Vestnik otorinolaringologii最新文献

{"title":"[Proetz virtual modeling method: a look at the method through the prism of computational fluid dynamics].","authors":"N S Sagandykova, D A Shcherbakov, A Zh Bekpan, D Kh Autalipov, M B Baurzhan","doi":"10.17116/otorino20259002132","DOIUrl":"https://doi.org/10.17116/otorino20259002132","url":null,"abstract":"<p><strong>Objective: </strong>To study the Proetz method mechanism by CFD (computational fluid dynamics) modeling.</p><p><strong>Material and methods: </strong>CFD modeling was performed using a 40-year-old female patient's CT scans of paranasal sinuses. Modeling is carried out using Mimics Medical 24.0, Ansys Fluent software.</p><p><strong>Results: </strong>When rinsing the nose, the sinuses are filled gradually as liquid sauces are reached after filling the common nasal passage. Fluid removal is effective only from the nasal cavity, the irrigation solution remains in the paranasal sinuses.</p><p><strong>Conclusion: </strong>During the Proetz rinsing method, it is effective for cleaning only the nasal cavity, while the cleaning of paranasal secretions occurs partially, complete aspiration of the irrigation solution from the sinus cavity is impossible.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 2","pages":"32-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055938","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":"[Gene therapy for inner ear disorders: a step into the future].","authors":"T G Markova, V V Bakhshinyan","doi":"10.17116/otorino20259004185","DOIUrl":"10.17116/otorino20259004185","url":null,"abstract":"<p><p>Advances in molecular genetics and the development of new technologies for working with genes determine the beginning of a new era - gene therapy is becoming an important area of medicine, including audiology and otolaryngology. Today, the innovative therapeutic solutions for inner ear disorders have been developed and some gene therapy programs of the inner ear are already undergoing clinical trials. The purpose of our article is to show the current state of the gene therapy in the inner ear research, this most serious and complex area, located at the intersection of science and practice. To learn how to use new opportunities, it is necessary to raise awareness among doctors and patients about hereditary hearing loss. While clinical trial protocols are being improved, it is necessary to develop more reliable clinical diagnostic tools for the early detection of hereditary hearing loss and especially auditory neuropathy spectrum disorders.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 4","pages":"85-90"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970925","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":"[Review of the main provisions of the updated clinical recommendations \"Noise-induced hearing loss\"].","authors":"V B Pankova, I N Fedina","doi":"10.17116/otorino20259002188","DOIUrl":"https://doi.org/10.17116/otorino20259002188","url":null,"abstract":"<p><p>The high prevalence of occupational hearing loss in the structure of occupational morbidity of workers in the Russian Federation determines the relevance of the problem, which has not only medical, but also socio-economic and deontological aspects for society as a whole. Since the regulations for establishing the professional cause of the disease provide for the stages of establishing preliminary and final diagnoses, the final decisions on the cause of hearing organ disease may not always coincide and satisfy either the patient or the employer. This situation leads to the development of protracted, conflict situations up to litigation, which undoubtedly worsen the quality of life of the employee and the doctor. In order to streamline organizational work and improve the quality of medical care for workers exposed to intense industrial noise in the course of production activities, in 2018 and in 2024 were developed the Clinical Recommendations (CR) \"Noise-induced hearing loss\" (No. 609 in the Rubric of Clinical Recommendations of the Ministry of Health of the Russian Federation), aimed at the practical application of unified and unified approaches of all specialists involved in the medical provision of workers exposed to industrial noise, have been updated and approved by the Ministry of Health of the Russian Federation.</p><p><strong>Objective: </strong>To carry out an analytical review of the main provisions of the updated Clinical Recommendations \"Hearing loss caused by noise\" (2024) to increase awareness of medical specialists in the prevention of occupational hearing disorders in workers of noise-hazardous professions.</p><p><strong>Material and methods: </strong>Analysis of the main provisions of the Clinical Recommendations \"Noise-induced hearing loss\" (2018, 2024). The main points of diagnosis, examination, rehabilitation and prevention of auditory function disorders aimed at unified approaches of medical specialists involved in the medical provision of workers in noise-hazardous professions are highlighted and discussed.</p><p><strong>Results: </strong>Updated Clinical Recommendations No. 609 \"Noise-induced hearing loss\" (2024) contain the main sections devoted to modern aspects of diagnosis, treatment, rehabilitation, prevention, examination of the connection of hearing organ disease with the profession and determination of professional suitability for various degrees of severity of hearing loss from noise exposure. The recommendations have a high level of credibility and reliability of evidence.