Vestnik otorinolaringologii最新文献_第3页

[Methods of stenting of the lacrimal tract in the formation of dacryostomy]. 泪道成形术中泪道支架置入术的方法

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino20259003160

M M Magomedov, T N Zhogoleva, N M Magomedova, I N Cherednichenko, A A Maidanova

引用次数: 0

[Keloid scar as a complication after canaloplasty for congenital atresia of the external auditory canal. A clinical case]. 先天性外耳道闭锁成形术后瘢痕瘢痕的并发症。一个临床病例]。

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino20259003179

I A Anikin, N N Khamgushkeeva, S A Eremin, A D Mamedova, A D Knyazev

{"title":"[Keloid scar as a complication after canaloplasty for congenital atresia of the external auditory canal. A clinical case].","authors":"I A Anikin, N N Khamgushkeeva, S A Eremin, A D Mamedova, A D Knyazev","doi":"10.17116/otorino20259003179","DOIUrl":"10.17116/otorino20259003179","url":null,"abstract":"This article presents a clinical case of keloid scar removal after canaloplasty for congenital atresia of the external auditory canal. The interest of this clinical case lies in the rare occurrence of a keloid scar of the external auditory canal, leading to its total obturation. Scarring processes in the external auditory canal are an important problem that significantly affects the hearing of patients. Acquired fibrous atresia is represented by a conglomerate of soft tissues in the bony part of the external auditory canal, soldered to the outer surface of the eardrum. Keloid is an excessive growth of scar tissue in the dermis and underlying tissues with hyalinosis of bundles of collagen fibers. We described the surgical treatment of a keloid scar that appeared 11 months after the canaloplasty for congenital atresia of the external auditory canal. Previously, the patient underwent two local injections with an interval of 1 month into the anterior and posterior sections of the keloid scar of the prolonged glucocorticosteroid Triamcinolone in order to reduce the size of the pathological tissue. After removal of the keloid scar, totally obstructing the external auditory canal, the patient noted an improvement in hearing with a decrease in bone-air gap by 25 dB compared with the preoperative study.","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 3","pages":"79-83"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326938","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}

引用次数: 0

[Pneumatization of the middle turbinate and chronic sinusitis: current state of the problem and review of surgical correction]. [中鼻甲气化和慢性鼻窦炎：问题的现状和手术矫正的回顾]。

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino20259001169

K E Klimenko, T A Aleksanyan, A S Tovmasyan, A E Kishinevsky, R D Makhmutov, V V Mosin, O E Malysheva

{"title":"[Pneumatization of the middle turbinate and chronic sinusitis: current state of the problem and review of surgical correction].","authors":"K E Klimenko, T A Aleksanyan, A S Tovmasyan, A E Kishinevsky, R D Makhmutov, V V Mosin, O E Malysheva","doi":"10.17116/otorino20259001169","DOIUrl":"10.17116/otorino20259001169","url":null,"abstract":"Middle nasal concha is an anatomical component of the ethmoid bone, which is the most important reference during endoscopic interventions on the paranasal sinuses, as well as a structure that affects the middle nasal passage aerodynamics. Many practitioners take the view in their work that there is an inextricable connection between pathological changes of the middle nasal concha and risk of developing chronic sinusitis. This in turn determines its resection options, including in the case of bullous transformation. This literature review reveals that, despite the significant prevalence of bullous hypertrophy in patients with chronic sinusitis, none of the analyzed studies could reliably prove a direct relationship of changes in the middle nasal concha and development of chronic sinusitis. Partial resection of the middle nasal concha is a uniform solution if intraoperative correction is needed. This approach ensures the preservation of an important anatomical reference for subsequent interventions and contributes to reduction of the risk of such long-term complications of endoscopic sinus surgery as formation of the synechias, the nasofrontal pocket strictures and cicatrization of the ethmoid corridor.","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 1","pages":"69-74"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650991","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}

引用次数: 0

[XXIII Russian Congress on Otorhinolaryngology "Preobrazhensky readings. Pediatric otorhinolaryngology, connection of times and of specialties"]. [第23届俄罗斯耳鼻咽喉病学大会]Preobrazhensky读物。小儿耳鼻喉科，时间和专业的联系”。

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino20259002194

引用次数: 0

[The algorithm for clinical and audiological observation of children born preterm]. [早产儿临床及听力学观察算法]。

