Vestnik otorinolaringologii最新文献

{"title":"[Biofeedback therapy in patients with dysphonia and benign laryngeal pathology after endolaryngeal interventions].","authors":"S G Romanenko, O G Pavlikhin, D I Kurbanova, E V Lesogorova, O V Eliseev, E A Safyannikova, E N Krasilnikova","doi":"10.17116/otorino20259003130","DOIUrl":"https://doi.org/10.17116/otorino20259003130","url":null,"abstract":"<p><strong>Objective: </strong>To increase the effectiveness of voice restoration in patients with benign organic laryngeal pathology and functional dysphonia after endolaryngeal interventions.</p><p><strong>Material and methods: </strong>360 patients who underwent surgery for benign organic pathology of the vocal folds were examined. The examination was performed using videolaryngoscopy, videolaryngostroboscopy, computer acoustic analysis of the voice, and a subjective assessment of vocal function by a doctor on the N. Yanagihara scale.</p><p><strong>Results: </strong>In 58 patients in the postoperative period, after the relief of inflammatory phenomena, the voice did not recover, due to the pathological type of phonation: nodular, hypotonic or hypertonic. Voice restoration measures were carried out: phonotherapy for patients of the 1st group, phonotherapy and biofeedback therapy sessions for patients of the 2nd group. According to subjective and objective assessments, biofeedback therapy significantly accelerated voice recovery in patients with hypertonic phonation. Biofeedback therapy had no significant effect on the restoration of vocal function in patients with nodular and hypotonic phonation.</p><p><strong>Conclusion: </strong>In cases where the voice does not fully recover after endolaryngeal interventions, additional therapeutic measures are required: phonotherapy and biofeedback therapy.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 3","pages":"30-34"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326928","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 characteristics of the effectiveness of drugs of various mechanisms of action in patients after rhinosurgical interventions].","authors":"I E Berest, K G Seleznev, O S Reshetnikova","doi":"10.17116/otorino20259003135","DOIUrl":"https://doi.org/10.17116/otorino20259003135","url":null,"abstract":"<p><strong>Introduction: </strong>The search and study of the effectiveness of drugs that restore cellular elements, promote the activation and normalization of reparative processes, remains relevant.</p><p><strong>Objective: </strong>To conduct a comparative characterization of the clinical efficacy of reparants of various mechanisms of action in patients after rhinosurgical interventions.</p><p><strong>Material and methods: </strong>During the study, 166 patients of both sexes, aged 19 to 50 years, with curvature of the nasal septum and vasomotor rhinitis after rhinosurgical interventions were examined, who were divided into four groups. In the 1st group (<i>n</i>=36), patients underwent standard postoperative nasal care. In the 2nd group (<i>n</i>=44), 0.25% sodium deoxyribonucleate solution was instilled in patients in the postoperative period. In the 3rd group (<i>n</i>=41), patients were given nasal cavity care with 5% dexpanthenol ointment. In the 4th group (<i>n</i>=45) sodium hyaluronate was prescribed. All patients were calculated a generalized indicator of the severity of disorders of reparative regeneration of the epithelium of the nasal cavity based on the severity of the inflammatory reaction, a study of the time of mucociliary transport, violations of crystallization of nasal secretions, calculation of indices of cell destruction according to cytological research. The patients were monitored at the time of treatment, on the 5th, 10th, 21st, 30th, 42nd, 60th day.</p><p><strong>Results: </strong>In the early postoperative period (5-10 days), there were pronounced and moderate violations of mucosal regeneration. From day 42, the 2nd, 3rd and 4th groups showed a statistically significant (<i>p</i><0.05) lower level of impairment, a lower proportion of patients with severe disorders of reparative regeneration of the mucous membrane.</p><p><strong>Conclusion: </strong>When prescribing regenerative therapy in the postoperative period, the proportion of patients with severe disorders of regeneration from the nasal cavity decreases. A solution of sodium deoxyribonucleate and dexpanthenol have a more pronounced regenerative effect.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 3","pages":"35-39"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326929","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":"[Morphological assessment of early and delayed reparative processes of the mucous membrane in the localization of laser and traditional rhinoanthrostomes].","authors":"A B Turovsky, I G Kolbanova, A I Kryukov, Yu S Kudryavtseva, V M Bogacheva, A A Troshina","doi":"10.17116/otorino20259003140","DOIUrl":"https://doi.org/10.17116/otorino20259003140","url":null,"abstract":"<p><p>Many aspects of laser rhinosurgery including the reaction of the nasal mucosa to the effects of a holmium laser, remain controversial to this day. This has allowed us to determine the purpose of our study as the examination of morphological changes in the mucous membrane in the region formed by rhinoantrostomy using both traditional and original (endoscopic laser rhinoantrostomy) techniques. Morphological analysis of 48 samples showed that the formation of the rhinoantrostome using the traditional method significantly more often leads to epithelial metaplasia, multilayered atrophic changes, decreased number of vessels in the mucosa, and a decrease in goblet- and ciliated cell numbers (<i>p</i><0.001) compared to laser treatment. The revealed morphological changes may contribute to the development of stagnation and impaired drainage of nasal secretions from the maxillary sinus in the area formed by the rhinostome in the traditional way, and may provoke the development of postoperative nasal syndrome in the postoperative period. This indicates a significant advantage of using the laser method for rhinostomy.