Vestnik otorinolaringologii (Vestn Otorinolaringol )

Description

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  • 5-year impact
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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 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 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: 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: 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;
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    ABSTRACT: The analysis of the literature publications and original clinical observations (27 cases) provided a basis for the consideration and generalization of the results of the combined radical surgical treatment of common cancer of paranasal sinuses with the elements of craniobasal and craniofascial plastic reconstruction of the postoperative cavities with a view to optimization of radiotherapy and radioprotection of the intact tissues. The role of the proposed methods in the combined treatment of cancer of paranasal sinuses is evaluated. Special emphasis is laid on the importance of radioprotection for the prevention of radiation-induced epitheliitis in the reconstructed cavities following resection of the upper jaw, sino-orbital exenteration, and hemifacial resection.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: The objective of the present study was to determine the main lines of the development of a regional cochlear implantation centre and to estimate the effectiveness of rehabilitation of the children treated with the use of cochlear implantation. Analysis of the results of the work of the branch of the Russian Research and Practical Centre of Audiology and Hearing Rehabilitation based at Voronezh Regional Children's Clinical Hospital No 1 provided materials for the establishment of the principle directions of activities of the regional cochlear implantation centre where a total of 161 children have been kept under observation during the last years. Fifty six of the 138 children at the age varying from 1 to 12 years were given the surgical treatment. The patients were followed up within two and more years after connection of the speech processor. The study group was comprised only of the pre-lingually deaf children. It is concluded that the performance of most cochlear implantation procedures based at local centres allows to reduce the cost of rehabilitation and makes the high-tech medical aid more readily available to the patients; moreover, the practical introduction of remote speech processor programming software into the work of regional cochlear implantation centres enhances the effectiveness of the rehabilitative measures based at local medical facilities.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: The objective of the present work was to study the morphofuntcional changes in maxillary sinus mucosa of the patients with odontogenic maxillary sinusitis (OMS) associated with the presence of a foreign body depending on its duration. A total of 105 hospitalized patients were examined and operated. Biopsy samples taken from mucosa and contents of the maxillary sinuses during surgery were investigated. The histological study included the standard sample processing followed by paraffin embedding of the material and staining of the micropreparations with hematoxylin and eosin. It was shown that foreign bodies present in the maxillary sinuses cause marked structural reorganization of the mucous membrane usually with the predominance of hypertrophic and polypous changes.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: 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.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: The author presents information about the new regulations for diagnostics of occupational hearing impairment included in the technical documentation of the Russian Ministry of Health and Social Development and Ministry of Health governing provision of medical assistance to the subjects suffering from occupational hearing impairment and establishing the new rules for the compulsory prophylactic examination (preliminary and periodic) of the candidates for employment in the noisy environment. In addition, the newly-established criteria for the estimation of hearing impairment and occupational fitness of the subjects presenting with this condition are considered. The advantages of the new regulations are discussed along with their drawbacks that require further correction.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: The objective of the present work was to study characteristics of the blood coagulation system in the patients presenting with vascular ENT tumours including the following parameters: a complete blood count, hemorrhage, coagulation, retraction, and blood clot lysis times. The patients with ENT hemangiomas experienced hypocoagulation in the preoperative period in combination with the predominance of the fibrinolytic processes and elevated levels of free heparin. These changes can be interpreted as a protective reaction to prevent intravascular coagulation in the case of the slow blood flow in hemangiomatous cavities. The results of the study indicate that the prophylactic administration of inhibitors of enhanced fibrinolysis in the preoperative period may be dangerous for the patients presenting with hemangiomas because suppression of this adaptive response prior to surgery is likely to promote massive microcoagulation under the influence of tissue thromboplastin.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: 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.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: The objective of the present study was to elucidate the causes of late detection of malignant neoplasms of ENT and oral cavity and low survival of the patents with these tumours in Moscow. The secondary objective was to elaborate the organizational measures for reducing the level of negligence and mortality from these malignancies among the city population. It was shown that the main cause behind the negligence is the late application of the patients for the medical assistance. Next in importance are asymptomatic clinical course of the disease in the absence of the pathognomonic and early signs of malignant neoplasms, a combination of several pathologies, imperfection of medical knowledge, and the poor resolving power of the modern methods. It is emphasized that the lack of vigilance against cancer among the practicing health providers is one of the main causes of medical errors. A few ways to address the problem of negligence with respect to malignant neoplasms of ENT and oral cavity in Moscow are proposed.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: Disability due to the loss of hearing is one of the main challenges to public health services and social protection of the population. The results of analysis performed by the author indicate the necessity of the comprehensive approach to the solution of disability problems for all social groups of the population. Special attention should be paid to the subpopulation of the able-bodied subjects with hearing disorders who need special medical and social rehabilitative measures to be developed and applied.
    Vestnik otorinolaringologii 01/2014;
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    ABSTRACT: The objective of the present work was to study specific approaches of tympanometry in the premature infants of different gestational age. A total of 122 typmanograms (243 ears) were available for the analysis. Peculiarities of recording tympanograms and their characteristics in the premature infants of different gestational age (including static compliance, intratympanic pressure, and tympanogram width) have been demonstrated. The optimal frequency of tympanometry in the premature infants of different gestational age was determined.
    Vestnik otorinolaringologii 01/2014;

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