Vestnik otorinolaringologii Journal Impact Factor & Information

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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

  • Vestnik otorinolaringologii 09/2015; 80(3):86-8.
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    ABSTRACT: The objective of the present study was to summarize the data of the current literature publications concerning the tonsillar biotope under the normal conditions and in the course of the development of the pathological process. Specific microbiological characteristics of the potential causative agents of tonsillar pathology are considered. The structural, immunological, and genetic prerequisites for the for progress of infection are discussed with special reference to the morphological and functional changes in the tissue of palatine tonsils associated with different forms of the disease and the mechanisms underlying immunopathological conditions and metatonsillar complications.
    Vestnik otorinolaringologii 09/2015; 80(3):65-70.
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    ABSTRACT: Chronic suppurative otitis media has for many years remained one of the most serious forms otorhinolaryngological pathology in the children since its exacerbation may lead to the life-threatening extra- and intracranial complications. This disease is a most frequent cause of the loss of hearing in the childhood. The present paper is designed to present the analytical review of the relevant literature publications and compare its results with the original observations of the authors. Special attention is given to the etiopathogentic, therapeutic, and diagnostic aspects of exacerbation of chronic inflammatory pathology of the middle ear in the children. The most challenging problems of prophylaxis of this disease are discussed along with the available approached to their solution with the use of moderm methods for its diagnostics, conservative and surgical treatment.
    Vestnik otorinolaringologii 09/2015; 80(3):71-4.
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    ABSTRACT: This paper reports the literature data summarizing the recent achievements in the field of rehabilitation of the patients suffering from deafness and serious impairment of hearing with the use of cochlear implantation. Much attention is given to the limitations of the modern strategies of signal processing and the prospects for the further development of scientific research in this area. Special emphasis is laid on recent progress in audiology including the binaural cochlear implant technology and the electroacoustic stimulation facilitating significant improvement in the outcomes of rehabilitation of the patients. Also, the prospects for the further developments in the field of construction of the new cochlear implantations systems, the novel algorithms for information processing, and the original therapeutic modalities designed to stimulated the growth of axonal processed of the spiral ganglion and their outgrowths into the electrode system.
    Vestnik otorinolaringologii 09/2015; 80(3):4-9.
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    ABSTRACT: The article summarizes 15 years of experience of the use of moxifloxacin (Avelox) in Russia in patients with acute bacterial rhinosinusitis. Emphasize its high bactericidal activity against a broad spectrum of microorganisms- from basic agents to the atypical and anaerobic microflora. The results of these studies suggest the continued effectiveness of the dosage of 400 mg a short course (7 days) over 15 years of practical use of the drug, which in its clinical efficacy is superior to amoxicillin/clavulanate, cefuroxime axetil and levofloxacin. The safety profile of moxifloxacin, studied at the population level is not associated with an increased risk of adverse effects in compliance with the dosing regimen, taking into account the indications and contraindications.
    Vestnik otorinolaringologii 09/2015; 80(3):75-9.
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    ABSTRACT: Teaching otorhinolaryngology in East Siberia based at the Medical Faculty of East-Siberian Medical University dates back to 1922. The first lecturer was A.D. Bolotov who represented the Moscow medical school headed by professor von-Stein. The Department of Clinic of Otorhinolaryngology were founded in 1924. The building of the Irkutsk Clinic of diseases of the ear, throat and nose and of the Moscowvon-Stein Hospital was financed by Bazanovs, the family of Russian merchants and gold producers. During different periods, the Department Otorhinolaryngology at the Irkutsk State Medical University was headed by associate professor A.S. Nikolaev, professors A,T, Bondarenko, I'V. Gol'dfarb, and Krukover, associated professor A.P. Misharin, V.A. Filenius, professors A.G. Shanturov and E.V. Nosulya, candudates of medical sciences S.V. Dudkin and M.V. Subbotina. The authors describe the main stages in the development of the Department of Otorhinolaryngology of the Irkutsk State Medical University the special reference to its key activities and achievement.
    Vestnik otorinolaringologii 09/2015; 80(3):80-5.
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    ABSTRACT: The present article is focused on the detailed analysis of the history of a patient suffering from combined dizziness including the entire course of the disease, the complicating complex of complaints, and the increasing number of abnormal components of the patient's condition. The specific features of various nosological forms of the disease are described as arising from different clinical entities causing vertigo. The special emphasis is laid on the diagnostic algorithm for the elucidation of these disorders.
    Vestnik otorinolaringologii 08/2015; 80(3):54-6.
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    ABSTRACT: The objective of the present study was to improve the effectiveness of early diagnostics and prophylaxis of hearing disturbances in the children presenting with various chronic diseases. As is known, there are several dozens of neurologic disorders associated with hearing disorders. By way of example, there is a group of nephropathologies responsible for the loss of hearing in the children. Specifically, hearing impairment can be one of the symptoms of diabetes mellitus. The patients presenting with mucopolysaccharidosis make up a group at risk of hearing impairment. Sensorineural loss of hearing is widespread among the children presenting with coeliac disease. The protocols for the treatment of certain pathologies envisage the application of certain medications possessed of the cytotoxic activity, such as preparations for chemo- and radiotherapy or cytostatic agents that suppress cell proliferation when applied for the management of some autoimmune diseases. It is concluded that cooperation between health providers representing different medical disciplines may be instrumental in the organization of efficacious screening for the detection of children with severe chronic pathology.
