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Vestn Otorinolaringol [journal]
- [Peculiarities of blood supply of palatal tonsils and the potential risk of hemorrhage during tonsillectomy: the literature review and case report]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (1):75-8.
The present review encompasses the publications concerning peculiarities of blood supply of palatal tonsils, the frequency and variants of the anomalous structure of internal carotid artery. Analysis of the literature data has shown that the anomalous vascular structure is one of the important risk factors of the development of intra- and postoperative hemorrhage, besides redundant blood supply of the oropharynx, inflammatory changes in the tissue of tonsils and peritonsillar region. Special attention is given to the peculiarities of diagnostics of such conditions. The emphasis is laid on the importance of timely diagnostics of the anomalous structural changes in the main vessels of the neck prior to the surgical intervention on the pharynx. The analysis of the anomalous structure of internal carotid artery is presented.
- [Spontaneous nasal liquorrhea and the Sternberg canal: scientific hypothesis and personal experience]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (1):70-4.
Spontaneous nasal liquorrhea (SNL) is a pathological condition previously regarded as a casuistic one but increasingly frequently described in the current literature. The present review is focused on the causes of SNL, such as the anomalous anatomical structure of the nasal cavity and paranasal sinuses. One of the variants of the anatomical structure is the so-called Sternberg canal. Its anatomical structure and formation in the course of embryonic development are described. The presence of the Sternberg canal in the adult subjects is considered to be the main cause underlying SNL and meningoencephalocele originating from the lateral parts of the sphenoidal sinus. The main variants of the endoscopic endonasal approach for the treatment of the fluid fistulas located in the lateral parts of the sphenoidal sinuses are described. A series of the original authors' observations is reported including 173 patients presenting with SN l who were operated in 1999-2011.
- [Otogenic intracranial disorders: topical problems of diagnostics and treatment]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (1):64-9.
The present paper summarized the recently published data on the prevalence, etiology, pathogenesis, diagnostics, and treatment of otogenic intracranial complications. The results of statistical analysis of the prevalence of otogenic intracranial complications are presented in conjunction with the data on their structure and the frequency of selected nosological forms. The authors emphasize the importance of the problems concerning the choice of the therapeutic strategy for the management of otogenic intracranial complications. Special attention is given to the peculiarities of antibacterial treatment of various forms of otogenic intracranial infection.
- [Modern approaches to antimicrobial and anti-inflammatory photodynamic therapy in otorhinolaryngology]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (1):60-3.
The objective of the present study was to analyse the currently available methods and possibilities for antimicrobial photodynamic therapy (PDT) in medicine with special reference to otorhinolaryngology. The results of the treatment of 300 patients with various suppurative ENT pathologies using antimicrobial PDT were subjected to the analysis. It made it possible to elucidate the mechanisms and parameters of photodynamic treatment and to reveal disadvantages of the modern methods of antimicrobial photodynamic therapy. Special attention is given to the management of acute inflammation in the laryngopharynx and to the topical problems of up-to-date antimicrobial PDT.
- [Optimization of the pedagogical process at the department of otorhinolaryngology]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (1):82-5.
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]. [English Abstract, 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]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (1):58-9.
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.
- [Rational antibacterial therapy of acute inflammatory ENT disorders]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (1):55-7.
The present communication is designed to overview the current data on the classification, etiology, and treatment of acute inflammatory ENT disorders based on the international experience. The results of analysis of on-going studies on the effectiveness of antibiotic therapy of acute inflammatory ENT disorders are considered. It is concluded that antibiotic therapy is currently the most efficacious method for the treatment of the patients presenting with these diseases accompanied by purulent discharge and elevated temperature. Recommendations on rational antibacterial therapy of acute inflammatory ENT disorders are proposed.
- [The use of cone beam computed tomography for diagnostics of chronic suppurative otitis media]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (1):52-4.
The objective of the present study was to estimate the potential of cone beam computed tomography of the temporal bone as a diagnostic tool for chronic suppurative otitis media. This method was employed to study the temporal bones of 33 patients presenting with chronic suppurative otitis media (18 cases of one-sided and 15 cases of two-sided inflammatory process). The results of the total of 48 sessions of beam computed tomography of the temporal bones were available for analysis. The age of the patients varied from 16 to 80 years. Seven of them presented with chronic suppurative otitis media in combination with cholesteatoma. The clinical symptoms of chronic suppurative otitis media were revealed by cone beam computed tomography in conjunction with the peculiarities of visualization of bone tissue destruction using this technique (both in the presence of cholesteatoma and without it). The rationale has been developed for the use of cone beam computed tomography in diagnostics of chronic suppurative otitis media.
- [The application of essential oils for the treatment of acute rhinitis in the breastfed infants]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (1):49-51.
Specific features of the clinical course of acute rhinitis in the breastfed infants are described in conjunction with the approaches to the treatment of this condition. Special attention is given to the possibilities of inhalation of essential oils for this purpose. The results of the estimation of the effectiveness and tolerability of these substances are discussed with special reference to the "Dyshi" composition designed for monotherapy of infectious rhinitis in the children during the first year of life.