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino20259001120

I V Savenko, E S Garbaruk, M Yu Boboshko

{"title":"[The algorithm for clinical and audiological observation of children born preterm].","authors":"I V Savenko, E S Garbaruk, M Yu Boboshko","doi":"10.17116/otorino20259001120","DOIUrl":"10.17116/otorino20259001120","url":null,"abstract":"Premature babies are at high risk of developing hearing dysfunction, which can affect all levels of the auditory system and disrupt the development of auditory, language, communicative, emotional, and social skills, thus impairing the child's overall quality of life. Hearing impairment in premature infants is presented in transient or intermittent forms of conductive hearing loss, mixed hearing loss, as well as sensorineural hearing loss (SNHL) and auditory neuropathy spectrum disorders (ANSD). Auditory function characteristics include unstable hearing thresholds, the possibility of improvement up to complete normalization, less commonly delayed hearing loss, and the transformation of ANSD into SNHL and vice versa. The article presents a possible algorithm for clinical and audiological monitoring of children born prematurely from birth to 10 years old. It involves a two-stage newborn hearing screening within the first 1-2 months after birth and verification of the diagnosis by the time infants reach 3 months corrected age. If hearing loss are detected, children are examined up to the age of 2 years 3-4 times a year; children with initially verified normal hearing are examined 2-3 times in the first year of life, and then annually. Separately, there is an algorithm for diagnostic and habilitation intervention for children with ANSD. Attention is also drawn to the need to involve otolaryngologists for timely identification of conductive hearing loss and special education teachers, speech therapists for early diagnosis of central auditory processing disorders. Long-term monitoring of all aspects of auditory function in premature babies will allow for timely and high-quality diagnostic and (re)habilitation processes, minimizing the negative impact of hearing impairments.","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 1","pages":"20-28"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650994","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}

引用次数: 0

[Development of an experimental rabbit model of rhinitis medicamentosa]. 家兔药物性鼻炎实验模型的建立

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino20259003146

V M Svistushkin, K V Eremeeva, X Yang, E A Smolyarchuk, A A Nedorubov, A S Machikhin, A V Guryleva, D A Derevesnikova, E D Kulikova

{"title":"[Development of an experimental rabbit model of rhinitis medicamentosa].","authors":"V M Svistushkin, K V Eremeeva, X Yang, E A Smolyarchuk, A A Nedorubov, A S Machikhin, A V Guryleva, D A Derevesnikova, E D Kulikova","doi":"10.17116/otorino20259003146","DOIUrl":"https://doi.org/10.17116/otorino20259003146","url":null,"abstract":"Background: Rhinitis medicamentosa (RM), resulting from prolonged use of nasal decongestants, represents a significant clinical problem. The pathogenetic mechanisms of RM remain insufficiently studied, and existing methods for assessing the state of the nasal mucosa require improvement. The development of an experimental model of RM is necessary for testing new therapeutic approaches.Objective: To develop an experimental model of RM in rabbits, evaluate morphological changes in the nasal mucosa, and test the photoplethysmography method for non-invasive diagnosis of microcirculatory disorders.Material and methods: The study was conducted on 18 Soviet Chinchilla rabbits. The RM model was induced by intranasal administration of 0.1% xylometazoline solution (200 μl/nostril, 2 times/day, 14 days). The control group received saline. Histological analysis of the mucosa was performed on days 8 and 15. The state of microcirculation was assessed by photoplethysmography using a cold test. Data registration was carried out in vivo with subsequent digital signal processing.Results: Progressive histological changes were revealed: epithelial dystrophy, a decrease in the number of goblet cells, and vascular alterations. The photoplethysmography demonstrated a significant decrease in the ratio of photoplethysmogram amplitudes in the RM group (median 0.76 vs. 1.48 in the control; p<0.01), reflecting impaired microcirculation.Conclusion: An experimental model of RM in rabbits was developed, confirmed by histological and photoplethysmographic data. The photoplethysmography showed high sensitivity for non-invasive assessment of the mucosal state, opening up prospects for its application in clinical practice and further studies of RM therapy.","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 3","pages":"46-52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326932","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}

引用次数: 0

[Meniere's disease and vestibular migraine: differential diagnostics and treatment]. 梅尼埃病和前庭偏头痛：鉴别诊断和治疗。

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino20259001157

N L Kunel'skaya, Z O Zaoeva, E V Bajbakova, M A Chugunova, N I Vasilchenko, S D Revazishvili

引用次数: 0

[The effect of the presence of a submucosal cleft palate on the middle ear and speech]. [黏膜下腭裂对中耳和言语的影响]。

