Vestn Otorinolaringol [journal]
- [The phenomenon of mobile third window]. [Journal Article]
- Vestn Otorinolaringol 2016; 81(3):69-74.
- [Transnasal endoscopic surgery of neoplasms in the children with the use of the CT-navigation systems]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2016; 81(3):75-80.
The objective of the present article was to report the current literature data concerning the significance of and prospects for the application of the CT-navigation systems in transnasal endoscopic surgery of neoplasms localized in the nasal cavity, nasopharynx, paranasal sinuses, and the base of the skull in the children.
- [On the occasion of the 80th anniversary of the Department of Otorhinolaryngology, V.I. Vernadsky, Crimean University]. [Journal Article]
- Vestn Otorinolaringol 2016; 81(3):81-3.
- [On the occasion of the 50th anniversary of the Department of Otorhinolaryngology, Russian University of People's Friendship]. [Journal Article]
- Vestn Otorinolaringol 2016; 81(3):4-6.
- [The anthropometric parameters of the external nose in a Kazakh population with particular reference to the planning of ethnic-specific rhinoplasty]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Vestn Otorinolaringol 2016; 81(4):64-68.
The objective of the present study was to determine the anthropometric parameters of the external nose in a Kazakh population for the subsequent elaboration of the algorithms of and approaches to the planning of ethnic-specific rhinoplasty. The study included 500 ethnic Kazakhs (197 women and 303 men) at the age varying from 16 to 25 (mean 20.6±3.5) years. The following parameters were calculated; the height and the width of the nose, nasal index, lobular index, nasolabial angle, nasal projection index, projection and rotation of the tip of the nose. It was found that the nasal index in male and female Kazakhs was 80.8±0.53 and 79.4±3.17 respectively which corresponds to mesorhinia and is more characteristic of the Europeoid race. The nasofrontalindex in men andwomen was 138.94±5.71 ad 130.1±8.25 degrees respectively. Rotation of the tip of the nose in men was 78.45±2.24 degrees in men and 73.92±4.32 degrees in women. Goode's nasal projection index was 57.25±4.36%. The nasal tip projection was estimated at 67.9±5.21 and 76.72±4.17 in men and women respectively. It is concluded based on the results of the present study that noses in Kazakh men and women have certain specific masculine and feminine anthropometric features making them different from the typical «Asiatic» noses because some of their proportions are more characteristic of the Europeoid race. The height of the nose in the Kazakhs is lowest among the three races. It indicates that the main concern as regards rhinoplasty in the Kazakh population is the dorsal augmentation. The present study provided the reference information on the parameters of the external nose in the Kazakh population that may be of value not only in terms of reconstructive and aesthetic rhinosurgery but also for the purpose of forensic medical and other expertises.
- [Clinico-anamnestic diagnostics of chronic maxillary sinusitis associated with chlamydial infection]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Vestn Otorinolaringol 2016; 81(4):60-63.
The present study included 201 adult patients presenting with exacerbation of chronic maxillary sinusitis. The presence of Chlamydia trachomatis and Chl. pneumoniae was verified by the direct immunofluorescencetechnique and polymerase chain reaction. The study material consisted of swipes und swabs from the mucous membrane of the middle nasal passage. The information from the patients was collected with the use of a questionnaire specially elaborated for the purpose of this study. The correlation relationships were established by means of gamma-statistics. The method is based on the calculation of the integral index characterizing the risk of development of chlamydial infection using the scoring scale for the evaluation of the clinical and anamnestic characteristics of the patients. The assessment of the risk of chlamydial colonization by the anamnestic method makes it possible to enhance the effectiveness of clinical diagnostics of chlamydial infection and thereby provides a basis for the prescription of the adequate anti-chlamydial treatment facilitating reduction of the frequency of complications and preventing dissemination of the causative factor of the disease. Moreover, this approach creates the conditions for the targeted selection of the patients to be referred to the laboratory verification of Chlamydia. Highoperating performance and effectiveness characteristics of the clinic-anamnestic diagnostics make it a method of choice for the wide application in the clinical practice.
- [The systemic approach to the rehabilitation of the patients presenting with laryngeal cancer after the resection of the organ and laryngectomy with tracheoesophageal by-pass and endoprosthetics]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Vestn Otorinolaringol 2016; 81(4):54-59.
