21
Vestn Otorinolaringol
. 2020;85(1):68-73. doi: 10.17116/otorino20208501168.
[The Effectiveness of Local Therapy of Acute Inflammatory Diseases of the Upper Respiratory Tract]
[Article in Russian]
V S Kozlov 1, E L Savlevich 1, S A Gorbunov 1, D I Felshin 2
Affiliations expand
PMID: 32241993 DOI: 10.17116/otorino20208501168
Abstract in English , Russian
Acute bacterial rhinosinusitis (ABRS) is one of the most common diseases in outpatient practice with a steady tendency to increase of complicated forms in recent years. The risk of antibiotic resistance makes it necessary to search for effective pathogenetic methods of ABRS treatment.
Objective: To evaluate the efficacy of inhalation therapy with compressor nebulizer using Fluimucil Antibiotic IT in the treatment of ABRS and acute laryngotracheitis in outpatient practice.
Material and methods: Patients with ABRS were divided into two sex- and age-matched groups of 26 people each. The first group was treated with 250 mg of Fluimucil Antibiotic IT inhalations by the use of Norditalia HI-NEB compressor nebulizer once a day. The second group was treated with amoxicillin/clavulanate 875 mg + 125 mg orally two times a day.
Results: In the first group, the cough disappeared significantly earlier (on day 5-6) than in the second group (on day 7-8). In the first group, nasal congestion also disappeared significantly earlier (on day 3-5) than in the second group (on day 4-6). There was no significant difference in the reduction of intoxication syndrome and nasal secretions in both groups.
Conclusion: Local antibacterial and mucolytic therapy in the initial stages of ABRS and acute laryngotracheitis reduces rhinological symptoms and coughing, similar to systemic antibacterial therapy. The use of Fluimucil Antibiotic IT in the early stages of the treatment provides an opportunity to avoid systemic antibiotics, which reduces the risk of antibiotic resistance as well as side effects in patients.
Keywords: Fluimucil Antibiotic IT; acute bacterial rhinosinusitis; acute laryngotracheitis; compressor nebulizer; inhalation; visually analogue scale (VAS).
supplementary info
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22
Vestn Otorinolaringol
. 2020;85(1):102-108. doi: 10.17116/otorino202085011102.
[External and Internal Nasal Valve. Diagnostic and Treatment Methods for Dysfunction]
[Article in Russian]
E A Gilifanov 1, B A Lepeyko 2, L B Ardeeva 1, I V Ivanets 3, T V Tilik 4, T P Klemeshova 5, A V Prokhorenko 6, P I Sulimova 7
Affiliations expand
PMID: 32242000 DOI: 10.17116/otorino202085011102
Abstract in English , Russian
The purpose of the work is the analysis of diagnostic methods of nasal valve dysfunction according to Pubmed database and national medical journals during the period from 1997 to 2019. A brief analysis of the definition of the zones of the external and internal nasal valve, diagnostic methods, including external nasal dilators, spiral computed tomography, assessment of the degree of displacement of the nasal wing using various aspirators is given. Various methods for treating nasal valve dysfunction, such as external and internal dilators, strengthening the nasal wings, suture techniques, expanding the edge of the pear-shaped hole, implantation of absorbable polymers into the side wall of the nose are critically evaluated. Our own original correction method is described for dysfunction of the external nasal valve caused by the vertically located legs of the inferior lateral cartilage.
Keywords: nasal valve; nasal valve dysfunction; treatment of nasal valve dysfunction.
supplementary info
Publication typesexpand
Proceed to details Cite
Share
23
Vestn Otorinolaringol
. 2020;85(2):37-40. doi: 10.17116/otorino20208502137.
[Modification of the Method for Closing the Defect of the Medial Wall of the Maxillary Sinus]
[Article in Russian]
D A Shcherbakov 1, A S Krotova 2, T A Aleksanyan 3
Affiliations expand
PMID: 32476387 DOI: 10.17116/otorino20208502137
Abstract in English , Russian
Pathological ventilation of the maxillary sinus (MS) is one of the risk factors for the formation of chronic maxillary sinusitis.
