Vestnik otorinolaringologii最新文献

{"title":"[Role of platelet-rich plasma in management of sensorineural hearing loss diseases].","authors":"Mahmoud Ahmed Shawky, Amira Ahmed Shawky, Nada Zakaria Zakaria","doi":"10.17116/otorino2026910114","DOIUrl":"10.17116/otorino2026910114","url":null,"abstract":"<p><p>Sensorineural deafness is a form of loss of hearing. It happens from damage to the cochlea. Platelet-rich plasma (PRP) is an autologous management derived from a case's blood and was observed to have pro-nerve regenerative characteristics. Intratympanic injection of PRP improves the cells of the hair of the inner ear, therefore enhancing the hearing.</p><p><strong>Objective: </strong>To show the effectiveness and safety of PRP in the management of sensorineural hearing loss (SNHL) diseases.</p><p><strong>Material and methods: </strong>150 patients who had sensorineural hearing loss because of different otological diseases, such as acoustic trauma, presbycusis, idiopathic sudden SNHL, in addition to Meniere's disease (MD). All cases received 4 times of intratympanic injections of PRP with one-week intervals between them.</p><p><strong>Results: </strong>In our research, 150 cases with SNHL diseases, as acoustic trauma, MD, presbycusis, and idiopathic sudden sensorineural hearing loss (ISSNHL) (68 (46.3%) males and 82 (54.6%) females) with age ranges from 18 to 78 years, received intratympanic injections of PRP. 50 patients with ISSNHL: 39 of them showed hearing improvement, with an average of 28 dB in pure tone audiometry (PTA) and 26% in speech discrimination. In acoustic trauma, 18 patients, 12 of them, showed hearing improvement, averaging 30 dB in PTA and 28% in speech discrimination. In presbycusis, 58 patients, 42 of them, showed an improvement in hearing of an average of 25 dB and 24% in speech discrimination. In Meniere's disease, 24 patients, 16 of them, showed an improvement in hearing of an average of 15 dB and 5% in speech discrimination.</p><p><strong>Conclusion: </strong>Platelet-rich plasma appears effective and safe for the management of sensorineural hearing loss with no systemic side effects as an oral steroid and at low cost.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 1","pages":"4-10"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A Comprehensive Regional Rehabilitation Program for Children with Hearing Impairments with Active Parental Involvement: The Ivanovo Region Experience].","authors":"M V Zhaburina, A S Machalov, N A Daykhes, E V Berezina, K A Blinova, Z G Goldina, T A Kurochkina, E V Ratmanova, D D Smirnova, A N Paladyuk","doi":"10.17116/otorino20269103160","DOIUrl":"10.17116/otorino20269103160","url":null,"abstract":"<p><strong>Background: </strong>The problem of hearing impairment in children remains of high medical and social significance, as it negatively affects speech development, social adaptation, and quality of life. Early rehabilitation plays a crucial role, and parental involvement is a key factor in success. In the Russian Federation, ear diseases account for 5% of the structure of childhood disability, necessitating the development of accessible regional rehabilitation programs with active family involvement.</p><p><strong>Objective: </strong>To present a comprehensive regional rehabilitation program for children with hearing impairments in the Ivanovo region, developed with the support of the National Medical Research Center for Otorhinolaryngology of the FMBA of Russia, and to describe its main modules aimed at actively involving parents in the process of hearing restoration, speech development, and social adaptation of the child.</p><p><strong>Materials and methods: </strong>This work is based on an analysis of the experience of implementing the regional program at the audiology department of the Ivanovo Regional Clinical Hospital with the participation of the Department of Otorhinolaryngology of Ivanovo State Medical University. The description is based on program documentation, session protocols, and interviews with participants (specialists and parents). A qualitative and descriptive analysis was conducted, identifying key modules, rehabilitation stages, and the roles of specialists.</p><p><strong>Results: </strong>The program includes comprehensive diagnostics (audiological, speech therapy, psychological), an individualized rehabilitation plan, and a differentiated approach for users of hearing aids and cochlear implants. Educational modules for parents have been developed: psychological education, training in device handling, communication strategies, parental coaching, psychological support, social navigation, monitoring, and supervision. Innovative components include theater therapy and vocal lessons, which contribute to the development of prosody and strengthen parent-child relationships. The program is implemented by a multidisciplinary team (audiologist, ENT physician, speech-language pathologist, psychologist, social worker, coordinator) in accordance with a calendar model (0-1 month, 1-6 months, 6-24 months, preschool and school stages). Distance learning formats are provided for families from remote areas.