Vestnik otorinolaringologii最新文献

{"title":"[Technique for minimally invasive instrumental correction of post-traumatic external nasal deformity using a novel tool (suction-integrated chisel)].","authors":"D A Rynkov, A I Kryukov","doi":"10.17116/otorino20269101135","DOIUrl":"10.17116/otorino20269101135","url":null,"abstract":"<p><strong>Objective: </strong>To develop and test an instrument for performing osteotomy and a technique for minimally invasive endoscopic instrumental correction of the external nose.</p><p><strong>Material and methods: </strong>A curved chisel with integrated suction was developed for minimally invasive endoscopic osteotomy. In a prospective study, 43 patients with PTND underwent surgery. Evaluated parameters included: operation duration, edema/hematoma dynamics (VAS), and restoration of nasal breathing (3 weeks, 3 months, 1 year postoperatively).</p><p><strong>Results: </strong>Median operation duration was 29.0 (Q₁-Q₃: 27.5-45.5) min. The intensity of postoperative edema and hematomas on the VAS significantly decreased from 5.0 to 2.0 points between days 5 and 14 (<i>p</i><0.001). Normal nasal breathing was recorded in 86% of patients 1 year post-surgery (versus 86% with severe impairment preoperatively; <i>p</i><0.001). 90.7% of patients reported satisfaction with outcomes one year after surgery.</p><p><strong>Conclusion: </strong>The developed instrument (suction-integrated chisel) and surgical technique ensure short operation time, minimization of postoperative complications, and sustainable functional-aesthetic restoration.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 1","pages":"35-40"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322310","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":"[Comparison of pure tone audiometry and auditory steady-state responses thresholds in adults].","authors":"E S Garbaruk, S M Vikhnina, L E Golovanova, N V Pustovoit, M Yu Boboshko","doi":"10.17116/otorino20269101111","DOIUrl":"10.17116/otorino20269101111","url":null,"abstract":"<p><p>Pure tone audiometry (PTA) is the crucial method for hearing function assessment in adults. Auditory brainstem response (ABR) and auditory steady-state response (ASSR) are mainly registered in adults only if objective hearing evaluation is required, in particular in cases of expertise.</p><p><strong>Objective: </strong>To compare thresholds obtained by PTA and ASSR at speech frequencies; to analyze causes of possible thresholds discrepancies.</p><p><strong>Material and methods: </strong>Totally 244 patients aged from 18 to 104 were examined in two clinics. After basic ENT check-up air and bone conduction PTA at standard frequencies was run, next - ABR and ASSR registration.</p><p><strong>Results: </strong>Correlation coefficient between ASSR and PTA thresholds was 0.7-0.71 at frequencies 500-1000 Hz and 0.54-0.58 at frequencies 2000-4000 Hz. No significant difference was revealed between thresholds obtained for right and left ears and between results obtained in two clinics. The least discrepancy between PTA and ASSR thresholds (0.8-11.8 dB) was obtained at 1000 Hz, the maximum one (13.7-15.1 dB) was got at 4000 Hz. The significant strong correlation (<i>r</i>=0.7) between PTA and ASSR thresholds discrepancy degree at frequencies 2000 to 4000 Hz and slope audiogram type was revealed. The weak correlation between PTA and ASSR thresholds discrepancy extent and hearing loss degree and patient's age was got.</p><p><strong>Conclusion: </strong>ASSR registration reliability in adults was shown and the method could be applied in case if either PTA is not accessible or PTA results are invalid. PTA and ASSR thresholds discrepancies were revealed in patients with slope audiometry types, high frequency ASSR thresholds might be better than PTA ones.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 1","pages":"11-17"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322195","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":"[Current issues of diagnosis and treatment of paratonsillar and parapharyngeal abscesses].","authors":"A V Gurov, A A Lapchenko, M M Magomedov, D Z Khalifaeva","doi":"10.17116/otorino20269101155","DOIUrl":"10.17116/otorino20269101155","url":null,"abstract":"<p><p>Parapharyngeal abscess is a purulent inflammation of the tissue of the parapharyngeal space, often occurring as a complication of paratonsillar abscess. Parapharyngeal abscess refers to deep abscesses of the neck and is characterized by suppuration of loose tissue of the parapharyngeal space. The pathogenesis of the parapharyngeal abscess includes direct and lymphogenous spread of the inflammatory process from the primary focus. When a phlegmonous inflammatory process occurs in the parapharyngeal space, the patient experiences severe pain when swallowing, which radiates to the ear and increases when swallowing, and the patient's head is forced to tilt towards the pathological process. A painful lump appears in the angle of the lower jaw. Computed tomography is the \"gold standard\" for the instrumental diagnosis of parapharyngeal abscess. To date, there is no consensus on the optimal treatment strategy for patients with paratonsillar abscess complicated by parapharyngeal abscess. Certain issues, including the choice of surgical approach, remain controversial in clinical practice.