Vestnik otorinolaringologii最新文献

{"title":"[Review of tactics of surgical treatment of acquired defects of anatomical structures of external nose in children].","authors":"A S Yunusov, E V Molodtsova, D V Maletina, P D Pryanikov","doi":"10.17116/otorino20269102197","DOIUrl":"10.17116/otorino20269102197","url":null,"abstract":"<p><p>Elimination of defects of the anatomical structures of the external nose is the most complex area of reconstructive surgery, from simple suturing of a small defect and adequate matching of the wound edges to the use of revascularized flaps from distant parts of the body. Difficulties arise due to the special anatomy of this area and the limited number of local and regional flaps. The article provides an overview of treatment methods based on the experience of Russian and foreign surgeons, as well as a series of our own observations.</p><p><strong>Objective: </strong>To analyze our own clinical cases of acquired defects of the anatomical structures of the external nose (features of surgical treatment) and compare them with the data of Russian and foreign literature.</p><p><strong>Material and methods: </strong>A retrospective review of case histories with the diagnosis of «Acquired defect of the external nose» was conducted from 2015 to June 2025 in the Pediatric Otolaryngology Department of the Federal State Budgetary Institution of Higher Education NMITSO FMBA of Russia, the Russian Children's Clinical Hospital - a branch of the Federal State Autonomous Educational Institution of Higher Education RNIMU named after N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation. Complaints, anamnesis data, results of endoscopic examination and efficiency of the performed surgical treatment were analyzed.</p><p><strong>Result: </strong>Over the last 10 years, 16 patients with the diagnosis of «Acquired defects of the external nose» were treated in the pediatric otolaryngology departments of the Federal State Budgetary Institution of Higher Education N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation. The acquired defect of the external nose was located on the wings of the nose in 1 patient, the dorsum of the external nose - in 3 patients, the columella of the nose - in 7 patients, cicatricial obliterations of the vestibule of the nasal cavity - in 2 patients, combined defects of the external nose - in 3 patients. All patients underwent surgical treatment. A combined treatment method was used in all patients. No relapses were observed in any of the patients after surgical treatment using the methods we proposed for a period of 6 months to 5 years (3 years on average).</p><p><strong>Conclusion: </strong>The development of an algorithm for reconstruction and a surgical approach to the treatment of acquired defects of the external nose in children ensures not only an optimal functional result, but also an aesthetic one, and helps to anticipate problems that can be avoided through careful preoperative planning.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 2","pages":"97-101"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875859","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":"[Timekeeping of Staff Working Hours in Providing Audiological Care to the Adult Population].","authors":"L E Golovanova, S S Chibisova, M Yu Boboshko, E R Tsygankova, G Sh Tufatulin","doi":"10.17116/otorino2026910318","DOIUrl":"https://doi.org/10.17116/otorino2026910318","url":null,"abstract":"<p><p>Work time management is an important aspect in organizing medical care. Current regulations do not establish recommended time limits for audiologists.</p><p><strong>Study objective: </strong>To determine the time spent on audiologist's appointments and performing various diagnostic and rehabilitation procedures.</p><p><strong>Materials and methods: </strong>At the City Audiology Center for Adults (St Petersburg), a time estimate was conducted for 10 audiologists who performed various medical diagnostic and rehabilitation audiology services.</p><p><strong>Results: </strong>The advisability of standardizing audiologist's appointment duration to 30 minutes was established (for adult patients, without an instrumental audiological assessment or 60 minutes if an assessment (pure tone audiometry, acoustic impedance, otoacoustic emissions) is included). The results of medical appointments for diagnostic tests (acoustic impedance, speech audiometry, nasopharyngeal endoscopy, otoacoustic emissions, auditory brainstem response (ABR), ASSR, central auditory processing disorders tests, and vestibular tests) and rehabilitation interventions (hearing aid issuance, selection, or fitting of hearing aids) are determined.