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 3","pages":"40-45"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326940","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":"[Remote technologies in the management of patients with vestibular pathology].","authors":"A L Guseva, A E Demkina, P A Sudarev, A V Tishkina, Z A Udagova, M L Derbeneva","doi":"10.17116/otorino20259003153","DOIUrl":"10.17116/otorino20259003153","url":null,"abstract":"<p><strong>Objective: </strong>To assess the applicability of modern remote technologies for diagnosis, treatment and monitoring patients with dizziness.</p><p><p>We conducted a scoping review by searching eLibrary, PubMed, Scopus databases for the use of various devices and applications to diagnose and treat patients with vertigo and dizziness, based on the history taking, assessment of subjective symptoms, evaluation of the of vestibular test results, remote diagnosis and treatment of vestibular disorders. The advantages of telemedicine at different communication levels as well as limitations preventing its full and widespread use are discussed. The potential promising trends in remote technologies for clinical practice are highlighted.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 3","pages":"53-59"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326942","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":"[Congenital cholesteatoma of the middle ear with total atresia of the external auditory canal: two cases report].","authors":"I A Anikin, N N Khamgushkeeva, A D Knyazev, A D Mamedova","doi":"10.17116/otorino20259003173","DOIUrl":"10.17116/otorino20259003173","url":null,"abstract":"<p><p>Congenital stenosis and atresia of the external auditory canal are the most common developmental anomalies of the external ear. Cases of combination of these malformations with cholesteatoma of the temporal bone have been repeatedly described in the world literature. This combined pathology is more typical of congenital stenosis of the external auditory canal. Total atresia of the external auditory canal is rarely associated with cholesteatoma. Cholesteatoma found behind the atretic plate is classified as congenital, excluding other possible mechanisms of it's formation. The article presents two clinical cases of a combination of congenital cholesteatoma and complete atresia of the external auditory canal: in an 8-year old girl and a 19-year old boy without the development of intratemporal and extratemporal complications.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 3","pages":"73-78"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326930","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":"[Analysis of the results of treatment of a patient with a facial nerve tumor].","authors":"A A Slepanov, D D Smirnova, P V Smirnov, E A Agapycheva, A A Novozhilov","doi":"10.17116/otorino20259003188","DOIUrl":"10.17116/otorino20259003188","url":null,"abstract":"<p><p>The article discusses a clinical case of an intratemporal tumor of the facial nerve, the picture of which may be smoothed or implicit. The aim of the study is to analyze the features of the clinical manifestations and the results of surgical treatment of the patient. The patient's complaints, preoperative examination parameters are given, and the course of surgical treatment is described in detail - removal of facial nerve neoplasm with autograft plastic surgery and simultaneous tympanoplasty. The analysis of early and long-term results of treatment and rehabilitation of the patient is carried out.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 3","pages":"88-92"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326918","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":"[Motion sickness: current views of the problem. Literature review].","authors":"N L Kunelskaya, E V Baibakova, Z O Zaoeva, E A Manaenkova, M A Chugunova, Yu A Savchenko","doi":"10.17116/otorino20259004178","DOIUrl":"10.17116/otorino20259004178","url":null,"abstract":"<p><p>Motion sickness is a complex physiological process, the causes and pathogenesis of which have attracted the attention of researchers for many years. The article presents the main theories of its origin in the historical aspect, as well as the modern view of the problem and clinical-diagnostic criteria developed by the Barani Society international group in 2021. Different approaches to the treatment and prevention of motion sickness are considered, including medications and a variety of behavioural measures.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 4","pages":"78-84"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970854","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 efficiency of polyvalent piobacteriophage in the complex treatment of nosocomial sinusitis].","authors":"A I Kryukov, A V Gurov, D S Cherkasov, M A Magomedov, A A Lapchenko, Y A Raji, E O Yarushina","doi":"10.17116/otorino20259004133","DOIUrl":"10.17116/otorino20259004133","url":null,"abstract":"<p><p>The article presents the results of the study of polyvalent pyobacteriophage in the complex therapy of nosocomial sinusitis in 30 patients of intensive care units of a multidisciplinary hospital in Moscow. The etiologic factors of nosocomial sinusitis manifestation were the following microorganisms: <i>Klebsiella pneumoniae, Acinetobacter baumannii, Staphylococcus aureus, Acinetobacter nosocomialis, Pseudomonas aeruginosa, Proteus mirabilis, Enterobacter aerogenes.