Vestnik otorinolaringologii (Vestn Otorinolaringol )

Description

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  • Other titles
    Vestnik otorinolaringologiĭ
  • ISSN
    0042-4668
  • OCLC
    1777883
  • Material type
    Periodical
  • Document type
    Journal / Magazine / Newspaper

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: 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.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: The objective of the present study was to standardize the frequency of objective evaluation of the hearing function in the children presenting with acute inflammatory diseases of the middle ear at the level of the outpatient treatment. The studies carried out to this effect with the use of modern and readily available audiological method revealed functional disorders in the middle ear of more than 50% of the children suffering from acute non-perforative otitis even after the elimination of the clinical signs of inflammation. The complete restoration of the functional state of the middle ear was documented in all the patients following the rehabilitative treatment. The authors proposed the algorithm for the examination of the children presenting with acute inflammatory diseases of the middle ear with special reference to the optimal frequency of diagnostic studies.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: The objective of the present study was to collect objective information about the hearing function in the prematurely born infants suffering intrauterine growth retardation (IUGR). The audiological examination of 77 patients at the age of 12 months was performed using two different methods making use of distortion product otoacoustic emission (DPOAE) and evoked auditory steady state responses (ASSRs). Hearing disorders were diagnosed in the children presenting with grade II and III IUGR born prior to the 34th week of pregnancy. The results of the study indicate that the children with grade II and III intrauterine growth retardation born earlier than the 34th week of pregnancy are at risk of developing hearing impairment and should be under dynamic audiological observation with the use of two objective methods, namely DPOAE and ASSR.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: 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.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: 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.
    Vestnik otorinolaringologii 01/2014;
  • Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: We have developed the new method for the analysis and visualization of the fine temporal structure of the transient evoked otoacoustic emission signal. The method consists of the presentation of the signal in the form of a set of tone components with a rapidly changing amplitude and relatively stable frequency. It is based on the combination of three spectrograms differing in frequency and temporal resolution by means of fuzzy logic amplitude estimation with subsequent frequency refining with the use of the least square procedure, reduction of the number of the insignificant components, and final re-ordering of the results for the simplification of further data processing. The new method was named Pitch Envelope Analysis (PEA). For data representation, a new type of diagram named componentogram was designed. The proposed method can be used for the real time processing of the continuous data stream especially for speech processing.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: 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.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: The objective of the present study was to evaluate the effectiveness ascoril therapy in comparison with the treatment using the mucoactive agent lazolvanom in the adult patients suffering from productive cough associated with acute viral respiratory infection. Patients and methods. The study included 120 patients suffering from productive cough associated with acute viral respiratory infection. They were divided into two groups. The patients comprising group 1 (n=6.) were treated with ascoril, those in group 2 (n=60) were given lasolvan. Results. The effectiveness of the treatment of cough in group 1 was found to be higher compared with that in group 2 (p<0.05); moreover, it was associated with better dynamics of certain indicators of the quality of life, such as the social activity level, vitality, and general health (p<0.05). The safety of the proposed treatment was confirmed by the absence of the adverse events throughout the entire treatment period.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: The objective of the present study was the characteristic of the sense of smell and comparison of its peculiarities in the patients presenting with Parkinson's disease and polypous sinusitis based on the results of otorhinolaryngological examination with the use of the Sniffin' Sticks test. A total of 31 patients with polypous rhinosinusitis (PRS) (18 men and 17 women at the age of 44-58 years ) and 97 patients with Parkinson's disease (PD) (47 men and 50 women at the age of 50-56 years) were enrolled in the study. It was shown that 85% of the patients with PRS and PD suffered from olfactory disorders. The evaluation of selected parameters determined by the Sniffin' Sticks test demonstrated the impairment of the sense of smell in 48% of the patients with PRS and in 54% of those having PD. The main difference between the two groups was in the odour threshold that was reduced in 97% of the patients with PRS and in 72% of the cases with PD and in the ability to distinguish between odours that was compromised in 37% and 78% of these patients respectively.