</p><p><strong>Conclusion: </strong>The obtained data can be used for inclusion in specialized regulatory documents governing the activities of audiologists and otolaryngologists.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 3","pages":"8-14"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377349","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":"[Validation of Russian version of Tinnitus Catastrophizing Scale].","authors":"E Yu Tur, G Sh Tufatulin, V V Dvoryanchikov, S A Artyushkin","doi":"10.17116/otorino20269102119","DOIUrl":"10.17116/otorino20269102119","url":null,"abstract":"<p><strong>Abstract: </strong></p><p><p>The Tinnitus Catastrophizing Scale (TCS) is designed for the quantitative assessment of cognitive-emotional reactions to chronic tinnitus and is widely used internationally as a reliable psychometric instrument. The aim of the present study was to perform the linguistic and cultural adaptation and validation of the Russian version of the questionnaire for use in Russian clinical practice.</p><p><p>Following translation and cultural adaptation, a validation study was conducted in 130 participants, including patients with tinnitus and normal hearing, tinnitus with sensorineural hearing loss (SNHL) from mild to profound degree, and a control group without tinnitus (for evaluation of face validity). Testing was carried out in two visits, with a 7-day interval to evaluate test-retest reliability.</p><p><p>The results confirmed the strong psychometric properties of the Russian version of the TCS: internal consistency (Cronbach's <i>α</i>=0.93), test-retest reliability (ICC=0.99), and high face validity (82-96% agreement, mean ≈89.5%). The average completion time was 6-7 minutes. The obtained data are consistent with those from international validation studies and confirm the equivalence of the Russian and original versions of the instrument.</p><p><p>The adapted Russian version of the TCS can be used in clinical audiology, otorhinolaryngology, neurology and psychiatry to assess the degree of tinnitus-related catastrophizing, to stratify patients, and to monitor treatment effectiveness over time.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 2","pages":"19-24"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875889","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":"[Prospects for the use of 3D bioprinting and tissue engineering technologies in clinical otorhinolaryngology (literature review)].","authors":"A I Kryukov, E O Osidak, S P Domogatsky, E V Garov, V N Zelenkova, V V Mishchenko, D V Yudin, Yu D Khesuani, E E Zagorskaya, A E Babaeva","doi":"10.17116/otorino20269102150","DOIUrl":"10.17116/otorino20269102150","url":null,"abstract":"<p><p>The article provides an overview of data on the prevalence, conservative, and surgical treatment of chronic suppurative otitis media, which remains one of the most common and socially significant diseases of the otorhinolaryngological structures, accompanied by a high frequency of complications and persistent hearing loss. The evolution of treatment methods is traced, and special attention is given to the prospects for the use of tissue engineering constructs and tissue engineering in general. The possibilities of creating three-layer grafts are highlighted, taking into account the achievements of scientific and technological progress. It has been shown that classical methods of surgical correction of defects of the eardrum, including the use of autografts (temporal fascia, cartilage), do not always allow to achieve a sustainable anatomical and functional result, especially in large and persistent perforations. There is a tendency of active development of the direction of regenerative medicine and tissue engineering, allowing to create biocompatible grafts with specified properties, to introduce mesenchymal stem cells, as well as to use growth factors to stimulate reparative processes. The review analyzes data on the effectiveness of classical and innovative tympanoplasty methods, as well as the prospects for using 3D bioprinting, collagen matrices, and cellular technologies to restore the integrity of the eardrum. Special attention is paid to the results of clinical and experimental studies that demonstrate a significant increase in the frequency of successful closure of perforations when using tissue engineering constructs and growth factors compared to traditional methods. The article discusses unresolved issues related to the optimization of technologies, the standardization of protocols, and the need for further multicenter studies to widely implement innovative approaches in clinical practice.