    Vestnik otorinolaringologii 08/2015; 80(3):18-22.
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    ABSTRACT: The objective of the present study was to clarify the characteristic pathognomonic features of middle ear lesions associated with tuberculosis and the approaches to their diagnostics under the present-day conditions. The study included 11 cases (18 ears) of tuberculosis otitis media and the related lesions of the mastoid process diagnosed with the use of clinical, roentgenological, cytological, bacteriological, pathomorphological, and molecular-genetic methods (including PCR diagnostics). The primary localization of tuberculosis in the middle ear was documented in 6 patients; in 5 patients, it was associated with pulmonary involvement. Five patients presented with smoldering exudative otitis media and the remaining six ones with suppurative perforating otitis media. The tuberculous process was diagnosed with the use of various methods including clinical examination, bacteriological (9%), cytological (27.3%), pathomorphological (18%) studies, and PCR diagnostics (55%). Diagnosis was made within a period from 1 month to 1.5 years after the application of the patients for medical assistance which suggests the difficulty of verification of tuberculous etiology of the disease of the middle ear. It is concluded that the high index of suspicion in the case of smoldering middle ear pathology facilitates its early diagnostics and successful treatment.
    Vestnik otorinolaringologii 08/2015; 80(3):28-34.
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    ABSTRACT: The objective of the present study was to estimate the influence of gastroesophageal reflux disease (GERD) on the pH values in the pharynx and nose. It included 87 patients at the age varying from 18 to 81 years admitted to the Irkutsk-based Railway Clinical Hospital and allocated to four groups. Group 1 was comprised of 25 patients presenting with gastroesophageal reflux disease and chronic rhinosinusitis (CRS), group 2 consisted of 29 patients with CRS in the absence of GERD, group 3 included 22 patients with nasal septum deformations (NSD) and GERD, group 4 included 11 patients with NSD and motor rhinitis without GERD. The control group was formed from 10 volunteers. pH was measured by the contact method with the use ofEkokhim indicator paper. Gastroesophageal reflux disease was diagnosed following the recommendations of the Montreal consensus. It was shown that pH values in the pharynx of the patients with compromised nasal breathing of any origin in combination with GERD were lower than in the absence of GERD and in the healthy volunteers. The study groups did not differ in terms of pH values in the nasal cavity. It is concluded that pH values 4 or lower may serve as the criterion for pharyngo-laryngeal reflux (PLR) concomitant with HERD while pH 5 occurs more frequently in the patients with compromised nasal breathing of any etiology, regardless of the presence or absence of GERD.Disordered nasal breathing of any genesis in the patients presenting with gastroesophageal reflux disease was associated with the feeling of the lump in the throat, congestion of the respiratory tract and the nose, pain in the ears, cardialgia, and irregular heartbeat. It isrecommended to use pH measurements as a criterion for diagnostics of pharyngo-laryngeal reflux in the patients presenting with gastroesophageal reflux disease.
    Vestnik otorinolaringologii 08/2015; 80(3):35-9.
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    ABSTRACT: The objective of the present study was the clinical and neurophysiological analysis of the observations of a 42 year-old female patient suffering from benign paroxysmalpositional dizziness (BPPD) associated with the lesion of the posterior semicircular canal. The dynamic evaluation of the utricular function was performed during eccentric rotation of the patient in the vestibulometric chair at a speed of 300 degrees. The chair together with the patients was atomatically displaced during the rotation 3.5--4.0 cm to the right or left off the vertical axis, and the error in subjective perception of the deviation from the vertical was estimated. The saccular function was evaluated by recording cervical vestibular evoked myogenic potentials. The symptoms of BPPD were found to completely disappear after the eccentric rotation. Not a single spell of benign paroxysmalpositional dizziness was documented within 6 months after the eccentric rotation. The mechanisms underlying the elimination of these symptoms as a result of eccentric rotation are discussed.
    Vestnik otorinolaringologii 08/2015; 80(3):50-3.
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    ABSTRACT: The objective of the present publication was to demonstrate changes in the socio-psychological status of the children with cochlear implants in the course of postoperative psycho-pedagogical rehabilitation. Another objective was to draw attention to the necessity of the acquisition of the new professional skills by the teachers of the deaf and hard of hearing subjects, speech and language pathologists. Special attention is given to the substantiation of dynamic psycho-pedagogical classification of the children with a cochlear implant that should reflect the process of professional reorientation of the aforementioned specialists in the course of rehabilitation of their patients.
    Vestnik otorinolaringologii 08/2015; 80(3):23-4.