</p><p><strong>Conclusion: </strong>The regional program of the Ivanovo region represents an example of a comprehensive family-centered approach that integrates modern evidence-based rehabilitation methods. This experience can serve as a model for the development of similar programs in other regions. Further research will be aimed at quantitative evaluation of the effectiveness of the described modules.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 3","pages":"60-67"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Determination of significant parameters of the pyriform aperture in functional and surgical aspects. Part 1].","authors":"D S Pshennikov, V I Popadyuk","doi":"10.17116/otorino20269103152","DOIUrl":"10.17116/otorino20269103152","url":null,"abstract":"<p><p>Currently, scientific literature contains publications on the structure of the pyriform aperture (PA) in various ethnic groups, analyzing parameters such as the height and width of the PA at different levels, index, shape, and area. However, in most cases, these parameters are of anatomical rather than surgical significance.</p><p><p>The aim of this study is to determine additional parameters of the piriform aperture that will have practical surgical significance and to calculate their standards.</p><p><strong>Materials and methods: </strong>Piriform aperture parameters were determined using cone-beam computed tomography (CBCT) data from 577 adult patients from central Russia, classified as Central European Caucasians (≥18 years, 273 men, and 304 women). Participants were divided into homogeneous age groups (18-44, 45-59, 60-74, and ≥75 years).</p><p><strong>Results: </strong>Based on the functional importance of the anterior bony end of the inferior turbinate (IT), according to CBCT data we identified and determined the average values of 4 functional parameters in the PA region, which in men and women, respectively, are: the width of the nasal cavity at the level of the attachment site of the anterior bony end of the IT (22.85±1.89 and 22.45±1.89 mm), the width of the piriform aperture in the projection of the attachment site of the anterior bony end of the IT (22.95±1.87 and 22.24±1.76 mm), the length of the piriform ridge (2.10±0.08 and 2.05±0.09 mm) and the angle of the piriform ridge (91.73±1.07° and 87.30±0.94°).</p><p><strong>Conclusion: </strong>The results of this study should be included in the algorithm for examining patients before surgical treatment of chronic nasal obstruction when anatomical narrowing of the internal nasal valve is suspected.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 3","pages":"52-59"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Assessment of pain level and quality of life in children after otosurgical interventions].","authors":"A M Magomedova, I V Zyabkin, G A Polev","doi":"10.17116/otorino20269103129","DOIUrl":"https://doi.org/10.17116/otorino20269103129","url":null,"abstract":"<p><p>A personalized approach is particularly important in modern pediatric practice, as postoperative pain and surgery-related negative emotions can have a significant impact on a child's physical, emotional and social functioning. Otosurgical interventions are typically accompanied by pain, limitations in daily activities, and temporary hearing loss. Due to this, quality of life assessment is an important component of postoperative monitoring.</p><p><strong>Objective: </strong>To carry out a comparative assessment and analysis of pain and quality of life in children after middle ear surgery performed using the endoscopic transcanal and microscopic retroauricular approaches.</p><p><strong>Material and methods: </strong>The study included 45 children with chronic suppurative otitis media with cholesteatoma, divided into two groups: a group with the endoscopic transcanal approach and a group with the microscopic retroauricular approach. Quality of life assessment was performed 1 month after surgery using four modules of the validated Pediatric Quality of Life (PedsQL) questionnaire. Painful sensation assessment was performed using the Wong-Baker pain rating scale over four postoperative days.</p><p><strong>Results: </strong>Physical functioning indicators remained high in all patients, but declined in adolescents. Emotional functioning deteriorated proportionally with age. The endoscopic transcanal approach group demonstrated higher quality of life scores, especially in emotional and social functioning. The lowest level of changes was observed in children of the youngest age group.</p><p><strong>Conclusion: </strong>Endoscopic transauricular approach for sanitizing surgical interventions in children is associated with more favorable quality of life indicators compared to the microscopic retroauricular approach, as well as with less severe pain in the postoperative period. Further studies with larger samples are needed.