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: The objective of the present study was to estimate the effectiveness of the herbal preparation tonsilgon N exhibiting the anti-inflammatory and immunostimulating properties for the treatment of the children presenting with pathology of a pharyngeal tonsil. A total of 62 children at the age varying from 3 to 11 years with chronic adenoiditis (CA) were available for the examination. The study group was comprised of 32 children, the control one included 30 patients. The study has demonstrated the improvement of daytime nasal breathing in the study group compared with the control patients by 15% on day 5, by 30% on day 7, and by 73% on day 9 after the onset of the treatment. The intensity of rhinorrhea in the children treated with the herbal preparation decreased sooner than in the control group. Nasal breathing at night improved as soon as day 5 after the onset of therapy. However, the difference between the treated and control children was statistically significant only on day 7 whereas night-time nasal breathing on day 9 improved in the study group by 1.4 times compared with the control one. It is concluded that the inclusion of therapy with tonsilgon N in the combined treatment of the children presenting with chronic adenoiditis increases its effectiveness and accelerates the process of reconvalescence. Tonsilgon N is a safe medication suitable for the prolonged application.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: The Russian Federation similar to many other countries witnesses the continuous rise in the number of patients undergoing bilateral cochlear implantation. The objective of the present study was to estimate the effectiveness of rehabilitation following bilateral cochlear implantation. A total of 28 patients admitted to the Russian Research and Practical Centre of Audiology and Hearing Rehabilitation between 2011 and 2012 were available for the examination with the use of tonal threshold audiometry. Twenty one patient underwent sequential cochlear implantation, simultaneous implantation was effected in the remaining 7 ones. The patients were tested by a speech therapist. The tonal threshold audiometry in the free sound field showed that the auditory thresholds corresponded to grade I hearing impairment. Free-field sound perception threshold in the bilaterally implanted patients with two active speech processors was significantly better than in those having one speech processor. All the patients exhibited binaural summation effect. Surdopedagogical testing revealed positive dynamics of the speech development. The positive dynamics was especially well apparent pronounced in the patients operated simultaneously or when the period between two implantations did not exceed 1 year. A reduction of the duration of the period between two surgical interventions resulted in the decreased difference between sound perception in two ears, improvement of sound localization, and acceleration of speech development. All the patients showed good speech recognition in the complex acoustic environment and the ability to locate sounds.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: The objective of the present work was to study various stages of morphogenesis of the stromal tissue of nasal polyps. The materials for the investigation were harvested during endoscopic polypotomies in the nose. They were used to obtain the preparations that were stained by the histological and histochemical methods. The immunochemical studies were carried out using monoclonal antibodies against differentiation clusters, such as CD20, CD31, and vascular endothelial growth factor (VEGF). The study has demonstrated that the growth and evolution of the nasal polyps are accompanied by sequential alterations in the morphological structure of their stromal tissue. The results of the investigations were used to develop the original classification of the selected stages of morphogenesis of the stromal tissue of nasal polyps. The following stages were distinguished: edematous one, inflammatory cellular infiltration, fibrous cirrhotic alterations, and vasculogenesis or neoangiogenesis.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: The objective of the present work was to study the contribution of biofilms to the development of chronic bacterial rhinosinusitis. A total of 50 patients with this pathology were available for the examination. Mucosal swabs were taken from the middle nasal passages of all the patients to be used for the detection of biofilms by luminescence microscopy. The lactoferrine content in mucosal secretion from the nasal cavity was determined by an immunoenzymatic assay. Two groups of the patients presenting with bacterial rhinosinusitis were distinguished in the study of impression smears from nasal cavity mucosa by luminescence microscopy; one of them was comprised of biofilm-positive patients the other of biofilm-negative ones (56% and 44% respectively). The patients showing biofilms over nasal cavity mucosa had the lactoferrine content in mucosal secretion on the order of 0.0033±0.0008 mg/l compared with 0.0068±0.00075 mg/l in the biofilm-negative patients and 0.55±0.0005 mg/l in the healthy volunteers (controls). In other words, the biofilm-positive patients presenting with chronic bacterial rhinosinusitis had two times lower content of lactoferrine in mucosal secretion from the middle nasal passages than those in the biofilm negative group and 126 times lower content of lactoferrine than in the control group.