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Vestn Otorinolaringol [journal]
- [The creative career of professor Yu. I. Krasilnikov, the honoured physician of the Russian federation]. [Journal Article]
- Vestn Otorinolaringol 2014; (4):78-9.
- [The concept of the development of the otorhinolaryngological service in Moscow under conditions of modernization of the healthcare system and single-channel funding]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (4):71-7.
This paper highlights the complex of organizational and socio-economic measures designed to modify the healthcare system in the city of Moscow, improve the quality of medical aid, and ensure its availability for the urban population. The proposed methods were developed based on the results of analysis of the data obtained in the course of checking the work of the otorhinolaryngological services of the city, analysis of effectiveness of using the hospital stock in the therapeutic and prophylactic facilities of Moscow.
- [The problems of education in otosurgery: the current state-of-the-art]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (4):67-70.
An overview of the current problems of education in ear surgery is presented. The methods used for the purpose including the classical dissection of the temporal bone, application of synthetic and natural (animal) temporal bones are described alongside with the 3D models of the temporal bone and virtual dissection. In addition, the review covers the problem of enhancing effectiveness of the teaching methods, considers their advantages and disadvantages.
- [Comparative effectiveness of preparations for cerumenolysis]. [Journal Article]
- Vestn Otorinolaringol 2014; (4):63-6.
- [Diagnosis and treatment of allergic rhinitis aggravated by respiratory tract infection]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (4):59-62.
The objective of the present paper was to propose an optimal scope of diagnostic studies for the patients complaining of rhinitis symptoms for the early detection of allergic rhinitis, including a differential diagnosis with associated respiratory tract infections. A comprehensive treatment is offered including the use of vasoconstrictors and antihistamines, eliminationand immunocorrectivetherapy with Ribomunyl.
- [The transtympanic administration of steroids for the treatment of acute sensorineural hearing impairment]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (4):55-8.
The objective of the present study was to compare the effectiveness of two methods (transtympanic and intravenous) administration of steroids and standard therapy for the treatment of the patients presenting with acute sensorineural hearing impairment (OSNHI).The study included 56 patients with this pathology. 18 of them were given transtympanic injections of steroids; 10 others received steroids intravenously in the combination with standard therapy. 28 patients were treated by the standard therapy alone. The effectiveness of the treatment was estimated by means of tonal threshold audiometry.None of the patients in the first group enjoined total normalization of hearing. Its improvement by 10-29 dB was documented in 22 (78.6%) patients. In the second group hearing improved by 15-20 dB in 4 (40%) and by 5-10 dB in 6 (60%) patients. In the third group, 14 (77.7%) patients reported improvement of hearing and reduced noise as early as the first puncture. By the time of discharge from the hospital, their hearing improved by 30-40 dB while the 15-20 dB improvement was documented in 2 (11.1%) patients and the 5-10 dB improvement in another 2 (11.1%) patients. The study has demonstrated the high effectiveness of glucocorticoid therapy especially in the case of transtympanic administration of these steroids.
- [The giant osteoma of the mastoid process of the temporal bone]. [Journal Article]
- Vestn Otorinolaringol 2014; (4):52-4.
- [The experimentally-based rationale for the application of the new methods designed to treat fungal adenoiditis in the children]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (4):49-51.
The objective of the present was to evaluate the influence of local anesthetics protargol, miramistin, chlorohexidine, and photodynamic therapy (PDT) on the polyresistant strain of Candida tropicalis isolated from a sick child presenting with fungal adenoiditis. In vitro experiments were designed to estimate the inactivation potential of the Candida tropicalis blastospore suspension (5.10⁷ CFU/ml) following the preliminary incubation with a 5 mcmol/l methylene blue solution. A Kreolka FDT apparatus operated at the 680 nm wavelength was employed as the source of radiation in a broad power and time ranges. Simultaneously, experiments were carried out to determine the minimum concentration of the protargol, miramistin, and chlorohexidine solutions inhibiting the growth of the same fungal strain. The minimum growth inhibitory concentrations of these solutions were found to be 0.1%, 0.005%, and 0.005% respectively. The photodynamic therapy using the minimal inhibitory dose of 150 J with a 5 min exposition and an output power of 0.5 W completely suppressed the growth of the Candida tropicalis colonies in the presence of methylene blue as the photosensitizer.
- [The influence of hormonal therapy on the development of rhinitis in the pregnant women]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (4):46-8.
The objective of the present study was to evaluate the influence of hormonal therapy used to correct the hormonal status of the pregnant women during different periods of gestation on the development of the nasal obstruction symptoms. A total of 53 case histories of the pregnant women (urban residents) were available for the analysis. In 2012, all the patients were under observation of an obstetrician-gyneciologist based at an outpatient setting. 16 of them (30.2%) suffered stuffness in the nose that was especially well pronounced during the II and III trimesters (37.5% in each trimester). Mild stuffness predominated over the moderate and strong ones (62.5, 18.75 and 18.75% respectively). The disturbed hormonal status was documented in 13 (81.75%) pregnant women in the form of reduced progesterone and human CG-beta levels and increased serum DHEA-C concentration. The hormonal status was corrected during the I and II trimesters. The women having very high serum DHEA-C concentration were treated with metypred; those with the low progesterone level were given utrogestan. In both groups, the diseases was especially well manifested in the early II trimester. It is conjectured that therapy with the use of progesterone and glucocorticoid-based preparations had no appreciable effect on the development of rhinitis in the pregnant women.
- [The clinical and polysomnographic characteristics of obstructive sleep apnea syndrome in the children]. [English Abstract, Journal Article]
- Vestn Otorinolaringol 2014; (4):42-5.
The objective of the present work was to study peculiarities of the neurological, ororhinolaryngological status of the children presenting with obstructive sleep apnea syndrome (OSAS) as well as their clinical and polysomnographic (PSG) sleep characteristics. A total of 15 children at the age from 6 to 9 years with OSAS confirmed by the PSG study were included in the investigation. All the children suffered nasal obstruction of different etiology and non-specific neurological complaints of transient headache, emotional lability, impaired memory, enhanced fatigue, and poor attention; these conditions were responsible for school desadaptation. All the patients underwent dyssomnic events. The polysomnographic study revealed the disordered sleep structure manifested as the shortened drowsiness phase, lengthened latent period of the rapid eye movement (REM) sleep and its reduced representation in the overall sleep cycle, enhanced duration of delta-sleep. The sleep alertness time also increased alongside with a rise in the number of activations on the sleep electroencephalograms by virtue of increased respiratory efforts. A characteristic feature of the children presenting with obstructive sleep apnea syndrome was vegetative disorder during sleep associated with a rise in the number of tachycardia episodes. The results of this study facilitate the understanding of certain pathogenetic aspects of neurological problems in the children suffering respiratory tract obstruction and OSAS and outline the problems awaiting further investigations.