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 1","pages":"55-63"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322259","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":"[Methods of evaluating the functional state of the mucous membrane of the maxillary sinuses (literature review)].","authors":"M M Magomedov, Sh Yu Avkaeva, O N Rozhdestvenskaya, T N Zhogoleva","doi":"10.17116/otorino20269101170","DOIUrl":"10.17116/otorino20269101170","url":null,"abstract":"<p><p>The literature review presents the currently known methods of assessing the functional status of the maxillary sinus, based on data from domestic and foreign sources. It describes the research methods and the results of studies on the normal state and pathology of the maxillary sinus.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 1","pages":"70-75"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322224","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":"[Counseling as a basic therapeutic approach in patients with tinnitus].","authors":"A Yu Ovchinnikov, N A Miroshnichenko, K V Savranskaya, N S Ryzhkova","doi":"10.17116/otorino20269101118","DOIUrl":"10.17116/otorino20269101118","url":null,"abstract":"<p><p>Tinnitus is a heterogeneous condition with a wide range of impact on a person's daily life. In clinical practice, patients with tinnitus consult different specialists and do not always receive optimal medical care. The article provides information on key aspects of counseling a patient with tinnitus, intended for members of a multidisciplinary team that carries out the treatment of tinnitus.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 1","pages":"18-21"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322193","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":"[Etymology of the auditory ossicles names in the work \"Onomatologia anatomica\" by Josef Hyrtl].","authors":"S A Kutia, N G Nikolaeva, Yu Yu Abrosimov","doi":"10.17116/otorino20259002151","DOIUrl":"https://doi.org/10.17116/otorino20259002151","url":null,"abstract":"<p><p>The article represents translation of chapters of the scientific work \"Onomatologia anatomica\" (1880) by the Austrian physician and anatomist Josef Hyrtl, devoted to terminology used in the description of the auditory ossicles, namely \"Malleus\", \"Incus\", \"Stapes\".</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 2","pages":"51-54"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988423","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":"[Clinical case of unilateral tinnitus and pathology of the main vessels of the neck].","authors":"Kh T Abdulkerimov, K I Kartashova, R S Davydov, Z Kh Abdulkerimov, A V Egorushkina","doi":"10.17116/otorino20259002179","DOIUrl":"https://doi.org/10.17116/otorino20259002179","url":null,"abstract":"<p><p>Tinnitus (tinnitus) refers to the earliest and most common pathological symptoms of a number of diseases of the organ of hearing, as well as diseases and functional disorders of other organs and systems. The purpose of this publication is to draw the attention of practicing physicians (otorhinolaryngologists, internists, neurologists) to such a symptom as unilateral tinnitus, which in the presented clinical case was the result of dissection of the internal carotid artery. Additional diagnostic measures carried out in a timely manner, a multidisciplinary approach, and the use of modern radiation research methods made it possible to carry out early diagnosis of internal carotid artery dissection and prevent such severe complications as stroke, cerebrovascular accident, and arterio-arterial embolism.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 2","pages":"79-82"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035031","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":"[Malignization of sinonasal inverted papilloma: literature review and clinical case].","authors":"K E Klimenko, Yu Yu Rusetsky, V S Zakharov","doi":"10.17116/otorino20259002183","DOIUrl":"https://doi.org/10.17116/otorino20259002183","url":null,"abstract":"<p><p>Inverted papilloma (SIP) is a relatively rare benign epithelial tumor of the nasal cavity which characterized by an aggressive course with local destruction of surrounding structures, a tendency to recurrence and associated with malignancy. Etiology remains little understood. SIPs is most commonly associated with human papillomavirus (HPV) and mutations in the epidermal growth factor receptor (EGFR) and vascular endothelial growth factor (VEGF) genes, which are upregulated in recurrent SIPs.These factors are responsible for theinverted papilloma transformation into squamous cell carcinoma (SCC). Prognosis of sinonasal SCC is poor, in most cases likely owing to its advanced stage at presentation. Treatment includes complete SIP removal by endoscopic approach with histological examination. Follow-up of these patients is critical to diagnosing relapse, which can be either early or late. It is important to diagnose recurrence to enable early treatment, especially in case of associated carcinoma or malignancy. In case of SCC, additional radiotherapy and/or neoadjuvant chemotherapy is needed, because it shows promising results in improving outcomes. In this article, we present a clinical case of managing a patient with malignancy of inverted papilloma, which led to extensive destruction.