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 2","pages":"50-56"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875939","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 correlation between the auditory analyzer and speech development in premature infants and young children at the present stage according to the data of literature].","authors":"I V Rakhmanova, M M Polunin, A V Kuznetsova, A I Petukhova, V V Bykonya","doi":"10.17116/otorino20269101150","DOIUrl":"10.17116/otorino20269101150","url":null,"abstract":"<p><p>The literature review presents an analysis of data on the state of the auditory analyzer and the level of speech development in premature infants and toddlers.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 1","pages":"50-54"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322223","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":"[Optimization of the determination of tactics for managing patients with isolated traumatic perforation of the tympanic membrane].","authors":"A N Chechko, E M Pokrovskaya, V N Krasnozhen, V A Nasyrov","doi":"10.17116/otorino20269103134","DOIUrl":"10.17116/otorino20269103134","url":null,"abstract":"<p><strong>Objective: </strong>To optimize the management tactics for patients with traumatic perforation of the eardrum by using information technologies.</p><p><strong>Material and methods: </strong>A prospective study of 112 patients was conducted at the otolaryngology department of the 426^th Military Hospital of the Ministry of Defense of the Russian Federation from June 2021 to April 2023. This study assessed the likelihood of persistent tympanic perforation of traumatic etiology depending on the parameters studied.</p><p><strong>Results: </strong>A statistically significant relationship was found between the persistence of tympanic membrane perforation for 6 months with a perforation size of more than 50%, active discharge, persistence of perforation 3 months after injury, dysfunction of the Eustachian tube on the side of the perforation, and subtotal perforation.</p><p><strong>Conclusions: </strong>The implementation of a mathematical prognostic model for the probability of persistence of traumatic perforation of the eardrum will allow for the determination of surgical treatment tactics at an early stage and a reduction in the period of disability.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 3","pages":"34-39"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377212","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 and morphological substantiation of the effectiveness of topical antimicrobial therapy for acute tonsillopharyngitis].","authors":"N A Miroshnichenko, Yu O Nikolaeva, V A Ryabinin, P I Ovchinnikov, Kh R Dendieva, G E Boshyan","doi":"10.17116/otorino20269102138","DOIUrl":"10.17116/otorino20269102138","url":null,"abstract":"<p><p>Since the COVID-19 pandemic, there has been an increase in the inappropriate use of systemic antibiotics for acute upper respiratory tract infections. In 75% of cases, doctors prescribe antibiotics despite the fact that 80% of such diseases have a viral etiology. The main causes are the following: challenges in differential diagnosis of the causative agent, ignoring clinical guidelines and pressure from patients. Consequences: growth of antibiotic resistance, increased incidence of chronic diseases, side effects, high healthcare costs.</p><p><strong>Objective: </strong>To determine the effectiveness of Dorithricin combination drug in patients with acute non-streptococcal tonsillopharyngitis using cytomorphometry.</p><p><strong>Material and methods: </strong>A study for evaluating the effectiveness of Dorithricin combination drug, which contains tyrothricin and has a two-stage mechanism of action that prevents the development of resistance, in patients with acute non-streptococcal tonsillopharyngitis using cytomorphometry was carried out at the department of otorhinolaryngology of the Russian University of Medicine. The study included 30 patients with acute tonsillopharyngitis of non-streptococcal etiology, aged 22-62 years, with a disease duration of 1 to 3 days at the time of inclusion and a negative rapid strep test result. Using subjective and objective research methods, data indicating the high effectiveness of Dorithricin combination drug (in the treatment of inflammatory diseases of the oropharynx) were obtained.</p><p><strong>Conclusion: </strong>The use of Dorithricin drug in the treatment of acute tonsillopharyngitis not only allows to rapidly relieve inflammation but also restores the overall well-being of patients without the risk of developing antibiotic resistance.