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Vestn Otorinolaringol [journal]
- [The rheologic characteristics of nasal secretion]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (3):76-9.
The objective of the present study was to analyse the available data on the qualitative and quantitative composition of nasal secretion (NS) obtained from the healthy subjects and the patients presenting with various diseases of the nose and paranasal sinuses (PHS). The author maintains that investigations for the identification of organic and inorganic components contained in the nasal secretion and for the measurement of their contents as well as the studies of its properties with the use of the biochemical and physical methods are of primary diagnostic and prognostic importance. It is supposed that the physical properties of NS can be described in terms of the notions and principles of rheology. i.e. the science of the flow of matter. For this reason, airway secretion plays an important role in the functioning of the respiratory organs and the maintenance of homeostasis of the internal environment of the body. The composition of secretion from the nasal cavity and paranasal sinuses is considered to be a factor of of pathogenesis and indicator of the pathological processes in the respiratory tract. It is recommended that the adequate mucolytic medicines should be included into the treatment protocol of PNS diseases to liquefy the thick pus and viscous secretion in order to improve the mucociliary clearance and facilitate the release of secretion from the sinuses.
- [Subjective tympanophonia. The current concepts of therapy]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (3):72-5.
The authors overview the current concepts of the management of the patients complaining of subjective tympanophonia with special reference to the medicamental and medicamental treatment of this condition and rehabilitation. Bearing in mind a great variety of approaches to addressing this problem, only the most important, widely applied, and clinically verified methods for this purpose are considered.
- [Criteria for the assessment of the noise-induced occupational hearing loss: international and national standards.] [JOURNAL ARTICLE]
- Vestn Otorinolaringol 2014; (3):66-71.
The objective of the present paper was to review international and national standards for the criteria of assessment of the noise-induced occupational loss of hearing. The importance of healthy hearing for the occupational safety is emphasized which implies the necessity of the more rigorous criteria for hearing conservation in the workers engaged in the noisy technological environment compared with those for the general population. A rationale for the development of the standard program of hearing conservation in the workers engaged in the noisy technological environment is proposed including hygienic norms and rules or national state standards.
- [On the discussion of the new aspects of the occupational hearing loss classification.] [JOURNAL ARTICLE]
- Vestn Otorinolaringol 2014; (3):63-65.
The objective of the present work was to analyse the materials of verification of the newly developed classification of occupational hearing loss harmonized with the international criteria an medico-social expertise of hearing impairment. The classification is designed for the practical application in the clinical work of otorhinolaryngologists, occupational pathologists, and medico-social experts who must practice the identical approaches at all stages of the preliminary and final diagnostics of occupational ear diseases, competence assurance, and social maintenance for the subjects presenting with hearing disorders. The authors emphasize the importance of taking account of presbyacusis characteristics at the stage of pre-nosological changes of the hearing function in the subjects exposed to strong occupational noise, i.e. prior to the appearance of the «signs of noise influence on the organs of hearing". Such an approach makes it possible to eliminate the discrepancies in drawing conclusion about the presence of presbyacusis or "signs of noise influence on the organs of hearing".
- [A rare case of thalassemia concomitant with chronic decompensated tonsillitis.] [JOURNAL ARTICLE]
- Vestn Otorinolaringol 2014; (3):61-62.
The present paper reports a rare combination of Cooley's disease (thalassemia B) and the decompensated variant of chronic tonsillitis in a 14-year old girl. The patient presented with the severe form of hypochromic anemia and degenerative changes of erythrocytes. She was treated by means of bilateral tonsillectomy associated with the high risk of postoperative hemorrhage. In the preoperative period, the child received drop intravenous infusion of tranexam at a dose of 15 mg/kg body weight together with hemostatic agents. Hemorrhage during the surgical intervention was stopped by pressing tampons impregnated with tranexamic acid known to exert local and systemic hemostatic and antifibrinolytic action. The patient was discharged from the hospital for the further treatment of the primary disease.
- [Therapy of allergic rhinitis: the preferences of specialists]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (3):59-60.