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: This paper reports a clinical case that gives evidence of the possibility of cochlear implantation after liver transplantation. Patient K. aged 3 years 10 months was admitted to the Russian Research and Practical Centre of Audiology and Hearing Rehabilitation with the diagnosis of type IB glycogenosis after maternal liver transplantation associated with chronic neutropenia, chronic cutaneous and mucosal infection, partial symptomatic partial epilepsy, retarded psycho-motor development, and complaints of the absence of auditory response. The audiological examination provided materials for the diagnosis of grade IV bilateral sensorineural hearing loss tending toward deafness. Cochlear implantation recommended to the patient was performed on February 20, 2013 using the HiRes 90 K implant with the HiFocus Helix electrode (Advanced Bionics, USA). The surgical intervention and the postoperative period passed without complications. The speech processor was activated one month after surgery. The results of surdopedagogical testing gave evidence of successful rehabilitation promising the further improvement. It is concluded that immunosuppressive therapy is not an absolute contraindication for cochlear implantation, but this procedure requires detailed examination and thorough preparation for the forthcoming surgery.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: Auditory neuropathies (auditory neuropathy spectrum disorders, ANSD) may be a consequence of dysfunction of inner hair cells and/or of synapses between these cells and auditory nerve fibers. Another cause of these disorders is supposed to be pathological changes in the auditory nerve itself. The outcome of the rehabilitative treatment of the patients presenting with this disorder depends on the quality of diagnosis and precise location of the pathological process. The present study involved 82 patients with auditory neuropathies. The audiological data obtained in the course of this work were compared with the results of other authors published during the recent years. The objective audiological examination included electrocochleography, registration of auditory brainstem response (ABR) and otoacoustic emission of short-latency and long-latency evoked auditory nerve action potentials. High-amplitude cochlear microphonic and transient evoked otoacoustic emission (TEOAE) potentials were recorded in 82 patients. In 17 (20.7%) patients, otoacoustic emission disappeared in the course of time even though the microphonic potential remained stable. It was shown that the results of electrical acoustic correction in the patients exhibiting long-latency evoked auditory action potentials and positive ABR to electrical stimulation (positive promontory test) were better than in the remaining cases. The outcome of cochlear implantation to a large extent depended on the localization of the pathological process. Specifically, the results of the treatment of the patients with high-amplitude summation potentials, prolonged latency, and positive auditory action potentials in response to electrical stimulation (typical of pre-synaptic localization of the pathological process) were better than in the patients with normal summation potentials, pathological auditory nerve action potentials, TEOAE, and negative ABR to electrical stimulation (indicative of post-synaptic localization of the pathological process). In the latter group of patients, the results of cochlear implantation were far from being satisfactory. It is concluded that additional information facilitating categorization of the pathological process can be obtained by the identification of the genetic mutations responsible for the development of auditory neuropathies.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: The objective of the present work was to improve the effectiveness of early diagnostics, prophylaxis, and correction of hearing impairment in the patients presenting with congenital primary hypothyroidism (CPH). The results of observation of 73 cases indicate that the late onset of substitution therapy of CPH with levothyroxine has no negative effect on the hearing function. The prevalence of hearing impairment was shown to depend on the etiological variant of CPH.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: The objective of the present study was to determine the amount of products of lipid peroxidation (dienic conjugates and malonic dialdehydes) together with antioxidative enzymes (catalase and superoxide dismutase) in 47 children presenting with acute pyo-inflammatory otitis media (APIOM) and 125 patients with chronic suppurative mesotympanitis (CSMT). In addition, 49 children presenting with chronic suppurative epitympanitis (CSET) and chronic suppurative epimesotympanitis (CSEMT) were included in the study. The data obtained were analysed and compared with the similar characteristics of 28 healthy children of the same age comprising the control group. The age of the children in different groups varied between 2 and 14 years. The study revealed the increase in the amount of lipid peroxidation products in all the groups with the simultaneous reduction of the activity of antioxidative enzymes; moreover, these values changed depending on the form and clinical course of the disease.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: This work was designed to carry out the postmortem evaluation of the potential of using a multi-angle endoscope for endonasal surgical interventions on the ethmoidal and sphenoidal sinuses. The study was performed on 5 fresh cadavers (10 sides). It was shown that the range of the angles and directions of view during dissection of ethmoidal sinuses is 10-50 degrees and 360 degrees respectively. The use of an Acclarent Cyclops endoscope made it possible to visualize all walls of the sphenoidal sinus through the enlarged aperture which confirms the higher effectiveness of this instrument compared with the traditional endoscopes having the fixed angle of view of 0, 30, 45, and 70 degrees. The disadvantages of the Acclarent Cyclops endoscope are its heavier weight and a somewhat poorer quality of the screen image of the operative field.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: 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.
    Vestnik otorinolaringologii 01/2014;