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    ABSTRACT: The objective of the present study was to summarize the data of the special literature concerning methods of the surgical treatment of odontogenic maxillary sinusitis complicated by the alveolar fistula with the purpose of using them for the improvement of the effectiveness of the treatment of the patients presenting with this pathology. The study group was comprised of 39 patients with odontogenic diseases of paranasal sinuses and alveolar fistulas. The alveolar fistulas were closed in 20 patients by means of plastic surgery with the use of a lyophilized xenodermograft prepared from the pig's skin. Not a single case of relapse of the inflammatory process in the maxillary sinuseswas documented within one year after the treatment by means of the closure of the alveolar fistula using the lyophilizedxenodermografts.
    Vestnik otorinolaringologii 08/2015; 80(3):45-6.
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    ABSTRACT: The present article reports the results of a clinical study of the new wireless device CR120 designed for the intraoperative registration of electrode resistance and the electrically evoked compound action potential (EAP) of the acoustical nerve by means of neural response telemetry. The study has demonstrated the high effectiveness of the application of the new wireless device in clinical practice. It was shown that the registration of electrically evoked compound action potential with the help of the CR120 Intraoperative Remote Assistant took 22% less time than by the conventional method (p<0.001). Moreover, the trial revealed the strong correlation between the threshold EAP values recorded with the use of the new device and by the classical method.
    Vestnik otorinolaringologii 08/2015; 80(3):14-7.
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    ABSTRACT: This paper presents in brief the data on epidemiology, classification, diagnostics, and current tendencies in the surgical treatment of cholesteatoma of the pyramid of the temporal bone. A clinical case of diagnostics and the surgical treatment ofpetrous apex cholesteatomainthe temporal bone is described.
    Vestnik otorinolaringologii 08/2015; 80(3):57-60.
  • Vestnik otorinolaringologii 08/2015; 80(3):61-2.
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    ABSTRACT: The objective of the present study was to characterize the peculiarities oforganization of pedagogical rehabilitation for the children with a cochlear implant and to demonstrate the most effective forms of their upbringing and education. Special attention is given to the organization ofsuch work during the preschool period with reference to potential difficulties encountered in the education of the children suffering a delay in the speech development.
    Vestnik otorinolaringologii 08/2015; 80(3):25-7.
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    ABSTRACT: The objective of the present study was to improve the effectiveness of the treatment of intractable dysfunctionof the Eustachian tube responsible for the relapses of catarrhal and exudative otitis media. The authors developed the diaphragmatic slot valve integrated into the silicone tympanic shunt tube. The proposed diaphragmatic slot valve was shown to counterbalance extra- and intratympanic pressure at the experimentally found compression threshold equaling 123.06 daPa. This original functional shunt ensured the continuous functioning of tensor tympani muscle and maintained tympano-tubal innervation. The comprehensive examination and treatment encompassed 104 patients (104 ears) presenting with long-standing dysfunction of the Eustachian tube. In 52 patients (52 ears), otitis media was treated with the use of the functional shunt tube and in the remaining 52 (52 ears) with the standard silicone shunt tube. The comparative analysis has demonstrated that the effectiveness of the treatment of intractable dysfunctionof the Eustachian tube can be increased by 13.3% using the functional tympanic shunt. Simultaneously, this method made it possible to totally normalize the ventilation function of the Eustachian tube in 51 (98.1%) patients. The duration of the treatment with the use of the functional shunt tube averaged 42.11±8.46 days (in the patients with catarrhal inflammation of the middle ear) and 59.03±7.17 days (in the case of exudative otitis media) which was 42.9% and 37.3% shorter respectively than the duration of the traditional treatment (p<0.5).
    Vestnik otorinolaringologii 08/2015; 80(3):40-4.
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    ABSTRACT: This paper highlights clinical and diagnostic aspects of tonsillar pathology with special reference to modern methods for the treatment of pharyngeal diseases of different etiology. A detailed characteristic of local symptomatic therapy is presented including the use of NSAIDs (non-steroidal anti-inflammatory drugs). These agents have advantages over other medications for local therapy due to high anti-inflammatory and analgesic activities. Also, they significantly improve the patients' quality of life. The use of a local anti-inflammatory drug is a major component of the treatment of inflammatory pharyngeal pathology. Regardless of the nature of the disease, either bacterial or viral.
    Vestnik otorinolaringologii 08/2015; 80(3):47-9.
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    ABSTRACT: The present paper reports a clinical case of local syphilitic meningoencephalitis known as Argyll-Robertson syndrome and manifested in the form of acute sensorineural loss of hearing. The patient was a 46 year old resident of the city of Irkutsk. He experienced the sharp impairment of hearing involving both ears with the accompanying feeling of dizziness, disturbed orientation of the locomotorbehaviour, the lurching gate, subfebrility, the loss of the ability to speak and write. The diagnosis was based on the presence of anisocoria, the absence of consensual pupillary reaction to the light, weak atropine action on the pupils, well expressed positive results of the VRDL (blood) and RW (liquor) tests, an enhanced signal from the left temporal region in the T-2 regime during MRI, positive hearing dynamics within 12 hours after the onset of anti-inflammatory, antibacterial and infusion therapy. The specific feature of the clinical case being considered is differential diagnostics was performed with the purpose of distinguishing it from otogenic brain abscess associated with chronic left-hand mesotympanitis.
    Vestnik otorinolaringologii 08/2015; 80(3):63-4.