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 2","pages":"83-87"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048821","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":"[Immunotherapy in the treatment of chronic polypous rhinosinusitis with comorbid bronchial asthma].","authors":"E V Bezrukova, S A Artyushkin, E A Varyushina, A S Simbirtsev","doi":"10.17116/otorino20259001129","DOIUrl":"10.17116/otorino20259001129","url":null,"abstract":"<p><p>The leading factors in the pathogenesis of chronic polyposis rhinosinusitis (CRSwNP) are dysfunction of the epithelial barrier of the nasal and sinus mucosa and dysregulation of the immune system, both at the systemic and local levels. A Th2-mediated immune response plays a central role in the development of disease in patients with CRSwNP CRPS, and CRSwNP is often associated with bronchial asthma (BA). At the present time, for the conservative treatment of patients with CRSwNP+BA, preference is given to drug therapy aimed at the correction of mucosal immunity. The use of interferon α2β (IFN α2β) and the dipeptide γ-D-glutamyl-L-tryptophan may reduce the severity of the long-term local inflammatory process. However, the clinical efficacy of these drugs in the context of chronic polyposis has not been studied. The aim of this study was to compare the efficacy of topical application of recombinant IFN α2β, recombinant IFN α2β in combination with γ-D-glutamyl-L-tryptophan and IL-4Rα receptor inhibitor in the treatment of patients with CRSwNP+BA. The patients were divided into three groups. In the first group (31 people), 1 million units of interferon alpha2b were injected into the polyposis tissue for five days. In the second group (31 people), interferon alpha2b at a dose of 1 million units and gamma-D-glutamyl-L-tryptophan at a dose of 0.1 mg were injected into the polypous tissue for five days. To assess the dynamics of clinical symptoms in the reference group (31 people), a drug with a known mechanism of action and efficacy - a genetically engineered IL-4Rα receptor inhibitor - was used. This drug was used 300 mg once every 2 weeks subcutaneously for 1 year. The obtained results showed that recombinant IFN α2β in combination with γ-D-glutamyl-L-tryptophan are pathogenetically appropriate preparations for conservative treatment of patients with the following initial indicators: severity of the polyposis process - 2.2+0.2 points, swelling - 2.8+0.4 points, and amount of discharge - 2.9+0.3 points. A single 5-day course of the above-mentioned preparations had a positive therapeutic effect, which was accompanied by a pronounced reduction in the clinical symptoms of the disease: the volume of polyposis tissue, nasal breathing difficulties and swelling of the nasal mucosa after one month and was maintained for one year. At the same time, the results of our study indicate the necessity of a longer period of application of recombinant IFN α2β in combination with γ-D-glutamyl-L-tryptophan in patients with CRSwNP+BA. The data obtained were comparable to the corresponding indicators when using the IL-4Ra inhibitor. In our opinion, the mechanism of action of the preparations is associated with a decrease in the activity of inflammatory and proliferative processes in the nasal and sinus mucosa.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 1","pages":"29-34"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650987","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":"[Comparative evaluation of different methods of premaxillary ridge correction during septoplasty].","authors":"G Yu Tsarapkin, E V Nosulya, T A Aleksanyan, K E Klimenko, A S Tovmasyan, M Yu Polyaeva, D S Ogorodnikov, M A Yushkina, V V Mosin, R B -T Kitieva, N V Shvedov","doi":"10.17116/otorino20259006160","DOIUrl":"https://doi.org/10.17116/otorino20259006160","url":null,"abstract":"<p><p>The article presents a comparative analysis of various techniques for correcting the premaxillary crest used in septoplasty, evaluated in terms of their clinical effectiveness and complication rates.</p><p><strong>Objective: </strong>To evaluate the clinical efficacy and frequency of complications associated with incisive canal injury in various methods of premaxillary ridge correction in patients with nasal septal curvature.</p><p><strong>Material and methods: </strong>The study involved 125 patients. Three groups of patients were formed based on the surgical method applied: in the first group, a premaxillary crest crista was performed using a surgical chisel, in the second group, instrumental correction was carried out using only a raspatory and Blakesley forceps, and in the third group, a motorized system was used.</p><p><strong>Results: </strong>Classical instrumental techniques are associated with an increased risk of complications, such as intraoperative bleeding from the vascular-nervous bundle of the incisive canal and paresthesia in the area of the upper incisors. In instrumental correction of the premaxillary crest without using motorized systems, secondary deviation of the premaxillary crest is possible, which can lead to recurrent nasal obstruction in the postoperative period. The use of a motorized system significantly reduces the risk of such complications and contributes to improve nasal breathing in the postoperative period.</p><p><strong>Conclusion: </strong>The use of motor systems in nasal septum surgery demonstrates a high level of safety and efficacy compared to traditional methods, making it a promising area for further scientific research.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 6","pages":"60-65"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145850910","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}