Purpose of study: Is to evaluate the effectiveness of the method of restoring the medial wall of the MS with an autograft - a quadrangular cartilage of the nasal septum using the butterfly technique (Patent Application No. 2018140468, priority of 11/19/2018).
Material and methods: The study included patients who underwent septoplasty, endoscopic surgery on the MS with plasty of the medial wall of the MS (1st, main group, n=136), as well as patients who underwent surgery according to Caldwell-Luc with the formation of persistent nasoantral anastomosis in the lower nasal passage (2nd, control group, n=56). The criteria for the inclusion of patients in the study were as follows: the presence of MS fungal body; inverted papilloma with lesions of the MS; cysts and/or a foreign body of the MS with localization in the alveolar bay without involving the natural anastomosis in the pathological process; concomitant 3rd or 4th, or 5th or 6th types of curvature of the nasal septum according to R. Mladina (1987). An objective assessment of the condition of the patients was carried out using the SNOT-22 clinical questionnaire, and for analysis the state of aerodynamics of the nasal cavity and MS in patients of various groups after surgical treatment used the method of computational aerodynamics.
Results: In patients with nasoantral ostium in the lower nasal meatus, the pathological maxillary sinus aeration one was observed. It is recommended to close the nasoantral ostium to prevent violations of the aerodynamics of the nasal cavity and the maxillary sinus during surgery through the lower nasal meatus.
Conclusion: Our proposed method for closing a defect in the lower nasal passage is effective. The autograft is well established, contributes to the speedy restoration of normal sinus aerodynamics.
Keywords: endoscopic surgery; maxillary sinus; nasoantral anastomosis; quadrangular cartilage.
supplementary info
Publication typesexpand
Proceed to details Cite
Share
24
Vestn Otorinolaringol
. 2020;85(1):60-63. doi: 10.17116/otorino20208501160.
[Fungal Otitis Externa in Children: Principles of Diagnosis and Rational Therapy]
[Article in Russian]
A I Kryukov 1, N L Kunelskaya 1, V Ya Kunelskaya 2, A Yu Ivoylov 3, G B Shadrin 2, A I Machulin 4
Affiliations expand
PMID: 32241991 DOI: 10.17116/otorino20208501160
Abstract in English , Russian
Aim: To study the current diagnosis and treatment of fungal inflammation of the external auditory canal in children. This article summarizes the literature on predisposing factors for the occurrence of fungal infections of the external auditory canal in children.
Patients and methods: In this study, we present modern approaches to the diagnosis and treatment of external fungal otitis media in children depending on the isolated genus and species of fungus.
Results: We established that, according to the study conducted from 2015 to 2017 in the L.I. Sverzhevskiy Clinical Research Institute of Otorhinolaryngology, the incidence of the external fungal otitis media in children is 13,0%. The primary causative agents of fungal inflammation are fungi of the genera Aspergillus, Candida and Geotrichum.
Conclusion: In the presented study, the rationale for the selected treatment regimen was made based on data obtained during microbiological studies.
Keywords: 1% clotrimazole solution; 1% naphthyphine solution; Aspergillus mold fungi; Candida yeast-like fungi; External fungal otitis media; Geotrichum dimorphic fungi; children.
supplementary info
Publication typesexpand
Proceed to details Cite
Share
25
Vestn Otorinolaringol
. 2020;85(1):97-101. doi: 10.17116/otorino20208501197.
[Features and Effectiveness of Endoscopic Sinus Surgery in Children]
[Article in Russian]
Yu Yu Rusetsky 1, U S Malyavina 1, I Yu Meytel 1, O A Spiranskaya 1
Affiliations expand
PMID: 32241999 DOI: 10.17116/otorino20208501197
Abstract in English , Russian
The concept of modern functional endonasal sinus surgery in the pediatric population is based on sparing, minimally invasive interventions within the middle nasal passage, mainly the ostiomeatal complex, performed taking into account modern knowledge of the physiology of the nasal cavity and paranasal sinuses, as a result of which normal can be restored as soon as possible aerodynamics in the nasal cavity; respiratory and other functions of the nasal cavity and paranasal sinus are restored. The article presents the history, modern principles and indications for pediatric sinus surgery. The features of preparation, management of the postoperative period and the effectiveness of sinus surgery in the age aspect are described.
