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Vestn Otorinolaringol [journal]
- [Modern principles of the treatment and prevention of diseases of external ear]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2013; (4):67-71.
The problems of diagnostics, treatment and prophylaxis of inflammatory diseases of the external ear remain a challenge for practical otorhinolaryngology. The number of patients presenting with this pathology is still very high despite the availability ofa great variety of pharmacological products for their management. The problem of external otitis arises from its high incidence in conjunction with the poor effectiveness of various medicamental and non-medicamental therapeutic modalities for its treatment.The aforesaid confirms the importance and relevance of the search for the new methods of treatment of this pathology as well as effective therapeutic and preventive agents for this purpose. Of primary importance from the standpoint of prophylaxis of various diseases of external ear is providing adequate care to the patients with trivial cerumen impaction that is a risk factor of external otitis leading to the development of skin lesions in the auditory passage and inflammation in the case of self-removal of the earwax.
- [Pre- and post-conditioning phenomena: the protective physiological mechanisms in the aspect of pathogenesis and the theory of treatment of ENT pathology]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2013; (4):59-66.
The objective of the present work was to expose the universal general biological significance of the protective pre- and postconditioning phenomena and to provide an insight into the possibility of application of therapeutic modalities based on these effects in current otorhinolaryngological practice. Pre- and postconditioning phenomena (Pre-C and Post-C respectively) began to be studied as protective physiological mechanisms since the 1980s, first in cardiology and thereafter in other fields of experimental medicine. At the same time, their protective properties had been known and intuitively used much earlier among the established human cultural and social stereotypes, psychophysical training techniques, and methods of traditional and empirical medicine. The widespread application of these phenomena gives evidence of their universal biological nature as factors involved in the interactions between the organism and pathogens (including co-morbidity), the process leading to the enhancement of non-specific resistance, mechanisms underlying realization of pharmacodynamic effects of a number of pharmaceutical products,etc. The understanding of the protective potential of PreC and PostC dictates the necessity to revise and further elaborate the present-day strategy of prophylaxis and treatment of the most serious chronic ENT diseases.
- [The evolution of adenoidectomy]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2013; (4):23-6.
The critical analysis of publications concerning methods designed for the surgical treatment of adenoids is presented. Various surgical techniques are considered with special reference to their indications for use, invasiveness, effectiveness, and safety. Recent developments in this field give evidence that evolution of adenoidectomy brought about highly efficacious (up to 99%) mini-invasive and safe surgical procedures producing the minimal risk of relapses and postoperative complications. All these advancements became possible due to the introduction of endoscopic intraoperative control, general anesthesia, and the use of modern surgical instruments. Modern approaches make unnecessary radical removal of the lymphoid tissue.
- [The rare case of detection of long-term and asymptomatic presence of a foreign body (propylene filament) in the larynx.] [JOURNAL ARTICLE]
- Vestn Otorinolaringol 2013; (5):79.
- [Peculiar features of mastoiditis in a brest-fed infant with the "exposed" facial nerve.] [JOURNAL ARTICLE]
- Vestn Otorinolaringol 2013; (5):77-78.
This paper reports the clinical case of mastoiditis in a 5-month old child in whom an unusual localization of the totally "naked" facial nerve outside of the bone canal in the mastoid part was discovered intraoperatively. This finding was quite unexpected because nerves are not visible on CT scanograms. The author emphasizes that the clinical course of otitis media in the breast- fed infants and young children is characterized by a number of peculiarities due to specific anatomical, physiological, and immunological features of the child's organism. She also notes that the number of antromastoidotomies for the treatment of mastoiditis has increased in Tatarstan during the recent years.
- [Local therapy of infectious complications of allergic rhinitis in the children.] [JOURNAL ARTICLE]
- Vestn Otorinolaringol 2013; (5):73-76.