</p><p><strong>Conclusion: </strong>The updated version of the CR No. 609 (2024) is necessary for the integrated interaction of specialists involved in diagnostic and expert work in assessing the hearing condition of workers in noise-hazardous professions. The CR is aimed at improving the quality of prevention of hearing impairment in workers of noise-hazardous professions and the practical application of unified approaches to diagnosis, tre","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 2","pages":"88-93"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039038","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":"[Candidacy and rehabilitation of adolescents during sequential bilateral cochlear implantation with a long-term interval between surgeries].","authors":"I V Koroleva, V V Dvoryanchikov, E A Levina, S B Sugarova, G Sh Tufatulin, S V Levin, D S Klyachko","doi":"10.17116/otorino20259004111","DOIUrl":"10.17116/otorino20259004111","url":null,"abstract":"<p><p>An algorithm has been developed to accompany adolescents at the stages of determining indications and postoperative rehabilitation for sequential bilateral cochlear implantation with a long interval between operations, minimizing the risk of failure to use a cochlear implant (CI) in the second ear (CI2) and ensuring its effective use. The algorithm includes: 1) 2 groups of factors influencing the results of CI2 - unchangeable (medical and biological) and influenceable (psychological and pedagogical - teenager's motivation for CI2, adequate expectations of the results, regular auditory training with CI2); 2) 4 stages of adaptation to stimulation with CI2 and use of CI1 with CI2; 3) audiological, physiological, psychological, auditory training components of the adaptation process to CI2. The study involved 26 prelingually deaf adolescents aged 10-16 years (mean 13.5±3.1 years) implanted in one up to 3 years, who did not use a hearing aid in the second ear after the surgery. The interval after the first surgery was 8-15 years (9.3±4.4 years). 2 candidates were denied implantation in the 2nd ear because of the low effectiveness of CI1 due to additional severe impairments. In two patients, the decision to perform CI2 was postponed due to the lack of motivation. After 6 months with regular auditory training with CI2 and CI1+CI2 with the participation of parents, all 22 adolescents constantly used both CIs and noted the advantage of use of CI1+CI2. The level of auditory perception with CI2 approached the level of perception with CI1 according to the CAP scale in 64% of adolescents. In 8 patients the auditory perception indices with CI2 were lower than with CI1, primarily due to underdevelopment of phonemic hearing.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 4","pages":"11-18"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970860","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":"[Endovascular embolization as a stage of preoperative preparation for improving surgical treatment of patients with inverted papilloma - a retrospective case series analysis. A clinical example of simultaneous endovascular embolization using navigation under the control of flat-detector computed tomography on a robotic angiographic complex and removal of an inverted papilloma in a hybrid operating room].","authors":"A E Zavgorodnij, Z A Bagatelia, A A Karpov, A V Arablinskiy, V A Tsurkan, A S Vasekha","doi":"10.17116/otorino20259004147","DOIUrl":"10.17116/otorino20259004147","url":null,"abstract":"<p><p>Inverted papilloma (IP) is a sinonasal epithelial tumor that originates from Schneiderian membrane. A number of cellular factors associated with angiogenesis are involved in growth of IP, and causes an increased bleeding of the tumor. The main treatment is surgical removal of sinonasal papilloma. Preoperative endovascular embolization reduces intraoperative blood loss, increases the likelihood of successful and complete resection, and shortens the operation time. New robotic angiographic systems with a FDCT option provide a technical possibility of using 3D and 4D imaging to perform safer and more accurate interventional procedures.</p><p><strong>Objective: </strong>To evaluate the features and the effectiveness of surgical removal of an inverted papilloma with preliminary endovascular embolization as a preparatory stage.</p><p><strong>Material and methods: </strong>We conducted a retrospective analysis of the medical cards of 8 patients with a diagnosis of inverted papilloma of the nasal cavity and paranasal sinuses, who underwent elective surgical treatment with preliminary embolization of the vessels feeding the tumor in the ENT department of Botkin Moscow Multidisciplinary Scientific and Clinical Center from the beginning of 2020 to December 2024. The demographic and clinical data of patients, as well as the main aspects of endovascular interventions and characteristics of the surgical stage of sinonasal papilloma removal were analyzed. A clinical case of simultaneous embolization and removal of an inverted papilloma in a hybrid operating room using the <i>Artis pheno (Siemens Healthineers)</i> angiographic system is described.