetic effect.
About the Authors
O. A. Egorova
Smolensk State Medical University;
Smolensk Regional Clinical Hospital
Russian Federation
Russian Federation
Olga A. Egorova, Cand. Sci. (Med.), Associate Professor of Department of Otorhinolaryngology; Smolensk State Medical University; Head of Department of Pediatric Otorhinolaryngology, Smolensk Regional Clinical Hospital
28, Gagarin Ave., Smolensk, 214018;
27, Gagarin Ave., Smolensk, 214018
A. A. Tarasov
Smolensk State Medical University
Russian Federation
Russian Federation
Aleksandr A. Tarasov, Cand. Sci. (Med.), Associate Professor of Department of Otorhinolaryngology
28, Gagarin Ave., Smolensk, 214018
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For citations:
Egorova OA, Tarasov AA. Clinical experience of pain management in infectious and inflammatory diseases of pharynx. Meditsinskiy sovet = Medical Council. 2025;19(13):108-114. (In Russ.) https://doi.org/10.21518/ms2025-195
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