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 2","pages":"38-42"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875866","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":"[Promising methods of treatment of sensorineural hearing loss. Solving the issues of drug delivery].","authors":"A I Kryukov, N L Kunelskaya, A A Temnov, Z O Zaoeva, Ya Yu Nikitkina, A N Sklifas, E N Konovalova","doi":"10.17116/otorino20269102178","DOIUrl":"10.17116/otorino20269102178","url":null,"abstract":"<p><p>This literature review focuses on modern methods of drug delivery to the inner ear, which aim to enhance treatment effectiveness and reduce the risk of side effects. It examines systemic, transtympanic, and intracochlear routes of administration, along with their advantages and disadvantages. The review discusses new technologies such as hydrogels and nanoparticles that enable prolonged and targeted delivery of medications without the need for surgical intervention. Additionally, biophysical methods that allow non-invasive and highly precise drug delivery are presented.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 2","pages":"78-83"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875904","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":"[Rates of otolaryngic pathology among children with sensitization to aeroallergens in different regions].","authors":"I N Grigorieva, V I Popadyuk, D V Matveichyuk, I S Funtikova, Yu V Tisvenko","doi":"10.17116/otorino20269102131","DOIUrl":"10.17116/otorino20269102131","url":null,"abstract":"<p><p>The epidemiology of ENT-pathology in patients with allergic rhinitis in Russian Federation varies as the country has a vast territory with significant regional differences. Evaluation of the most frequent otolaryngic pathologies in different regional groups of atopic children is important as otorhinolaryngologist could be the first to reveal the susceptibility of children to aeroallergens.</p><p><strong>Material and methods: </strong>89 children, median age 6.76±3.7 of three different regions of residence (the Siberian Region, the South Region and the Central Moscow Region) were included in the study. All ENT-specialists of the research had otolaryngic allergy training. All patients had otolaryngic examination and nasal endoscopy. The atopic status was confirmed either by means of blood sIgE >0.35 kU/l or by skin prick testing. The sensitizations to 6 group of aeroallergens such as tree pollen, grass pollen, weed pollen, molds, house dust mite and epidermal allergens were analyzed and compared among regional ENT-groups. Statistical analysis was performed using SPSS Statistics v.23.0.</p><p><strong>Results: </strong>Among all regions ENT-visits in Siberia were statistically significant in case of grass pollen sensitization (<i>χ</i>² Pearson=5.159, <i>p</i>=0.023). In the South Region sensitization to house dust mite (<i>χ</i>² Pearson=5.463, <i>p</i>=0.019) and to tree pollen (<i>χ</i>² Pearson=6.016, <i>p</i>=0.014) were statistically significant for ENT-visits. ENT-visits in the Central Moscow Region were significant in case of house dust mite sensitization (<i>χ</i>² Pearson=7.875, <i>p</i>=0.005). The children with such ENT-pathology as otitis media were more often sensitized to weed pollen (<i>χ</i>² Pearson=3.949, <i>p</i>=0.047). Throat pathology i.e. tonsillar hypertrophy according to the ENT examination was more often in patients with tree pollen sensitization (<i>χ</i>² Pearson=6.075, <i>p</i>=0.014).</p><p><strong>Conclusion: </strong>ENT-pathology in patients with pediatric allergic rhinitis could be different and needs further investigation.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 2","pages":"31-37"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875942","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 brief history of mastoidectomy. Contribution of Jean-Louis Petit (1674-1750)].","authors":"T A Fominykh, S A Kutia, V S Ulanov, A V Myazina, D V Petrovsky","doi":"10.17116/otorino20269101197","DOIUrl":"10.17116/otorino20269101197","url":null,"abstract":"<p><p>The article is dedicated to the 350^th anniversary of the birth and 275^th anniversary of the death of the great French surgeon Jean-Louis Petit (1674-1750), who made an invaluable contribution to various branches of theoretical and practical medicine, including otolaryngology. Petit was the first who purposefully perform trepanation of the mastoid process in mastoiditis to drain mastoid cells filled with pus. It was described in his work \"Traité des maladies chirurgicales\", published posthumously in 1774. Subsequently, Hermann Schwartze (1837-1910) took into account J.-L. Petit's experience and improved the technique of mastoidectomy.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 1","pages":"97-100"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322220","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}