</p><p><strong>Results: </strong>Males predominated among the studied patients, accounting for 75%. The age of the patients ranged from 37 to 82 years, with an average age of 70.5 [49; 74.5]. In the analyzed cases, inverted papilloma was at stage T3 (6 patients) and at stage T4 (2 patients) according to Krouse classification. 7 patients had concomitant chronic non-communicable diseases. In all cases, the first stage was performed by distal embolization of the branches of the maxillary artery. No post-embolization complications were registered in any of the cases. In the second stage, all the patients were operated on using an endoscopic or combined (endoscopic and external) approach, depending on the extention of the tumor, by the same surgeon. Four patients with stage T3 were undergone of the tumor removal through a prelacrimal approach. The volume of blood loss was 200 [137.5; 262.5] ml. The tumors were radically removed due to excellent visualization of the surgical field. The surgery time was 67.5 [62.5; 77.5] minutes.</p><p><strong>Conclusions: </strong>After analyzing the presented series of clinical cases, we can conclude that endovascular embolization is safe and effective stage before surgical removal of an inverted papilloma of the nasal cavity and paranasal sinuses. As a minimally invasive stage of preo","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 4","pages":"47-57"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970916","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 clinical course of reccurent diseases lymphoepithelial ring of the pharynx in children].","authors":"E D Guseva, E A Popko, E E Saveleva","doi":"10.17116/otorino20259004127","DOIUrl":"10.17116/otorino20259004127","url":null,"abstract":"<p><p>We present results researchchildren with reccurens infections lympho-epithelial ring, revealed features of the clinical manifestations adeno-tonsillar pathology, studied etiology factors of bacterial and viral nature in formation reccurence course diseases in children, noted role virus herpes 6 type in formation pathology lymphoepithelial ring in young children.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 4","pages":"27-32"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970883","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":"[Performance evaluation results of an artificial neural network developed for the purpose of classifying otoendoscopic images].","authors":"A I Kryukov, E V Garov, P A Sudarev, V N Zelenkova, V E Kiselyus, N G Shevyrina, V A Korotaeva, U E Petrashko","doi":"10.17116/otorino2025900319","DOIUrl":"https://doi.org/10.17116/otorino2025900319","url":null,"abstract":"<p><p>The article describes an attempt to implement an automated approach in the diagnosis of ear diseases using a convolutional neural network. In the course of the work, a dataset consisting of 8791 images obtained during human otoendoscopic examination was formed, labelled and uploaded. The neural network was trained and tested. To organize the work of the algorithm, a tree of diagnoses was created and classes of images were defined: normal, defect of the unstretched section of the tympanic membrane, adhesive otitis media, foreign body of the external auditory canal, neotympanic membrane, sulfur plug, shunt, exudative otitis media, exostoses and neoplasms of the external auditory canal, diffuse otitis media, defect of the unstretched section of the tympanic membrane. The developed and trained artificial neural network demonstrated an accuracy of 91.2% in recognising different nosological classes related to the middle ear and diseases of external auditory canal. The proposed technology can be further used in medical practice to control and improve the quality of diagnostics of ear pathologies.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 3","pages":"9-12"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326941","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 new approach to surgical treatment of extended chronic cicatricial stenosis of the larynx and trachea].","authors":"A I Kryukov, E A Kirasirova, N V Lafutkina, O K Piminidi, R F Mamedov, R A Rezakov, S I Tyutina, V A Trusov, O V Shulga, T M Suslova, F M Dzhangurazova","doi":"10.17116/otorino2025900219","DOIUrl":"https://doi.org/10.17116/otorino2025900219","url":null,"abstract":"<p><strong>Objective: </strong>To develop an algorithm for surgical treatment and postoperative management of patients with prolonged chronic cicatricial stenosis of the larynx and trachea and evaluate its effectiveness.</p><p><strong>Material and methods: </strong>To achieve the goal we examined and treated 88 patients with chronic cicatricial stenosis of the larynx and trachea.</p><p><strong>Results: </strong>The algorithm of complex treatment of patients with chronic cicatricial stenosis of the larynx and trachea has been improved based on a differentiated approach to surgical treatment using various implantation materials, and new methods of postoperative management of patients have been developed: a silicone stent for postoperative prosthetics of the formed laryngeal lumen and a dressing based on sodium alginate.