</i> According to the results of the study it was revealed that at the empirical phage therapy the regression of the main clinical symptomatology was achieved in 90% of patients. The average number of days of this therapy before registration of clinical sanation of the maxillary sinus was 4±1.9. Microbiological sanitation of the maxillary sinuses was achieved in 46.7% of cases.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 4","pages":"33-38"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970908","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":"[Indicators of registration of auditory brainstem responses in children with autism spectrum disorder].","authors":"A V Pashkov, M T Fatakhova, N V Ustinova, L S Namazova-Baranova, I V Naumova, V G Kunitsyna, P A Rubinshtein, K I Voevodina, D S Chirkina, A M Mamedyarov","doi":"10.17116/otorino20259003119","DOIUrl":"https://doi.org/10.17116/otorino20259003119","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the latency of the components of the auditory brainstem responses (ABR) in children with autism spectrum disorder (ASD) in age 2-3 years in comparison with the norm.</p><p><strong>Material and methods: </strong>The research includes the results of studies of 12 children with a confirmed diagnosis of ASD, including 9 boys and 3 girls aged 24 to 33 months. To assess the auditory function all children were recorded using auditory brainstem responses with a broadband click as a stimulus. At the first stage of the study, we determined the threshold of ABR recording to exclude the presence of hearing loss. Children with hearing disorders (4 people) were not included in the study - they were allocated to a separate group for further observation. The second stage of the study was a comparative analysis of the latency of wave V in patients with ASD without hearing impairment and children with normotypic development.</p><p><strong>Results: </strong>The average latency value of the wave V in the group of children with autism spectrum disorders was 6.34 ms (Mann-Whitney <i>U</i>-test, <i>p</i>≥0.05 with a growth trend, indicating a lack of statistical significance), normally 6.75-6.90 ms. The standard deviation was 0.4 (6.37%).</p><p><strong>Discussion: </strong>The deviation of latency indicators from the norm on the screening values of the ABR stimulus can be considered a biomarker of autism spectrum disorders. To exclude or confirm ASD children with such changes should be referred for consultation to specialized specialists.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 3","pages":"19-23"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326936","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":"[Experimental and clinical evaluation of the safety and efficacy of Polydexa spray with phenylephrine in acute rhinosinusitis].","authors":"K G Dobretsov, D V Kashirskiy, A V Sazhin, G A Sazhina, A V Kireeva, O A Kolenchukova","doi":"10.17116/otorino20259004139","DOIUrl":"10.17116/otorino20259004139","url":null,"abstract":"<p><strong>Relevance: </strong>Acute rhinosinusitis is one of the most common ENT diseases. Topical complex nasal spray Polydexa with phenylephrine (PE), which includes an aminoglycoside antibiotic, is effective as a local therapy. There are no data on the toxic effects of Polydexa with PE in the medical literature. However, additional evidence will help remove restrictions on the use of Polydexa with PE spray, will help reduce the uncontrolled use of systemic antibiotics and reduce the growth of antibiotic resistance.</p><p><strong>Objective: </strong>To improve the treatment results for patients with acute rhinosinusitis through the use of Polydexa with PE nasal spray, taking into account the experimental and clinical assessment of its safety and efficacy.</p><p><strong>Material and methods: </strong>For the experimental part, 20 linear male mice aged 10 weeks were used. For 10 days, 3 times a day, 8 individuals were intranasally administered Polydexa with PE at a dose of 30 μl. To evaluate the experimental results, histological and morphometric studies of the olfactory structure tissues on the 10th day were used. The clinical part of the study included 70 patients (38 (54%) women, 32 (45%) men) with acute sinusitis aged 18 to 60 years, half of whom (<i>n</i>=35) used the intranasal spray Polydexa with PE at 1 dose 5 times a day for 7 days. To evaluate the clinical results, a visual analogue scale, endoscopic examination of the nasal cavity and assessment of olfactory thresholds using the RVSS test were used.</p><p><strong>Results and discussion: </strong>According to the experimental study, there were no direct toxic and destructive lesions of the olfactory structures in mice against the background of local administration of Polydexa with PE. In addition, the results confirm the role of inflammation in olfactory impairment and the importance of olfactometry in the diagnosis of acute sinusitis. The clinical study data showed that local therapy with nasal spray Polydexa with PE compared to the control allowed to reduce the intensity of complaints by 2.8 times and the inflammatory picture in the nasal cavity by 1.7 times, which contributed to a 4.5-fold decrease in the frequency of systemic antibiotic use. The use of nasal spray Polydexa with PE led to the restoration of the sense of smell in 94.3% of patients, which confirms the absence of a neurotoxic effect on the olfactory nerve and olfactory epithelium.</p><p><strong>Conclusion: </strong>As a result of the experimental and clinical study, the safety and efficacy of the complex nasal spray Polydexa with PE in acute rhinosinusitis were reliably proven, which allows its wider use as monotherapy and as part of a combined treatment for inflammation of the nose and paranasal sinuses.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 4","pages":"39-46"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970878","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}