Keywords: chronic rhinosinusitis; maxillary sinus; sinus surgery.
supplementary info
Publication typesexpand
Proceed to details Cite
Share
26
Vestn Otorinolaringol
. 2020;85(1):40-44. doi: 10.17116/otorino20208501140.
[Screening Audiological Control in Children of Different Ages After Taking Ototoxic Medications]
[Article in Russian]
M R Bogomilsky 1, Yu S Ishanova 2, I V Rakhmanova 2, I N Dyakonova 3, O G Zonenko 4, P V Shumilov 4
Affiliations expand
PMID: 32241987 DOI: 10.17116/otorino20208501140
Abstract in English , Russian
Aim: To compare auditory function during screening of children of different age groups who received ototoxic therapy.
Patients and methods: Auditory function was studied in various categories of children receiving ototoxic drugs. Hearing was assessed by the registration of distortion product otoacoustic emission (DPOAE), short-latency evoked potentials (SLEP), tympanometry. Statistical processing was performed using the C program Statgraphics Centurion XV.
Results: In this study, screening of auditory function in children suffering from cystic fibrosis and receiving ototoxic treatment revealed pathologic conditions of the middle ear according to tympanometry in 15.4% of cases, impaired auditory function in 28.2% of cases according to DPOAE. Early ototoxicosis presented as a decrease in the amplitude of the response at a frequency of 4 kHz, and a change in the structure of the DP-gram in the form of a shift to the low-frequency area. Examination of the auditory function of premature infants receiving potentially ototoxic drugs in the early neonatal period demonstrated that the administration of ototoxic drugs does not affect the maturation of outer hair cells.
Conclusion: Audiological control, such as tympanometry and registration of evoked otoacoustic remission should be included in the outpatient observation of children with a history of ototoxic drugs.
Keywords: audiological screening; cystic fibrosis; otoacoustic emission; ototoxic drugs; premature infants.
supplementary info
Publication typesexpand
Proceed to details Cite
Share
27
Vestn Otorinolaringol
. 2020;85(1):109-114. doi: 10.17116/otorino202085011109.
[Optimization of Treatment of Patients With Acute Bacterial Rhinosinusitis With Relating Allergic Rhinitis]
[Article in Russian]
V M Svistushkin 1, G N Nikiforova 1, E A Shevchik 1, A V Zolotova 1
Affiliations expand
PMID: 32242001 DOI: 10.17116/otorino202085011109
Abstract in English , Russian
The article considers the problem of acute rhinosinusitis and its multifactorial relationship with allergic rhinitis. Data on a higher incidence of acute rhinosinusitis in patients with an allergic background is given, which is primarily associated with a deterioration in the state of the respiratory tract mucous membrane barrier function. It is shown that local allergic inflammation causes a more severe course of acute rhinosinusitis. A review of the combined course of these pathological processes is carried out and options for their treatment are considered. A study of the clinical use of the complex preparation Frinosol is described, which, thanks to the combination of a nasal decongestant and an antihistamine in its composition, effectively alleviates the symptoms of acute rhinosinusitis in patients with allergic rhinitis. It has been shown that the use of Frinosol in the complex treatment of adult patients with acute bacterial rhinosinusitis, combined with allergic rhinitis is safe and effective.
Keywords: Frinosol; acute rhinosinusitis; allergic rhinitis; antihistamines; nasal decongestants.
supplementary info
Publication typesexpand
Proceed to details Cite
Share
28
Vestn Otorinolaringol
. 2020;85(1):83-87. doi: 10.17116/otorino20208501183.