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 3","pages":"29-33"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Endolaryngeal microsurgical CO2 laser resection of the larynx and laryngopharynx for locally advanced schwannoma].","authors":"A L Kozhanov, L G Kozhanov, V G Shatalov, A V Golovyakhina","doi":"10.17116/otorino20269101193","DOIUrl":"10.17116/otorino20269101193","url":null,"abstract":"<p><p>A rare clinical case of locally advanced schwannoma of the larynx and laryngopharynx is described. Endolaryngeal resection with a CO₂ laser was performed, the tumor was removed, and organ function was restored.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 1","pages":"93-96"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Pure-tone audiometry and ASSR to acoustic stimulation as predictors of speech intelligibility in ci-users].","authors":"I V Naumova, K I Voevodina, V G Kunitsyna, A V Pashkov, P A Rubinshtein, L S Namazova-Baranova, P L Vorobyeva","doi":"10.17116/otorino20269102112","DOIUrl":"10.17116/otorino20269102112","url":null,"abstract":"<p><strong>Objective: </strong>To compare the possibility of using behavioral thresholds and auditory steady-state responses in a free field in pediatric CI-users as predictors of speech intelligibility.</p><p><strong>Material and methods: </strong>170 CI-users with reliable behavioral feedback aged 6 to 17 years were included in the study. The assessment of behavioral thresholds and speech intelligibility was carried out in a free field. An objective assessment of sound perception was carried out in a free field by Auditory Steady State Responses (ASSR). A correlation analysis was performed between the indicators of speech intelligibility and the values of behavioral thresholds and ASSR.</p><p><strong>Results: </strong>A significant negative correlation (<i>p</i><0.01) of speech intelligibility and ASSR in all carrier frequencies was revealed. It makes possible to consider the threshold values ASSR in free field as a reliable predictor of speech intelligibility in silence. The relationship between speech intelligibility and behavioral thresholds was considered insignificant (in the range of all frequencies, <i>p</i> ≥0.05).</p><p><strong>Conclusion: </strong>The ability to accurately predict speech intelligibility based on auditory steady-state responses (ASSR) is a useful option for determination of the parameters of electrical stimulation in CI-users.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 2","pages":"12-18"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Psychoemotional aspects of doctor-patient interaction in remote consultation in otoneurology].","authors":"A L Guseva, A E Demkina, A V Tishkina, Z A Udagova, M L Derbeneva","doi":"10.17116/otorino20269103115","DOIUrl":"10.17116/otorino20269103115","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the relationship between doctors and patients regarding the use of remote technologies in providing medical care to patients with vestibular disorders, and to assess changes in patients' psychological and emotional state during remote interaction.</p><p><strong>Materials and methods: </strong>A prospective, non-randomized observational study was conducted involving 100 patients presenting with vertigo and dizziness. The study included remote consultations, formulation of a diagnostic concept, an in-person comprehensive otoneurological examination with questionnaires (hospital anxiety and depression scale, dizziness handicap inventory), clinical diagnosis, treatment strategy, and subsequent remote monitoring of patients for 6 months. Additionally, a survey was conducted among 57 physicians with experience in treating patients with vestibular disorders.</p><p><strong>Results: </strong>During the six-month remote monitoring period, a positive trend in psychological and emotional indicators was observed: a decrease in the severity of anxiety and depression - most pronounced in patients with BPPV and vestibular migraine - as well as a reduction in the degree of functional limitations associated with dizziness. More than half of the physicians (59.6%) reported using remote interaction in otoneurology and perceive it as a promising supplement to traditional practice (66.6%), particularly in cases requiring remote follow-up, psychoemotional support, and counseling in preparation for an in-person appointment. The advantages and disadvantages of this format have been identified.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 3","pages":"15-20"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A case of chronic mucormycosis of the paranasal sinuses in the Perm region].","authors":"A O Charushin, S N Khostelidi, A M Elovikov, S A Artyushkin, I P Charushina, D Yu Sosnin, I I Borodulina, Yu E Yunusova, M A Dolgikh","doi":"10.17116/otorino202691041126","DOIUrl":"10.17116/otorino202691041126","url":null,"abstract":"<p><strong>Objective: </strong>Study of a clinical case of chronic mucormycosis of the paranasal sinuses in the Perm region, analysis of publications on the topic.