The objective of the present study was to enhance the effectiveness of rehabilitation of the patients presenting with laryngeal cancer after the resection of the organ and laryngotomy with tracheoesophageal by-pass and endoprosthetics. Our experience in this field is based on the treatment of 102 patients. They were distributed by the nosological forms as follows: primary laryngeal cancer in 97 patients including T1NoMo - 8 (8.2%), T2NoMo - 63 (65%), T3NoMo - 18 (17.6%), T2N1Mo - 1 (0.9%), T4NoMo - 3 (2.9%), and T4N1M0 - 4 (3.9%), root of the tongue cancer spreading over the vestibular part of the larynx in one patient, laryngeal sarcoma in one patient, relapse of cancer following the full-dose radiotherapy and organ-sparing surgery in 3 patients. Laryngeal resection was performed in 83 patients; 19 patients underwent laryngectomy with tracheoesophageal by-pass and endoprosthetics using a domestically manufactured voice prosthesis. The systemic approach to the rehabilitation of the patients and the use of the proposed treatment algorithm made it possible to restore the function of the larynx by means of organ-sparing surgery in 79 (95.1%) of the 83 patients. The vocal function in the patients following laryngectomy with tracheoesophageal by-pass and endoprosthetics was restored in 18 (94.7%) of the 19 patients.
- [Differential diagnostics of the causes responsible for a cough in the pregnant women]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Vestn Otorinolaringol 2016; 81(4):50-53.
The objective of the present study was to elucidate the causes responsible for a cough in the pregnant women. It involved 92 patients including 23 ones presenting with bronchial asthma and 69 having no manifestations of asthma in their medical histories but suffering from dry cough that started after the beginning of pregnancy. All the patients were given counseling by the otorhinolaryngology and pulmonology specialists. The degree of endoscopic manifestations of gastroesophageal reflux was estimated based on a scoring scale. The study revealed the correlation between cough duration and gestational age. The signs of reflux-induced changes in the larynx were documented in 91% cases among the patients with bronchial asthma and in 97% cases in the pregnant women having no bronchial pathology in their medical histories. The main cause behind the cough during pregnancy in women without bronchial pathology was sluggish bronchitis (7%), arising asthma (12%), gastroesophageal reflux (77%), and allergic rhinitis (4%). This conclusion was confirmed by the results of therapy.
- [Local cytokine therapy of inflammation of the rhinosinusotubal area]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Vestn Otorinolaringol 2016; 81(4):45-49.
The objective of the present work was to elaborate a scheme for the effective combined treatment ofinflammation of the rhinosinusotubal area including the local administration of roncoleukin and cyclopheron without antibiotics. The study included 82 patients (27 men and 55 women) at the age from 25 to 55 years presenting with acute inflammation ofroncoleukin and cycloferon. They were divided into two groups. Group 1 was comprised of 39 patients dominated by those with the clinical picture of sinusitis whereas group 2 contained 43 patients in whom symptoms of catarrhal otitis media prevailed. The patients of both groups were treated by the local application of roncoleukin in combination with cycloferon inhalation, intranasal administration of decongestants and mucomodifiers. All the patients underwent, before and after the treatment, the microbiological study of the contents of the sinuses, impedancobarometry, 3D computed tomography, and measurement of the IgA, IgM, IgG, IgE, SIgA, IL-8, TNF-alpha, and albumin levels in the blood sera and lavages. The study has demonstrated the difference between the local cytokine levels in the two groups of the patients. The clinical improvement was documented within 24 hours after the onset of therapy. 93.3% of the patients recovered by day 5. Three (3.7%) of them had to be prescribed antibiotic therapy for the lack of the desired effect of the cytokine treatment. It is concluded that the local application of ronkoleukin and cycloferon in combination with elimination therapy provides a tool for the efficient treatment of the patients suffering frominflammatory pathology of the rhinosinusotubalzone due to its stimulatory action on the immune system at the inflammation site mediated through the activation of the earlier formed targeted immune response, the promotion of the accelerated elimination of the causative factor, and the termination of the pathological process.
- [Endoscopic endonasal surgery of paranasal sinus osteomas]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Vestn Otorinolaringol 2016; 81(4):42-44.
This article was designed to summarize the experience gained withendoscopic endonasal removal of paranasal sinus osteomas during the period from January 2013 till February 2016. In addition a review of the relevant literature is presented encompassing the publicationsthat provide information about etiology, pathogenesis, clinical picture, diagnostics, and treatment of bone tumours. The objective of the study was to enhance the effectiveness and safety of the surgical treatment of the patients presenting with paranasal sinus osteomas. A total of 81 cases of paranasal sinus osteoma were documented in the patients admitted to I.P. Pavlov Saint-Peterburg First State Medical Universityduring the period from January 2013 till February 2016. Forty nine of them were given the surgical endoscopic endonasal treatment with the removal of the neoplasm. The remaining 32 patients were included in the group for the further dynamic follow up. The authors report the data of morphological studies and the results of computed tomography performed in the pre- and postoperative periods with special reference to the potential for the use of the electromagnetic navigation station (an image-guidance system) that makes it possible to significantly reduce the risk of development of possible complications. In addition, the findings suggestive of the progressive tumour growth in the group of the patients under dynamic observation are discussed.