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino2025900416

I G Andreeva, D I Marapov, P V Tokarev, N A Andreev

{"title":"[The effect of the presence of a submucosal cleft palate on the middle ear and speech].","authors":"I G Andreeva, D I Marapov, P V Tokarev, N A Andreev","doi":"10.17116/otorino2025900416","DOIUrl":"10.17116/otorino2025900416","url":null,"abstract":"Introduction: Hidden or submucosal cleft palate (SCP) is a rare form of isolated cleft that is characterized by rhinolalia in the presence of an apparently intact palate.Objective: To analyze the age of detection of SCP in children and evaluate the impact of its presence on the middle ear and speech development of patients.Material and methods: 17 patients with SCP were examined and treated in the departments of otorhinolaryngology and maxillofacial surgery of the Children's Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan. The duration of observation of patients ranged from 1 to 4 years.Results: The median (Me) age of diagnosis of SCP was 7.18±3.83 years (95% CI 5.21-9.14), of which in 10 patients (58.8%) SCP was first suspected by an otorhinolaryngologist. When analyzing the age of detection of SCP depending on the detection of otitis media with effusion (OME) and epitympanitis, we established statistically significant differences (p=0.007; p=0.043, respectively). When assessing the dependence of the probability of OME on the age of detection of SCP using ROC analysis, an ROC curve was obtained that characterizes the dependence of the probability of OME on the age of detection of SCP. The resulting model was statistically significant for OME (p=0.011). When analyzing the comparison of the age of detection of SCP depending on the presence of speech delay, statistically significant differences were established (p=0.029).Conclusions: The analyzed data from patients with SCP indicate serious changes in the middle ear: from OME to the presence of cholesteatoma. The presence of SCP affects not only the clarity of spoken speech, but also contributes to its delay. The data obtained demonstrate a direct relationship between the severity of manifestations in the middle ear and the age at which the diagnosis of SCP was made by an otorhinolaryngologist.","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 4","pages":"6-10"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970886","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}

引用次数: 0

[A method for predicting the risk of intraoperative blood loss during tonsillectomy]. [一种预测扁桃体切除术术中出血量风险的方法]。

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino20259001110

A I Kryukov, E V Nosulya, A S Tovmasyan, T A Aleksanyan, A A Golovatyuk, I V Rychkova, S R Ramazanov

{"title":"[A method for predicting the risk of intraoperative blood loss during tonsillectomy].","authors":"A I Kryukov, E V Nosulya, A S Tovmasyan, T A Aleksanyan, A A Golovatyuk, I V Rychkova, S R Ramazanov","doi":"10.17116/otorino20259001110","DOIUrl":"10.17116/otorino20259001110","url":null,"abstract":"Chronic tonsillitis remains a common problem among patients seeking an appointment with an otorhinolaryngologist. If there are signs of general intoxication or ineffectiveness of conservative treatment, it is recommended to remove the palatine tonsils as a source of chronic infection. However, due to the abundant blood supply to the palatine tonsils, surgery is associated with a high risk of intraoperative bleeding. The volume of intraoperative blood loss depends on the vascularization of the tonsils, the surgeon's experience and knowledge of the topographic and anatomical features of the operated area. A standard preoperative examination does not involve determining the anatomical boundaries of the palatine tonsils and their blood supply - parameters that affect the intensity of bleeding, and due to the different depth of the tonsils in the tonsillar niches, it is not possible to determine their true dimensions during pharyngoscopy. Modern research highlights the concept of «deep tonsils», when most of the tonsils are located behind the anterior palatine arch, which complicates their removal and increases the duration of the operation. In this study we research the effect of the depth of the tonsils and their vascularization on the volume of intraoperative blood loss. As a result, groups with varying degrees of risk of intraoperative bleeding were identified, depending on the anatomical characteristics of the palatine tonsils.","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 1","pages":"10-14"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650983","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}

引用次数: 0

[Raman microspectroscopy in the diagnosis of skin malignancies]. [拉曼显微光谱在皮肤恶性肿瘤诊断中的应用]。

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino20259002137

A B Timurzieva, V I Popadiuk, M S Fedina, E N Rimskaya, S N Shelygina, K G Kudrin

{"title":"[Raman microspectroscopy in the diagnosis of skin malignancies].","authors":"A B Timurzieva, V I Popadiuk, M S Fedina, E N Rimskaya, S N Shelygina, K G Kudrin","doi":"10.17116/otorino20259002137","DOIUrl":"https://doi.org/10.17116/otorino20259002137","url":null,"abstract":"Introduction: The development of methods for early diagnosis of tumor diseases of the head and neck is one of the most important areas of biomedicine and healthcare in general. Special attention should be paid to consideration of issues related to the diagnosis of malignant neoplasms of the skin of the head and neck area. In this aspect, confocal Raman microspectroscopy is of interest.Objective: To demonstrate the feasibility of using Raman microspectroscopy to differentiate intact skin from malignant skin neoplasms.Material and methods: The study used Raman microspectroscopy with an excitation wavelength of 532 nm to diagnose basal cell carcinoma and squamous cell carcinoma of the skin and differentiate them from intact skin.Results: During the study, spectra of intact skin and skin neoplasms in the head and neck region (basal cell and squamous cell carcinoma of the skin) were obtained.Conclusion: The results of the study can be used in the future for optical biopsy and early diagnosis of tumors.","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 2","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030262","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}

引用次数: 0