</p><p><strong>Material and methods: </strong>This article describes a clinical case of chronic mucormycosis of the paranasal sinuses, diagnosed in the otolaryngology department of the Perm Regional Clinical Hospital in 2021. An analysis of scientific papers on the topic of \"chronic mucormycosis of the paranasal sinuses\" was performed in the electronic search databases eLibrary and PubMed as of September 2025, using the keywords: chronic mucormycosis of the paranasal sinuses, chronic rhino-orbital mucormycosis, chronic rhino-orbito-cerebral mucormycosis (we used Russian and English languages).</p><p><strong>Results: </strong>Chronic mucormycosis of the paranasal sinuses developed in a 68-year-old patient with insulin-dependent type 2 diabetes mellitus. The diagnosis of mycosis was established in the Department of otorhinolaryngology of the Perm Regional Clinical Hospital 6.5 months after the onset of complaints and was verified by pathohistological examination of intraoperative material from the left maxillary sinus. Treatment included left extranasal maxillary sinusotomy, antifungal therapy with posaconazole, and correction of glycemic levels. A search query in the eLibrary gave a negative result. Two reviews from 1996 and 2016, as well as case reports, were found in the PubMed database. Publications lack a classification of mucormycosis that identifies uniform time criteria for the chronic form; some indicate a duration of more than 4 weeks. The average disease duration worldwide is approximately 7 months. The causes of this chronic, sluggish course of the disease are not fully understood.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 4","pages":"126-131"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Features of the pronunciation in school-age children with minimal hearing impairment].","authors":"I V Koroleva, A N Kornev, V A Lukyanenkova, G Sh Tufatulin, E S Shcheglova, E K Mefodovskaya, I A Grigoryeva","doi":"10.17116/otorino20269101122","DOIUrl":"10.17116/otorino20269101122","url":null,"abstract":"<p><p>The peculiarities of the pronunciation of children aged 7-9 years with minimal hearing impairment (MHI) were studied. In 20 children with MHI and 20 children with normal hearing and speech development, pronunciation, the phonemic skills, articulatory praxis, as potential mechanisms of pronunciation disorders were assessed with a battery of tests. It was found that children with MHI are a heterogeneous group in terms of the state of pronunciation and the mechanisms that cause pronunciation disorders. 30% of children with MHI, mainly with unilateral hearing loss, did not have pronunciation disorders. In 70% of children with MHI the pronunciation disorders and manifestations of primary speech impairments, corresponding to the diagnosis F80.0 specific articulation disorder (articulatory dyspraxia) were detected. The majority of examined children with MHI showed difficulties in categorical differentiation of speech sounds, especially in the high-frequency range, and insufficient phonemic analysis. Obviously the pronunciation disorders in children with MHI are caused by both sensory (deficit of phonemic perception of high-frequency speech sounds) and motor (immaturity of articulatory praxis) mechanisms. These deficiencies, which are also risk factors for writing disorders in schoolchildren, should be taken into account when organizing speech therapy with children with MHI, as well as when deciding on the need for hearing aids for some children.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 1","pages":"22-28"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Evolution of surgical approaches to the frontal sinus. (Literature review)].","authors":"N A Daikhes, A S Yunusov, V A Saidulaev, I D Mukhmadov, V P Shpotin","doi":"10.17116/otorino20269103185","DOIUrl":"10.17116/otorino20269103185","url":null,"abstract":"<p><p>Currently, the choice of an adequate volume and type of surgical intervention on the frontal sinuses remains a pressing problem in otolaryngology, which is associated with the risk of intraoperative damage to surrounding anatomical structures, the imperfection of existing surgical approaches and the lack of medical equipment. Despite the fact that endonasal frontotomy is the gentlest surgical method for treating frontal sinus pathology, in some cases rhinosurgeons resort to more traditional approaches. A search and analysis of modern scientific publications from publicly available information resources was conducted, including review articles, original research, monographs, observations of clinical cases, and textbooks from domestic and foreign authors.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 3","pages":"85-91"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}