[Auditory Tube Dysfunction in Children (Literature Review, Part 1)]
[Article in Russian]
A Yu Ivoylov 1, E V Garov 2, I V Bodrova 3, V V Yanovsky 2, P A Sudarev 2, Z N Morozova 2, T G Martirosyan 2, Z S Ibragimova 4
Affiliations expand
PMID: 32241996 DOI: 10.17116/otorino20208501183
Abstract in English , Russian
We present the review of the literature on the anatomical and physiological features of the structure of the auditory tube in children, epidemiology, etiology, and the pathogenesis of the formation of auditory tube dysfunction is presented. The first part of the article presents in more detail the structural and functional differences in the Eustachian tube in children, the classification and mechanism of the occurrence of the auditory tube dysfunction in pediatric practice.
Keywords: anatomical and physiological features; auditory tube; auditory tube dysfunction; childhood; etiology; pathogenesis.
supplementary info
Publication typesexpand
Proceed to details Cite
Share
29
Vestn Otorinolaringol
. 2020;85(1):94-96. doi: 10.17116/otorino20208501194.
[A New Approach to Bilateral Atresia Joan Newborns]
[Article in Russian]
V I Egorov 1, V Yu Tyukin 1, A I Saydulaeva 1, V I Gililov 1
Affiliations expand
PMID: 32241998 DOI: 10.17116/otorino20208501194
Abstract in English , Russian
This article presents a new method which allows to prevent cicatricial atresia of the lumen of joan in the late postoperative period during their formation. By this method there is a patent No. 2614936 from 30.03.2017. In the Department of otorhinolaryngology, the SBHI of MAMRRCI n.a. M.F. Vladimirsky since 2010 operated on 20 children with the use of a new stent (a new technique). In the treatment of children with congenital atresia joan used the algorithm of diagnosis, definition of indications to the volume of operations and surgical procedure - transseptal/transnasal access the formation of choan.
Keywords: atresia of the nasal cavity; choanal atresia; congenital choanal atresia; imperforate choanal openings.
supplementary info
Publication typesexpand
Proceed to details Cite
Share
30
Vestn Otorinolaringol
. 2020;85(2):31-36. doi: 10.17116/otorino20208502131.
[The State of Regional Lymph Nodes in Chronic Tonsillitis According to Ultrasound]
[Article in Russian]
D V Trukhin 1 2, I A Kim 1 2, E V Nosulya 3, A I Kryukov 2 3, I V Rychkova 2, Sh G Gadzhiibragimov 3, K G Romanova 4
Affiliations expand
PMID: 32476386 DOI: 10.17116/otorino20208502131
Abstract in English , Russian
Despite the variety of chronic tonsillitis clinical symptoms, none of the known signs of this disease is typical for it.
Purpose of study: Is development of a method for differential diagnosis of complicated (toxic-allergic) and uncomplicated (simple) forms of chronic tonsillitis.
Methods: 147 patients were divided into 2 groups: 1) 61 (42%) - with a simple form and 2) 86 (58%) - with a toxic-allergic form of chronic tonsillitis of the II degree. Patients underwent ultrasound examination of regional lymph nodes, to determine their localization, quantity (single, multiple), shape, size and structure.
Results: According to ultrasound data, it was revealed that for the simple form of chronic tonsillitis the following characteristics of the lymph nodes were typical - bean-like form, single, clear contours, homogeneous central parts and reduced vascularization; for the toxic-allergic form of chronic tonsillitis, the following characteristics of lymph nodes were revealed - oval shape, lymph nodes conglomerates, hypoechoic central parts, increased vascularization and irregular shape of the gates.
Conclusion: The proposed method allows to quickly and efficiently conduct differential diagnosis of chronic tonsillitis. This technique is easily reproducible in the conditions of any (outpatient, inpatient) medical facility using standard equipment for ultrasound examination, does not require the use of any drugs.
Keywords: chronic tonsillitis; diagnisis; lymph nodes; ultrasound.
supplementary info
Publication typesexpand
Proceed to details Cite
Share
Vestn Otorinolaringol
. 2020;85(1):68-73. doi: 10.17116/otorino20208501168.
