Vestn Otorinolaringol [journal]
- [The clinical manifestation of the neurovascular conflict of the vestibulocochlear nerve]. [JOURNAL ARTICLE]
- Vestn Otorinolaringol 2016; 81(3):67-68.
- [The long-term presence of a foreign body in the oesophagus]. [JOURNAL ARTICLE]
- Vestn Otorinolaringol 2016; 81(3):64-66.
- [Foreign bodies in the external auditory canal and tympanic cavity]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Vestn Otorinolaringol 2016; 81(3):61-63.
The rare clinical case of a patient with chronic otitis media and foreign body in the middle ear - a micro earphone in the tympanic cavity - is described in this article. The diagnostics, possible complications, and surgical treatment are discussed.
- [A coughing patients makes a visit to the otorhinolaryngologist's office: the practical aspects of diagnostics and treatment]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Vestn Otorinolaringol 2016; 81(3):57-60.
This article summarizes the modern concepts of the most common causes and mechanism underlying the development of cough. The significance of pathogenetic cough-suppressant therapy is emphasized with special reference to the following aspects: the importance of reducing the thickness or bronchial secretions, its more efficient removal from the lumen of the respiratory passages, creation of the prerequisites for regression of the inflammatory process, lowering the intensity of cough, improvement of subjective feelings and the quality of life of a given patient. The advantages of the application of the compounded preparations containing synergic components responsible for the high therapeutic effectiveness of these medicines is demonstrated as exemplified by the ingredients of the ascoril expectorant. It is concluded that this medication should be recommended for the treatment of patients suffering from cough of the known nature.
- [The non-damaging method for the insertion of a standard electrode for cochlear ossification]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Vestn Otorinolaringol 2016; 81(3):54-56.
The objective of the present study was to develop the non-damaging method for the insertion of a standard electrode for cochlear ossification with a view to improving the results of hearing and speech rehabilitation of the patients presenting with grade IV sensorineural impairment of hearing. Twenty preparations of the cadaveric temporal bone were used to investigate topographic and anatomical relationships in the main structures of the middle and internal ears, viz. the second cochlear coil, vestibulum and its windows, processus cochleaformis, spiral lamina, and modiolus. The optimal method for the insertion of a standard electrode into the spiral canal of the cochlea after the removal of the ossified structures is proposed. The optimal site for constructing the second colostomy is determined that allows the spiral plate and modiolus tobe maximally preserved. The proposed method was employed to treat 11 patients with grade IV sensorineural impairment of hearing and more than 5 mm ossification of the basal cochlear coil. With this method, it proved possible to insert the maximum number of electrodes into the cochlear spiral canal and thereby to obtain excellent results of hearing and speech rehabilitation in the patients with the ossified cochlea.
- [The current views of the treatment of diffuse external otitis]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Vestn Otorinolaringol 2016; 81(3):51-53.
The objective of the present study was to evaluate the clinical effectiveness and safety of the local application of triderm for the treatment of diffuse external otitis. The study included 68 patients presenting with bacterial and fungal diffuse external otitis. The treatment in the form of local empiric therapy was continued till the results of microbiological treatment became apparent. The beneficial outcome achieved in 91.2% of the patients was clinically manifest as the regression of the inflammatory process in the external auditory meatus. No complications, such as ototoxic events, either local or systemic allergic reactions, were documented. The authors substantiate the possibility of the application of the medication under consideration for the treatment of diffuse external otitis based on the knowledge of the mechanism of the actin of its constituent components, viz. betamethasone, dipropionate, gentamicin sulfate, and clotrimazole, taking into account the occurrence of the most common causative agents of diffuse external otitis. It is concluded that triderm is a safe medication for the local application and, probably, for the initial empiric therapy of diffuse external otitis to be continued till the results of the microbiological treatment become apparent.
- [The influence of accessory ostia on the development and the course of the inflammatory processes in the maxillary sinuses]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Vestn Otorinolaringol 2016; 81(3):48-50.
The objective of the present study was to detect accessory ostia in the patients presenting with various diseases of the maxillary sinuses. We undertook the endoscopic examination of the middle meatuses in 250 patients. It was shown thataccessory ostia can be especially frequently seen in the patients with chronic maxillary sinusitis and nasal septum deviation.
- [The algorithm for rehabilitation of the patients presenting with laryngeal cancer following open functionallysparing operations]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Vestn Otorinolaringol 2016; 81(3):43-47.
The objective of the present study was to increase the efficiency of the treatment of the patients presenting with laryngeal cancer by the enhancement of the functional reserve of the preserved portion of the larynx and the prevention of the narrowing of its lumen. Another objective was to develop an algorithm for the rehabilitation of the patients with laryngeal localization of the tumour following open functionally sparing operations that consists of the operative and postoperative stages. During the period from 2006 to 2014, a total of 71 patients underwentfunctionally sparing operations. 66 of them were operated for laryngeal cancer, 1 for thyroid cancer spreading over trachea and larynx, 3 for papillomatosis. Resection of the larynx in the vertical and horizontal planes was performed in 62 and 9 patients respectively. Vertical plane surgery included the following procedures: fronto-lateral resection of the larynx in 51 patients, extended fronto-lateral resection in 10, and combined resection in 1 patient. It is concludedthat the systemic approach to the treatment ofthe patients with laryngeal cancer and the proposed algorithm for their rehabilitation made it possible to restore the laryngeal function in 68 of the 71 patients (95.8%).
- [Comparative analysis of the effectiveness of bypass surgery and laser myringotomy used to treat exudative otitis medium]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Vestn Otorinolaringol 2016; 81(3):39-42.
The objective of the present study was the comparative analysis of the surgical method employed for the treatment of exudative otitis medium, such as bypass surgery and laser myringotomy. The study included 125 patients suffering from the said pathology. The following two methods were used in cases of poor efficiency of conservative therapy: laser myringotomy with the use of a LUMENISc CO2-laser operated at a wavelength of 10.6 mcm with the SurgiTouch scanner and bypass of the tympanic cavity. Each of these methods was applied to treat 38 patients. It was shown that discharge from the treated tympanic cavity stopped sooner after laser myringotomy than after surgical bypass. The recovery of hearing ability according to the results of tonal threshold audiometry also took less time after laser myringotomy than after surgical bypass. The same is true with respect to the restoration of the drainage function of the Eustachian tubes. The frequency of recurrent exudate formation (in percent) in the patients undergoing laser myringotomy was significantly lower than after surgical bypass.
- [The use of thresholds of electrically evoked short-latent auditory potentials for the adjustment of the speech processors in the patients undergoing cochlear implantation]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Vestn Otorinolaringol 2016; 81(3):35-38.
The objective of the present study was to determine the thresholds of electrically evoked short-latent auditory potentials bythe mathematical method and to elucidate the relationship between these parameters and the subjective maximally comfortable levels in the patientsundergoing cochlear implantation. The electrically evoked short-latent auditory potentials were recorded in two groups of patients with different stimulation frequency (17 and 43 Hz). The use of the mathematical method of linear regression of the amplitude (peak V) growth function for determining the thresholds of electrically evoked short-latent auditory potentials has a number of advantages over visual detection of the threshold level. To increase the reliability of the data obtained, low stimulation frequencies need to be used when recording electrically evoked short-latent auditory potentials (17 Hz). The calculated thresholds of electrically evoked short-latent auditory potentials can be used to estimate the subjective maximally comfortable levels for the adjustment of the speech processors when it is impossible to register electrically induced stapedial reflexes and electrically induced total action potentials of the auditory nerve in the patients having cochlear implants.