</p><p><strong>Conclusion: </strong>With the help of a new algorithm of complex treatment of patients with chronic cicatricial stenosis of the larynx and trachea, surgical tactics and conservative management of patients in the postoperative period were optimised, which allowed to rehabilitate more patients, reduce the number of reoperations, shorten hospitalisation periods and economic costs.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 2","pages":"9-13"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042381","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 features of ulcerative laryngitis].","authors":"S G Romanenko, E A Kirasirova, O G Pavlikhin, O V Eliseev, D I Kurbanova, E V Lesogorova, E N Krasilnikova","doi":"10.17116/otorino20259002120","DOIUrl":"https://doi.org/10.17116/otorino20259002120","url":null,"abstract":"<p><p>Ulcerative laryngitis refers to rare diseases, it is also called prolonged ulcerative laryngitis, idiopathic ulcerative laryngitis and acute ulcerative laryngitis.</p><p><strong>Objective: </strong>To increase the effectiveness of treatment of patients with ulcerative laryngitis based on the study of the clinical features of the disease and evaluation of treatment results.</p><p><strong>Material and methods: </strong>The results of the examination (collection of complaints and anamnesis, general otorhinolaryngological examination, indirect microlaryngoscopy, videolaryngostroboscopy, microbiological studies, subjective assessment of vocal function) and treatment of 20 patients with ulcerative laryngitis who applied to the phoniatric unit of the Sverzhevsky Research Clinical Institute of Otorhinolaryngology (Moscow, Russia) are presented.</p><p><strong>Results: </strong>The study group consisted of 16 women and 4 men aged 19 to 73 years (median 47.5 years). In all patients, the disease is associated with a prolonged or subacute cough. The duration of dysphonia ranged from 1 to 10 months (2.6 months on average). A history of smoking was detected in 7 patients, increased vocal load in 5. The clinical picture in all patients was similar: dysphonia and cough. Video laryngoscopy revealed hyperemia and infiltration of the vocal folds with the presence of erosions or ulcers covered with fibrin, located symmetrically in the middle third of the vocal folds along the free edge with a transition to the upper surface. Video pharyngostroboscopy revealed a decrease in the amplitude and irregularity of vibrations in the erosion zone, and the preservation of the mucous wave in the remaining parts of the vocal folds. Microbiological examination revealed fungal flora in 4 patients and bacterial flora in 4 patients. The duration of treatment averaged 9.6 weeks, while the healing of ulcerative defects of the vocal folds occurred 2-4 weeks after the cessation of coughing. Phonopedic classes were needed by 2 patients. In 1 case, surgical treatment was required. Laryngeal contact granuloma was detected in 2 patients with ulcerative laryngitis. Granuloma regression is achieved with the help of conservative therapy. The restoration of voice as a result of the treatment was achieved in all patients.</p><p><strong>Conclusion: </strong>Ulcerative laryngitis is a rare disease associated with vocal injury, characterized by dysphonia, bilateral and symmetrical ulcerative defects in the middle third of the vocal folds, and prolonged healing. It is necessary to conduct a microbiological examination at the first treatment of a patient with this pathology. Treatment should be individual and comprehensive. Surgical treatment is indicated in exceptional cases for the differential diagnosis of laryngeal cancer. Phonopedia may be required. Long-term monitoring of the patient is necessary until full recovery and restoration of voice function.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 2","pages":"20-25"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047443","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":"[Central auditory processing disorders: problems of definition and classification].","authors":"I E Grebenyuk, V E Gaufman, G Sh Tufatulin, E S Garbaruk, M Yu Boboshko","doi":"10.17116/otorino2025900214","DOIUrl":"https://doi.org/10.17116/otorino2025900214","url":null,"abstract":"<p><p>For decades, central auditory processing disorders have remained a controversial topic in audiology, probably due to the variety of clinical manifestations, etiology, state of lesion and symptoms. The variety of terms and opinions, regarding the consideration of linguistic and cognitive components, the absence of a well-established single classification of central auditory processing disorders in clinical practice lead to difficulties in diagnostics and management. Several approaches to the classification of central auditory processing disorders have been described in literature. However, there is no common classification up to date. In this regard, we have proposed the classification of central auditory processing disorders that allows unifying of diagnoses. The classification divides central auditory processing disorders by two characteristics: 1) primary (without known etiology factor) and secondary (with known etiology factor); 2) with normal and impaired peripheral hearing.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 2","pages":"4-8"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983531","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}