[The Effectiveness of Local Therapy of Acute Inflammatory Diseases of the Upper Respiratory Tract]
[Article in Russian]
V S Kozlov 1, E L Savlevich 1, S A Gorbunov 1, D I Felshin 2
Affiliations expand
PMID: 32241993 DOI: 10.17116/otorino20208501168
Abstract in English , Russian
Acute bacterial rhinosinusitis (ABRS) is one of the most common diseases in outpatient practice with a steady tendency to increase of complicated forms in recent years. The risk of antibiotic resistance makes it necessary to search for effective pathogenetic methods of ABRS treatment.
Objective: To evaluate the efficacy of inhalation therapy with compressor nebulizer using Fluimucil Antibiotic IT in the treatment of ABRS and acute laryngotracheitis in outpatient practice.
Material and methods: Patients with ABRS were divided into two sex- and age-matched groups of 26 people each. The first group was treated with 250 mg of Fluimucil Antibiotic IT inhalations by the use of Norditalia HI-NEB compressor nebulizer once a day. The second group was treated with amoxicillin/clavulanate 875 mg + 125 mg orally two times a day.
Results: In the first group, the cough disappeared significantly earlier (on day 5-6) than in the second group (on day 7-8). In the first group, nasal congestion also disappeared significantly earlier (on day 3-5) than in the second group (on day 4-6). There was no significant difference in the reduction of intoxication syndrome and nasal secretions in both groups.
Conclusion: Local antibacterial and mucolytic therapy in the initial stages of ABRS and acute laryngotracheitis reduces rhinological symptoms and coughing, similar to systemic antibacterial therapy. The use of Fluimucil Antibiotic IT in the early stages of the treatment provides an opportunity to avoid systemic antibiotics, which reduces the risk of antibiotic resistance as well as side effects in patients.
Keywords: Fluimucil Antibiotic IT; acute bacterial rhinosinusitis; acute laryngotracheitis; compressor nebulizer; inhalation; visually analogue scale (VAS).
supplementary info
Publication typesexpand
Proceed to details Cite
Share
22
Vestn Otorinolaringol
. 2020;85(1):102-108. doi: 10.17116/otorino202085011102.
[External and Internal Nasal Valve. Diagnostic and Treatment Methods for Dysfunction]
[Article in Russian]
E A Gilifanov 1, B A Lepeyko 2, L B Ardeeva 1, I V Ivanets 3, T V Tilik 4, T P Klemeshova 5, A V Prokhorenko 6, P I Sulimova 7
Affiliations expand
PMID: 32242000 DOI: 10.17116/otorino202085011102
Abstract in English , Russian
The purpose of the work is the analysis of diagnostic methods of nasal valve dysfunction according to Pubmed database and national medical journals during the period from 1997 to 2019. A brief analysis of the definition of the zones of the external and internal nasal valve, diagnostic methods, including external nasal dilators, spiral computed tomography, assessment of the degree of displacement of the nasal wing using various aspirators is given. Various methods for treating nasal valve dysfunction, such as external and internal dilators, strengthening the nasal wings, suture techniques, expanding the edge of the pear-shaped hole, implantation of absorbable polymers into the side wall of the nose are critically evaluated. Our own original correction method is described for dysfunction of the external nasal valve caused by the vertically located legs of the inferior lateral cartilage.
Keywords: nasal valve; nasal valve dysfunction; treatment of nasal valve dysfunction.
supplementary info
Publication typesexpand
Proceed to details Cite
Share
23
Vestn Otorinolaringol
. 2020;85(2):37-40. doi: 10.17116/otorino20208502137.
[Modification of the Method for Closing the Defect of the Medial Wall of the Maxillary Sinus]
[Article in Russian]
D A Shcherbakov 1, A S Krotova 2, T A Aleksanyan 3
Affiliations expand
PMID: 32476387 DOI: 10.17116/otorino20208502137
Abstract in English , Russian
Pathological ventilation of the maxillary sinus (MS) is one of the risk factors for the formation of chronic maxillary sinusitis.
