Vestnik otorinolaringologii最新文献

{"title":"[Study of the dependence of the width of the piriform aperture on the size and shape of the external nose].","authors":"V I Popadyuk, D S Pshennikov, I V Kastyro, A V Timoshenko","doi":"10.17116/otorino20269101129","DOIUrl":"10.17116/otorino20269101129","url":null,"abstract":"<p><p>Currently, the parameters of the external nose and the width of the piriform aperture are known. However, there is no data on their relationship with each other.</p><p><strong>Objective: </strong>To identify the relationship between the size and shape of the external nose and the width of the piriform aperture.</p><p><strong>Materials and methods: </strong>In the course of the work on the basis of the Ryazan Regional Clinical Hospital named after N.A. Semashko, 106 people (45 men and 61 women from 18 to 65 years old) were examined for the period from 2022 to 2024, whose piriform aperture width was compared with the parameters of the external nose using correlation analysis methods. The relationship was determined using the Pearson and Spearman correlation coefficients.</p><p><strong>Results: </strong>The presence of a hump in all study groups has a statistically significant negative correlation with the width of the piriform aperture. The value of the nasal index in all study groups directly correlates with the width of the piriform aperture. The width of the external nose and the pyriform aperture are interrelated when measuring smaller noses, and the projection and length of the nose do not affect the size of the piriform aperture.</p><p><strong>Conclusions: </strong>Despite the fact that the studied correlation coefficients have a small value, which corresponds to a moderate or weak correlation strength, the obtained results can help to identify the narrowness of the pyriform aperture according to the shape and specified parameters of the external nose, which must be taken into account when planning operations on the piriform aperture.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 1","pages":"29-34"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322305","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":"[Hormone therapy for stapedoplasty in patients with otosclerosis].","authors":"A I Kryukov, E V Garov, N G Sidorina, E E Zagorskaya, O V Kovtun, E E Garova, A G Khublaryan, M M Radzhabova","doi":"10.17116/otorino20269104122","DOIUrl":"https://doi.org/10.17116/otorino20269104122","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Surgical treatment of hearing loss due to otosclerosis is characterized by high clinical efficacy and ensures achievement of an air-bone gap of ≤10 dB in 58-97% of patients. However, acute sensorineural hearing loss as a complication of stapedoplasty occurs in 0.2-0.95% of cases after the primary intervention, in 2.9% after revision stapedoplasty and in 4.8% with the obliterating otosclerosis. Intraoperative adverse factors arising during stapedoplasty play the leading role in the development of early cochleovestibular disorders. On the other hand, the use of glucocorticosteroids (GCS) in the surgical management of patients with otosclerosis remains a subject of debate, as the indications for their use, optimal routes of administration, and clinical efficacy still lack sufficient scientific justification.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To determine the indications for and evaluate the efficacy of hormonal therapy methods in patients undergoing stapedoplasty for otosclerosis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Material and methods: &lt;/strong&gt;Between 2020 and 2023, a total of 112 patients with otosclerosis were examined and surgically treated. Among them, 83 were women and 29 were men; the mean age of the patients was 44±10.5 years. The diagnosis was based on data from otomicroscopy, pure-tone audiometry, acoustic impedance audiometry, and computed tomography of the temporal bones, which served to confirm the condition and identify factors that could adversely affect stapedoplasty outcomes. Functional results were assessed using pure-tone audiometry at days 2 and 7, as well as at 3, 6, and 12 months postoperatively. Considering the features of the intraoperative course, the dynamics of air-bone gap closure, and the GCS therapy regimen applied, the patients were divided into three groups. Group 1 consisted of 45 patients who did not receive GCS therapy. Group 2 included 54 patients, subdivided into 2 subgroups: 22 subjects (Group 2a) received topical GCS therapy using bioabsorbable collagen sponges impregnated with the drug and inserted into the round window niche, and 32 subjects (Group 2b) received systemic GCS therapy. The latter was administered due to an adverse intraoperative course to prevent postoperative complications. Group 3 consisted of 13 patients in whom GCS were used both topically and systemically due to adverse intraoperative factors during stapedoplasty and a subsequent increase in bone conduction thresholds detected on day 2 after surgical treatment.