The objective of the present investigation was to estimate the effectiveness and safety of rinorin used for the prevention and treatment of infectious complications of allergic rhinitis in the children. A total of 70 children varying in the age from 5 to 15 years and presenting with the mild and moderate-to-severe form of seasonal allergic rhinitis were included in the study; they were divided into two groups. The study failed to reveal statistically significant difference between the groups in terms of adverse reactions to the treatment with rinorin. During the 21 day study period, infectious rhinitis was diagnosed in 2 (5.7%) children given rinorin compared with 5 (14.3%) ones in the control group (p>0.05). However, the patients of the latter group suffered a more severe form of this infectious complication of allergic rhinitis. It is concluded that rinorin is characterized by a high level of safety even though the antimicrobial potency of benzalkonium chloride, its active ingredient, needs further studies and evaluation.
- [Septoplasty in the children.] [JOURNAL ARTICLE]
- Vestn Otorinolaringol 2013; (5):69-72.
The objective of the present study was to improve the effectiveness of surgical intervention for the correction of the deflected nasal septum in the children. The clinical evaluation of the state of 63 patients and the follow-up study demonstrated that the early removal of the pack from the nasal cavity improves the patients' quality of life in the postoperative period and leads to as favourable outcome as the late removal. The application of still mineral water (a weakly alkaline sodium bicarbonate solution) for the irrigation or moistening of the nasal cavity mucosa promoted its rapid regeneration and wound healing.
- [Comprehensive diagnostics of the patients presenting with Eustachian tube dysfunction.] [JOURNAL ARTICLE]
- Vestn Otorinolaringol 2013; (5):66-68.
The objective of the present work was comprehensive diagnostics of Eustachian tube dysfunction as exemplified by 82 patients with this disorder. The examination using the standard techniques was supplemented by active anterior rhinomanometry, audiometry, and tympanometry. Three-dimensional computed tomography (3D X-ray CT) was used for detailed diagnostics of the state of the nasal structures and paranasal sinuses. The study has demonstrated that 96.3% of the patients with Eustachian tube dysfunction suffer a concomitant pathology of the paranasal sinuses, nasal cavity, and nasopharynx. Difficulties of nasal breathing were experienced by 62% of the patients.
- [The frequency of chlamydial infection in the children attending pre-school institutions.] [JOURNAL ARTICLE]
- Vestn Otorinolaringol 2013; (5):62-65.
The objective of the present study was to estimate the prevalence and specific features of chlamydial infection within an organized group of children of pre-school age. The data concerning the frequency of chlamydial infection of the upper respiratory tract in the children attending pre-school facilities are reported. The species composition of identified Chlamydia depending on the sex of the children is described. It is shown that acute and chronic ENT pathology in the patients presenting with chlamydial infection occurs much more frequently than in the unaffected children. These results were obtained during the examination of 121 children. Chlamydia was identified by means of the direct immunofluorescence technique.
- [Halitosis concomitant with chronic ENT pathology in children.] [JOURNAL ARTICLE]
- Vestn Otorinolaringol 2013; (5):59-61.
The objective of the present study was to estimate the potential of gas chromatography as a tool for diagnostics of chronic ENT pathology in the children. A total of 37 patients aged between 5 and 18 years with chronic ENT diseases and complaints of foul breath were available for the examination. Thirty one children presented with chronic tonsillitis, 3 with chronic adenoiditis, 2 with chronic rhinosinusitis, and 1 with subatrophic rhinitis. It was shown with the use of gas chromatography that the exhaled air from 34 (91.9%) patients contained cadaverin at a concentration of 0.004-0.0009 mg/ml. Three (8.1%) children exhaled methyl mercaptan (0.01-0.025 mg/m3) and hydrogen sulfide (0.002-0.006 mg/m3), and 2 (5.4%) patients exhaled the air containing dimethyl disulfide (0.009-0.002 mg/m3). The volatile sulfur-containing compounds were detected only in the children aged above 14 years. It is concluded that chronic tonsillitis is the leading etiological factor responsible for the development of the extraoral form of halitosis in the children. The foul breath in the children unlike that in the adults is most frequently due to the enhanced cadaverin concentration in the exhaled air rather than the production of volatile sulfur-containing compounds.