Purpose of study: Is to evaluate the effectiveness of the method of restoring the medial wall of the MS with an autograft - a quadrangular cartilage of the nasal septum using the butterfly technique (Patent Application No. 2018140468, priority of 11/19/2018).
Material and methods: The study included patients who underwent septoplasty, endoscopic surgery on the MS with plasty of the medial wall of the MS (1st, main group, n=136), as well as patients who underwent surgery according to Caldwell-Luc with the formation of persistent nasoantral anastomosis in the lower nasal passage (2nd, control group, n=56). The criteria for the inclusion of patients in the study were as follows: the presence of MS fungal body; inverted papilloma with lesions of the MS; cysts and/or a foreign body of the MS with localization in the alveolar bay without involving the natural anastomosis in the pathological process; concomitant 3rd or 4th, or 5th or 6th types of curvature of the nasal septum according to R. Mladina (1987). An objective assessment of the condition of the patients was carried out using the SNOT-22 clinical questionnaire, and for analysis the state of aerodynamics of the nasal cavity and MS in patients of various groups after surgical treatment used the method of computational aerodynamics.
Results: In patients with nasoantral ostium in the lower nasal meatus, the pathological maxillary sinus aeration one was observed. It is recommended to close the nasoantral ostium to prevent violations of the aerodynamics of the nasal cavity and the maxillary sinus during surgery through the lower nasal meatus.
Conclusion: Our proposed method for closing a defect in the lower nasal passage is effective. The autograft is well established, contributes to the speedy restoration of normal sinus aerodynamics.
Keywords: endoscopic surgery; maxillary sinus; nasoantral anastomosis; quadrangular cartilage.
supplementary info
Publication typesexpand
Proceed to details Cite
Share
24
Vestn Otorinolaringol
. 2020;85(1):60-63. doi: 10.17116/otorino20208501160.
[Fungal Otitis Externa in Children: Principles of Diagnosis and Rational Therapy]
[Article in Russian]
A I Kryukov 1, N L Kunelskaya 1, V Ya Kunelskaya 2, A Yu Ivoylov 3, G B Shadrin 2, A I Machulin 4
Affiliations expand
PMID: 32241991 DOI: 10.17116/otorino20208501160
Abstract in English , Russian
Aim: To study the current diagnosis and treatment of fungal inflammation of the external auditory canal in children. This article summarizes the literature on predisposing factors for the occurrence of fungal infections of the external auditory canal in children.
Patients and methods: In this study, we present modern approaches to the diagnosis and treatment of external fungal otitis media in children depending on the isolated genus and species of fungus.
Results: We established that, according to the study conducted from 2015 to 2017 in the L.I. Sverzhevskiy Clinical Research Institute of Otorhinolaryngology, the incidence of the external fungal otitis media in children is 13,0%. The primary causative agents of fungal inflammation are fungi of the genera Aspergillus, Candida and Geotrichum.
Conclusion: In the presented study, the rationale for the selected treatment regimen was made based on data obtained during microbiological studies.
Keywords: 1% clotrimazole solution; 1% naphthyphine solution; Aspergillus mold fungi; Candida yeast-like fungi; External fungal otitis media; Geotrichum dimorphic fungi; children.
supplementary info
Publication typesexpand
Proceed to details Cite
Share
25
Vestn Otorinolaringol
. 2020;85(1):97-101. doi: 10.17116/otorino20208501197.