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The key factors determining the need for GCS therapy were intraoperative features of the stapedoplasty procedure. In particular, intense tissue bleeding and a pronounced vestibular reaction during vestibulotomy (&lt;i&gt;p&lt;/i&gt;≤0.001), as well as blood entering the vestibule and the \"dry\" vestibule phenomenon (&lt;i&gt;p&lt;/i&gt;≤0.05), were significant. In addition, the development of cochleovestibular disorders in the postoperative period is associated not with individual factors, ","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 4","pages":"22-31"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888582","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":"[Cortical auditory evoked potentials as biomarkers of central auditory system maturation in children with normal and impaired hearing: scoping review].","authors":"E S Shcheglova, G Sh Tufatulin","doi":"10.17116/otorino20269102184","DOIUrl":"10.17116/otorino20269102184","url":null,"abstract":"<p><strong>Introduction: </strong>The central auditory system and its maturational aspects have been a topic of interest on the raise in recent times. Cortical auditory evoked potentials (CAEP) might be a promising electrophysiological tool, applicable both in the diagnosis of central auditory processing disorders and other conditions, as well as in clinical evaluation of amplification and cochlear implantation effectiveness in children.</p><p><strong>The objective: </strong>Of this study was to perform a scoping review on CAEP as biomarkers of cortical maturation in children and infants with normal and impaired hearing.</p><p><strong>Material and methods: </strong>A keyword search was performed across the PubMed, Scopus, Web of Science, and Elibrary.ru databases.</p><p><strong>Results: </strong>86 sources were included in the review according to the criteria. In children with normal hearing, the latency of CAEP components decreases with age. An increase in latency and a change in the morphology of CAEP are observed in cases of hearing impairment, prematurity, speech, and certain neurological disorders.</p><p><strong>Conclusion: </strong>CAEP might serve as a reliable biomarker for assessing the maturation of the central auditory system in both children with normal hearing and those with hearing impairment.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 2","pages":"84-96"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875864","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 diagnosis and treatment of extranasopharyngeal angiofibroma].","authors":"A E Golovanov, M S Kuznecov, B V Kuts, Ya O Zaitova","doi":"10.17116/otorino202691031111","DOIUrl":"10.17116/otorino202691031111","url":null,"abstract":"<p><p>Extranasopharyngeal angiofibromas (ENGA) are benign fibrous vascular tumors that grow aggressively and are accompanied by destruction of the bones of the base of the skull and damage to nearby anatomical structures. The clinical manifestations of ENGA are rather nonspecific and largely depend on the localization (nasal septum, inferior nasal concha, upper jaw, etc.). The article presents a clinical case of endonasal endoscopic resection of ENGA with simultaneous X-ray-associated endovascular embolization of the tumor's supply vessels. The data of computed tomography with contrast, histological and immunohistochemical studies play an important role in the diagnosis.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 3","pages":"111-114"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377143","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":"[Vestibular neuritis or acute unilateral vestibulopathy. (Literature review)].","authors":"A L Guseva, E V Baibakova, Z A Udagova, A V Tishkina, A A Lapchenko, M L Derbeneva","doi":"10.17116/otorino20269103168","DOIUrl":"10.17116/otorino20269103168","url":null,"abstract":"<p><p>The article presents a literature review based on Scopus, Pubmed and Elibrary databases on etiology, pathogenesis, clinical manifestations and treatment of vestibular neuritis. Recent international clinical criteria for diagnosis and classification of this disease are given. Clinical and instrumental diagnostic methods for unilateral vestibular hypofunction are discussed, as well as differential diagnosis with other acute and episodic vestibular disorders, especially with acute vertebrobasilar insufficiency. Controversial issues of medical and physical treatment of vestibular neuritis are considered.