The objective of the present work was to study the stereotypes of addressing such a serious medical problem as the treatment of allergic rhinitis by practicing physicians and the development of criteria for the priority choice of pharmaceutical products to be prescribed to the patients presenting with this pathology. This pharmacoepidemiological investigation was designed to elucidate the preferences shown by specialists dealing with this disease. The special questionnaire was developed to collect and analyse the opinions of otorhinolaryngologists and allergologists. The study has demonstrated that both therapy of allergic rhinitis and preferences of specialists conform with the respective international standards. However, the study revealed the lack of the adequate communicative and informational interactions between two basic components of the healthcare system, viz. doctors and pharmacists. The authors emphasize the necessity to optimize professional approaches to the management of allergic rhinitis.
- [The state of microcirculation in the middle ear structures at different stages of the treatment of the patients presenting with chronic otitis media.] [JOURNAL ARTICLE]
- Vestn Otorinolaringol 2014; (3):54-58.
The present work was designed to study dynamics of blood circulation in the tympanic membrane and tympanic cavity mucosa of 92 patients (105 ears) presenting with otosclerosis, adhesive non-perforative otitis media, and different stages of chronic suppurative otitis media. Normal characteristics of tympanic microcirculation were determined in 22 otologically healthy volunteers (30 ears). Laser Doppler flowmetry with the use of a specially designed probe (the outer diameter: 1.9 mm) was applied. The results of Doppler flowmetry varied in ontologically healthy subjects. The same circulation parameters in the vessels of the microcirculatory bed of the postero-superior quadrant of the tympanic membrane in the patients presenting with chronic suppurative otitis media at the stage of remission, otosclerosis, and adhesive non-perforative otitis media did not significantly differ from those of otologically healthy subjects. The blood flow was shown to increase in the tympanic membrane of the majority of the patients during the postoperative period (within 2nd to 4th weeks after types I-III tympanoplasty); thereafter, it either decreased or returned to the baseline level by weeks 6-8. Four months after the improvement of perfusion parameters of tympanic cavity mucosa and the arrest of exacerbation of mesotympanitis, characteristics of microcirculation in tympanic cavity mucosa were not significantly different from those of the patients with adhesive perforative otitis media. It is concluded that laser Doppler flowmetry may be used as an objective non-invasive technique for the study of microcirculation in the tympanic membrane and tympanic cavity mucosa.
- [Peculiarities of the treatment of the patients presenting with exudative otitis media.] [JOURNAL ARTICLE]
- Vestn Otorinolaringol 2014; (3):51-53.
The objective of the present study was to enhance the effectiveness of provision of medical assistance and to standardize the approaches to its realization for the patients presenting with exudative otitis media (EOM). A total of 67 children (103 cases) at the age varying from 11 months and 17 years were available for the examination after the surgical treatment. The secretory phase of exudative otitis media was diagnosed in 23.5% of the children, mucous phase in 68%, and fibrous phase in 8.5%. The results of the study indicate that diagnostics of EOM requires the application of such methods as otomicroscopy, endoscopy, and tympanometry. Computed tomography of temporal bones may be helpful to distinguish between the complicated cases of exudative otitis media and other diseases of the middle ear. Tympanostomy is possible to perform in the secretory phase of the disease and in all the patients at the mucous and fibrous stages. The preferred localization of tympanostomy is thea ntero-inferior quadrant of the tympanic membrane. It is recommended to place long-term ventilation tubes in the children presenting with recurrent EOM and labial or palatal cleft. The authors managed to achieve the 97.6% effectiveness of the surgical treatment of exudative otitis media. The 12-24 month long follow-up period is recommended.
- [The potential of simultaneous surgery in rhinology]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (3):48-50.
The objective of the present work was to analyse the results of simultaneous rhinosurgical interventions and substantiate the possibility of their wider application for the improvement of the outcomes of the treatment of the patients presenting with diseases of the nose and paranasal sinuses. The clinical observations of 1661 patients following rhinosurgical operations are reported. Simultaneous interventions were performed on 756 of them (45.5%); their classification and character are described. The advantages of one-step rhinosurgery are discussed, the relevance and good prospects for the more extensive application of this approach are emphasized.