[Features and Effectiveness of Endoscopic Sinus Surgery in Children]
[Article in Russian]
Yu Yu Rusetsky 1, U S Malyavina 1, I Yu Meytel 1, O A Spiranskaya 1
Affiliations expand
PMID: 32241999 DOI: 10.17116/otorino20208501197
Abstract in English , Russian
The concept of modern functional endonasal sinus surgery in the pediatric population is based on sparing, minimally invasive interventions within the middle nasal passage, mainly the ostiomeatal complex, performed taking into account modern knowledge of the physiology of the nasal cavity and paranasal sinuses, as a result of which normal can be restored as soon as possible aerodynamics in the nasal cavity; respiratory and other functions of the nasal cavity and paranasal sinus are restored. The article presents the history, modern principles and indications for pediatric sinus surgery. The features of preparation, management of the postoperative period and the effectiveness of sinus surgery in the age aspect are described.
Keywords: chronic rhinosinusitis; maxillary sinus; sinus surgery.
supplementary info
Publication typesexpand
Proceed to details Cite
Share
26
Vestn Otorinolaringol
. 2020;85(1):40-44. doi: 10.17116/otorino20208501140.
[Screening Audiological Control in Children of Different Ages After Taking Ototoxic Medications]
[Article in Russian]
M R Bogomilsky 1, Yu S Ishanova 2, I V Rakhmanova 2, I N Dyakonova 3, O G Zonenko 4, P V Shumilov 4
Affiliations expand
PMID: 32241987 DOI: 10.17116/otorino20208501140
Abstract in English , Russian
Aim: To compare auditory function during screening of children of different age groups who received ototoxic therapy.
Patients and methods: Auditory function was studied in various categories of children receiving ototoxic drugs. Hearing was assessed by the registration of distortion product otoacoustic emission (DPOAE), short-latency evoked potentials (SLEP), tympanometry. Statistical processing was performed using the C program Statgraphics Centurion XV.
Results: In this study, screening of auditory function in children suffering from cystic fibrosis and receiving ototoxic treatment revealed pathologic conditions of the middle ear according to tympanometry in 15.4% of cases, impaired auditory function in 28.2% of cases according to DPOAE. Early ototoxicosis presented as a decrease in the amplitude of the response at a frequency of 4 kHz, and a change in the structure of the DP-gram in the form of a shift to the low-frequency area. Examination of the auditory function of premature infants receiving potentially ototoxic drugs in the early neonatal period demonstrated that the administration of ototoxic drugs does not affect the maturation of outer hair cells.
Conclusion: Audiological control, such as tympanometry and registration of evoked otoacoustic remission should be included in the outpatient observation of children with a history of ototoxic drugs.
Keywords: audiological screening; cystic fibrosis; otoacoustic emission; ototoxic drugs; premature infants.
supplementary info
Publication typesexpand
Proceed to details Cite
Share
27
Vestn Otorinolaringol
. 2020;85(1):109-114. doi: 10.17116/otorino202085011109.
[Optimization of Treatment of Patients With Acute Bacterial Rhinosinusitis With Relating Allergic Rhinitis]
[Article in Russian]
V M Svistushkin 1, G N Nikiforova 1, E A Shevchik 1, A V Zolotova 1
Affiliations expand
PMID: 32242001 DOI: 10.17116/otorino202085011109
Abstract in English , Russian
The article considers the problem of acute rhinosinusitis and its multifactorial relationship with allergic rhinitis. Data on a higher incidence of acute rhinosinusitis in patients with an allergic background is given, which is primarily associated with a deterioration in the state of the respiratory tract mucous membrane barrier function. It is shown that local allergic inflammation causes a more severe course of acute rhinosinusitis. A review of the combined course of these pathological processes is carried out and options for their treatment are considered. A study of the clinical use of the complex preparation Frinosol is described, which, thanks to the combination of a nasal decongestant and an antihistamine in its composition, effectively alleviates the symptoms of acute rhinosinusitis in patients with allergic rhinitis. It has been shown that the use of Frinosol in the complex treatment of adult patients with acute bacterial rhinosinusitis, combined with allergic rhinitis is safe and effective.
Keywords: Frinosol; acute rhinosinusitis; allergic rhinitis; antihistamines; nasal decongestants.
supplementary info
Publication typesexpand
Proceed to details Cite
Share
28
Vestn Otorinolaringol
. 2020;85(1):83-87. doi: 10.17116/otorino20208501183.