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 3","pages":"68-76"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377411","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":"[Surgical treatment of chronic nasal obstruction using pyriform aperture plasty].","authors":"D S Pshennikov, V I Popadyuk, M D Khubezova","doi":"10.17116/otorino202691021109","DOIUrl":"10.17116/otorino202691021109","url":null,"abstract":"<p><p>A deviated septum, inferior turbinate hypertrophy, and nasal valve dysfunction are the most common causes of chronic nasal obstruction, and septoplasty and inferior turbinate reduction surgery are among the most frequently performed procedures in ENT. Unfortunately, surgical interventions to eliminate chronic nasal obstruction often fail to achieve the desired result, with nasal congestion persisting or recurring over time. One cause of static dysfunction of the internal nasal valve may be a narrowed pyriform aperture, which can eliminate the success of functional rhinosurgical procedures. This article presents the case of successful surgical treatment of chronic nasal obstruction using pyriform aperture enlargement.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 2","pages":"109-112"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875865","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 for sensorineural hearing loss treatment: Cellular technologies].","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/otorino202691031100","DOIUrl":"10.17116/otorino202691031100","url":null,"abstract":"<p><p>This article presents a literature review on the molecular mechanisms of the inner ear damage and current approaches to restoring its cellular structures. The search for sources was carried out in the RSCI, Scopus, PubMed and Google Scholar databases. The advantages and limitations of various approaches to cochlear hair cell regeneration, as well as prospects for their development, are discussed. Particular attention is paid to discoveries in the field of gene therapy for inner ear diseases.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 3","pages":"100-106"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377192","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":"[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":"[Effectiveness of telemedicine consultations in the diagnosis and management of patients with vestibular disorders].","authors":"A L Guseva, A V Tishkina, Z A Udagova, M L Derbeneva","doi":"10.17116/otorino2026910416","DOIUrl":"https://doi.org/10.17116/otorino2026910416","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the clinical effectiveness and practical feasibility of telemedicine technologies in the management of patients with vestibular disorders.</p><p><strong>Material and methods: </strong>The study included 174 patients presenting with complaints of dizziness. During the remote consultation stage, a diagnostic concept was formulated based on patient complaints, medical history, and previously performed examinations. Subsequently, 166 patients underwent in-person evaluation to verify the clinical diagnosis and assess concordance with the preliminary hypothesis. Over a 6-month period, remote follow-up was conducted, analyzing repeated teleconsultations and the need for in-person visits.</p><p><strong>Results: </strong>Complete or partial concordance between the remote diagnostic concept and the final clinical diagnosis was observed in 97.5% of cases, with complete concordance in 65.0%; complete discrepancy was identified in 2.5% of patients. In 29.5% of patients, a combination of multiple otoneurological diagnoses was established, and in 10.4% of cases a differential diagnostic spectrum of nosologies remained. During the 6-month follow-up, 73.6% patients actively used teleconsultations, and 20.0% patients required repeated in-person examinations. In acute vestibular syndromes, in-person visits were significantly more frequent, whereas in episodic and chronic forms, remote monitoring predominated. In the episodic vestibular syndrome group, patients with benign paroxysmal positional vertigo had significantly more repeat in-person examinations than patients with Ménière's disease and vestibular migraine. After 6 months, positive clinical dynamics were observed in the majority of patients, including those who received interdisciplinary consultations with related specialists.</p><p><strong>Conclusion: </strong>The use of telemedicine technologies in the management of patients with vestibular disorders ensures a high level of diagnostic consistency, enables efficient allocation of in-person consultations based on the clinical situation, thereby reducing the burden on specialized care, and maintains continuity of care. A promising direction for further research is the development of standardized telemedicine algorithms for diagnosis, monitoring, and multidisciplinary interaction, taking into account the high prevalence of combined forms of vestibular pathology.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"91 4","pages":"6-11"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888634","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}