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Vestn Otorinolaringol [journal]
- [The psychological characteristics of the patients presenting with Meniere's disease and their psycho-social adaptation]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2013; (6):99-101.
The objective of the present work was to highlight and systematize the current scientific concepts of the role of psychological factors in the psycho-social adaptation of the patients presenting the Meniere's disease. The authors analysed the data concerning the psycho-social adaptation of the patients presenting with this condition that were published in the scientific literature during many years. The detailed analysis of the psychological characteristics of the patients allowed to reveal peculiarities of their psychological response to the disease and conserved personal-environmental resources that can be used in the development of stress-adaptation models for the psychological correction and psychotherapeutic treatment with a view to their subsequent introduction into the routine clinical practice of healthcare service institutions.
- [The principles of differential diagnostics and combined treatment of tympanitis]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2013; (6):95-8.
The authors emphasize the importance of the problem of differential diagnostics and combined treatment of tymanophonia with special reference to the widespread, multiple, and diverse causative factors behind this condition as well as the great variability of its clinical signs and symptoms, and difficulty of recoding tympanophonia. The relative significance of various methods in the system of combined treatment of tympanophonia is discussed. It is concluded that the choice of therapy of this condition including the rational combination of pharmacotherapy and non-medicamental modalities, such as classical acupuncture, should be made taking into consideration individual characteristics of the concrete patients.
- [Rational pharmacotherapy of the pathologically changed immune system of nasal mucosa in patients presenting with allergic rhinitis]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2013; (5):93-7.
The objective of the present study was to analyse modern concepts of pathogenesis od local immune changes in nasal mucosa associated with allergic rhinitis (AR)and the currently available methods for rational pharmacotherapy of this condition. The factors of local congenital amd adaptive immunity inherent in nasal mucosa are considered in conjunction with the changes of immune characteristics in the patient presenting with the allergic rhinitis. It is concluded based on the literature data that the local cytokine profile has the highest informative value for the description of the inflammatory process in nasal mucosa. The author undertakes the comparative assessment of the pharmaceutical products available for the rational treatment of allergic rhinitis and related mucosal pathology by the correction of disturbed local immunity. Special attention is given to the application of the glucocorticoids (including topical ones), antihistamine preparations, and immunomodulators, such as cycloferon. It is concluded that the use of cycloferon for local pharmacotherapy makes it possible to maximally enhance the immune system response and thereby improve the results of the specific treatment.
- [Acute rhinosinusitis: diagnostics and treatment]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2013; (5):88-92.
Acute rhinosinusitis is a challenging clinical problem due to its high prevalence. The overwhelming majority of the cases of acute rhinosinusitis (ARS) have viral etiology. Clinical manifestations of viral and bacterial rhinosinusitis can be very similar. Similar expert communities have proposed their recommendations on diagnostics and treatment of acute rhinosinusitis in the recent decade. These recommendations are underlain by the principles of evidence-based medicine, take into consideration the result of reliable investigations, and reflect the opinions of leading specialists in otorhinolaryngology, allergology and immunology. The present review contains the analysis of consensus documents and recommendations. The results of ongoing research provide convincing evidence of the effectiveness of intranasal application of corticosteroids in the patients presenting with acute rhinosinusitis. Antibacterial therapy of acute rhinosinusitis is indicated only in the case of severe or complicated clinical course of the disease.
- [Neck lipoblastoma: a review of the literature and an original observation]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2013; (5):84-7.
The objective of the present work was to overview current concepts of epidemiology and clinical picture of a rare benign neoplasm, lipoblastoma, known to occur in the children, to report an original observation of one case of this condition, and to discuss specific features of its surgical treatment in the patient presenting with a rare localization of the tumour in the neck region extending onto certain vitally important anatomical features. Diagnosis of lipoblastoma of rare localization on the neck was verified in a 20-month old child. The necessity of differential diagnostics of lipoblastoma from other tumours (including malignant ones) in the neck region is substantiated along with the approaches to its surgical treatment bearing in mind the difficult of access localization of the tumour. It is concluded that the benign character of this neoplasm predetermines the favourable outcome of its treatment; however, there is a risk of incomplete dissection of the tumour and its relapse.
- [Eosinophilic otitis media as a disease with chronic nasal polyposis and bronchial asthma]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2013; (5):80-3.
Rather a few publications devoted to eosinophilic otitis media (EoOM) can be found in the literature. This condition refractory to the treatment is characterized by the elevated number of eosinophils in the exudate and mucosal membrane of the middle ear. The disease is not infrequently associated with bronchial asthma and polypous rhinosinusitis. The patients presenting with eosinophilic otitis suffer the progressive loss of hearing; some of them all of a sudden develop deafness. The present literature reviews is focused on the clinical features of eosinophilic otitis media and the available methods for its treatment.
- [The forthcoming Congress of Russian Otorhinolaryngologists (November 2013). The role of otorhinolaryngology in modern medicine]. [Journal Article]
- Vestn Otorinolaringol 2013; (5):4-7.
- [Optimization of the pedagogical process at the department of otorhinolaryngology.] [JOURNAL ARTICLE]
- Vestn Otorinolaringol 2014; (1):82-85.
The objective of the present work was to optimize the educational process with respect to teaching otorhinolaryngology based on the experience accumulated in this sphere with the use of fundamental management components. Special emphasis is laid on the innovative teaching methods employed in the higher education institutions for training clinical otorhinolaryngologists. The analysis of the functional responsibilities of the academic staff in medical institutions and the main components of the educational activity is presented. The basic principles of the quality management system are described. The conclusions made by the authors concern the possibility of standardization and prognostication in the higher education system that can be used for the development of practical guidelines for the academic staff.
- [The new complex multimedia program for the training in otosurgery.] [JOURNAL ARTICLE]
- Vestn Otorinolaringol 2014; (1):79-81.
The objective of the present study was to develop the complex program for the training in otosurgery. The proposed complex program for teaching surgical procedures on the ear is described. The program consists of two steps, preparation and dissection. The first stage is designed to prepare the learner surgeons for dissection with the use of the teaching materials "Manipulations on the temporal bone" and the 3D model of the temporal bone. At the second stage, the learners perform successively two tasks: dissection of an artificial and cadaveric bones with the maximum possible number of surgical procedures on each bone. The aforementioned teaching materials and 3D model of the temporal bone are used at the dissection stage too.
- [Stapedoplasty in a HIV-infected patient.] [JOURNAL ARTICLE]
- Vestn Otorinolaringol 2014; (1):58-59.
This paper reports an observation illustrating the possibility of the successful surgical treatment of otosclerosis in a HIV-infected patient presenting with acquired immunodeficiency syndrome (AIDS) and positive response in the test for hepatitis C. The authors used the results of multispiral computed tomography (MSCT) of the temporal bones as a basis for the prediction of the outcome of the surgical intervention taking into consideration specific primary manifestations of HIV infection as well as immunological and virlogical responses to anti-retroviral therapy.