[Auditory Tube Dysfunction in Children (Literature Review, Part 1)]
[Article in Russian]
A Yu Ivoylov 1, E V Garov 2, I V Bodrova 3, V V Yanovsky 2, P A Sudarev 2, Z N Morozova 2, T G Martirosyan 2, Z S Ibragimova 4
Affiliations expand
PMID: 32241996 DOI: 10.17116/otorino20208501183
Abstract in English , Russian
We present the review of the literature on the anatomical and physiological features of the structure of the auditory tube in children, epidemiology, etiology, and the pathogenesis of the formation of auditory tube dysfunction is presented. The first part of the article presents in more detail the structural and functional differences in the Eustachian tube in children, the classification and mechanism of the occurrence of the auditory tube dysfunction in pediatric practice.
Keywords: anatomical and physiological features; auditory tube; auditory tube dysfunction; childhood; etiology; pathogenesis.
supplementary info
Publication typesexpand
Proceed to details Cite
Share
29
Vestn Otorinolaringol
. 2020;85(1):94-96. doi: 10.17116/otorino20208501194.
[A New Approach to Bilateral Atresia Joan Newborns]
[Article in Russian]
V I Egorov 1, V Yu Tyukin 1, A I Saydulaeva 1, V I Gililov 1
Affiliations expand
PMID: 32241998 DOI: 10.17116/otorino20208501194
Abstract in English , Russian
This article presents a new method which allows to prevent cicatricial atresia of the lumen of joan in the late postoperative period during their formation. By this method there is a patent No. 2614936 from 30.03.2017. In the Department of otorhinolaryngology, the SBHI of MAMRRCI n.a. M.F. Vladimirsky since 2010 operated on 20 children with the use of a new stent (a new technique). In the treatment of children with congenital atresia joan used the algorithm of diagnosis, definition of indications to the volume of operations and surgical procedure - transseptal/transnasal access the formation of choan.
Keywords: atresia of the nasal cavity; choanal atresia; congenital choanal atresia; imperforate choanal openings.
supplementary info
Publication typesexpand
Proceed to details Cite
Share
30
Vestn Otorinolaringol
. 2020;85(2):31-36. doi: 10.17116/otorino20208502131.
[The State of Regional Lymph Nodes in Chronic Tonsillitis According to Ultrasound]
[Article in Russian]
D V Trukhin 1 2, I A Kim 1 2, E V Nosulya 3, A I Kryukov 2 3, I V Rychkova 2, Sh G Gadzhiibragimov 3, K G Romanova 4
Affiliations expand
PMID: 32476386 DOI: 10.17116/otorino20208502131
Abstract in English , Russian
Despite the variety of chronic tonsillitis clinical symptoms, none of the known signs of this disease is typical for it.
Purpose of study: Is development of a method for differential diagnosis of complicated (toxic-allergic) and uncomplicated (simple) forms of chronic tonsillitis.
Methods: 147 patients were divided into 2 groups: 1) 61 (42%) - with a simple form and 2) 86 (58%) - with a toxic-allergic form of chronic tonsillitis of the II degree. Patients underwent ultrasound examination of regional lymph nodes, to determine their localization, quantity (single, multiple), shape, size and structure.
Results: According to ultrasound data, it was revealed that for the simple form of chronic tonsillitis the following characteristics of the lymph nodes were typical - bean-like form, single, clear contours, homogeneous central parts and reduced vascularization; for the toxic-allergic form of chronic tonsillitis, the following characteristics of lymph nodes were revealed - oval shape, lymph nodes conglomerates, hypoechoic central parts, increased vascularization and irregular shape of the gates.
Conclusion: The proposed method allows to quickly and efficiently conduct differential diagnosis of chronic tonsillitis. This technique is easily reproducible in the conditions of any (outpatient, inpatient) medical facility using standard equipment for ultrasound examination, does not require the use of any drugs.
Keywords: chronic tonsillitis; diagnisis; lymph nodes; ultrasound.
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