Vestnik otorinolaringologii最新文献_第9页

[The clinical use of impedance field telemetry heat maps at the rehabilitation stage of cochlear implantation]. [阻抗场遥测热图在人工耳蜗植入康复阶段的临床应用]。

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino2025900519

V V Drorianchikov, Yu K Yanov, S B Sugarova, D S Kliachko, D D Kaliapin

{"title":"[The clinical use of impedance field telemetry heat maps at the rehabilitation stage of cochlear implantation].","authors":"V V Drorianchikov, Yu K Yanov, S B Sugarova, D S Kliachko, D D Kaliapin","doi":"10.17116/otorino2025900519","DOIUrl":"10.17116/otorino2025900519","url":null,"abstract":"The article is devoted to the study of impedance field telemetry at the rehabilitation stage of cochlear implantation. The technology was developed in 2012 as an additional protocol to implant telemetry. Its task is to identify defects in the cochlear implant electrode array insertion during surgery.Objective: To determine a practical benefit from using this technology at the rehabilitation stage of cochlear implantation.Material and methods: Cases of 100 patients from 10 months to 74 years old, Δ=17±8.6 years, who underwent a rehabilitation course or the speech processor exchange at the St. Petersburg Research Institute of ENT in 2025 were prospectively studied. All patients had a MedEl cochlear implant with a straight type of electrode array: standard (n=69), flex-soft (n=31). Objectives of the study: to assess the correspondence between the standard implant telemetry and the impedance field telemetry heat maps; to identify additional information when analyzing heat maps; to determine indications for using the technology at the rehabilitation stage of cochlear implantation.Results: : In all (100%) cases, impedance field telemetry heat maps served as a convenient graphical representation of the data, an additional opportunity appeared to evaluate each of the system contacts for all possible stimulation options. In 18 patients (18%), additional information had clinical significance and influenced the specialist's decision-making, which is illustrated by clinical examples of three patients.Conclusions: : Impedance field telemetry is an informative and convenient diagnostic method, both intraoperatively and at the rehabilitation stage. Heat maps do not completely replace classical telemetry, but they help to obtain additional information, which is of clinical significance in some cases. The method should be used in conjunction with implant telemetry in complex or ambiguous situations.","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 5","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":"145483197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Possibilities of combined physiotherapy treatment of allergic rhinitis]. 【变应性鼻炎综合理疗治疗的可能性】。

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino20259006172

D S Pshennikov, N V Feshkina, A V Rondaleva

{"title":"[Possibilities of combined physiotherapy treatment of allergic rhinitis].","authors":"D S Pshennikov, N V Feshkina, A V Rondaleva","doi":"10.17116/otorino20259006172","DOIUrl":"10.17116/otorino20259006172","url":null,"abstract":"The article includes the results of a prospective randomized double-blind placebo-controlled comparative clinical study of combined physiotherapeutic treatment of allergic rhinitis.Objective: To evaluate the efficacy and safety of combined physiotherapeutic treatment of allergic rhinitis, including thermotherapy, exposure to pulsed red light (phototherapy) and a pulsed magnetic field.Material and methods: The study included 100 outpatients aged 18 to 60 years with allergic rhinitis in the subsiding phase of exacerbation. Patients were divided into 2 groups comparable in gender and age: 50 patients of the main group, undergoing a course of combined physiotherapeutic treatment against the background of the main treatment of allergic rhinitis, 50 patients of the control group, who also received exposure to a placebo product against the background of the main treatment of allergic rhinitis. The comparison was carried out using the assessment of clinical symptoms according to visual analogue scale, rhinoendoscopic examination, active anterior rhinomanometry, SNOT-22 and CSMS questionnaires.Results: The use of combined physiotherapeutic treatment of allergic rhinitis, including exposure to pulsed light radiation of the red range (phototherapy) and a pulsed magnetic field was accompanied by a significant (p<0.05) decrease in the intensity of the main symptoms of allergic rhinitis, an increase in the quality of life and an improvement in the objective characteristics of nasal breathing.Conclusion: Combined physiotherapeutic treatment of allergic rhinitis using phototherapy and a pulsed magnetic field is effective in adult patients with allergic rhinitis in the phase of subsiding exacerbation.","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 6","pages":"72-76"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Rhinogenic orbital complications in children of the first year of life]. [一岁儿童鼻源性眼眶并发症]。

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino20259005141

R M Radzhabov, M M Polunin, E Yu Radtsig, Yu L Soldatskiy, S R Edgem, O A Denisova, A A Poliakov, I I Svirchevskiy

{"title":"[Rhinogenic orbital complications in children of the first year of life].","authors":"R M Radzhabov, M M Polunin, E Yu Radtsig, Yu L Soldatskiy, S R Edgem, O A Denisova, A A Poliakov, I I Svirchevskiy","doi":"10.17116/otorino20259005141","DOIUrl":"10.17116/otorino20259005141","url":null,"abstract":"Objective: To study the frequency of occurrence, peculiarities of course and treatment of orbital complications of sinusitis in children of the first year of life with rhinogenic orbital complications.Material and methods: A retrospective analysis of treatment of 74 patients of the first year of life (mean age 8.9±3.0 months) hospitalized in the department of otorhinolaryngology of the Morozovskaya Children's City Clinical Hospital with rhinogenic orbital complications For the period from 01.01.2019 to 31.06.2024 was carried out.Results: Non purulent orbital complications of sinusitis(I and II stages according to Chandler classification) were diagnosed in 48 patients, purulent (II and III according to J. Chandler classification) in 26 patients. The main complaints on admission to the hospital were: hyperemia and eyelid edema (100%), fever (78.3%), nasal congestion only in 58.1%. The peculiarities of the clinical picture, when nasal symptoms may be absent or appear later than orbital symptoms, are the main reason why children are initially observed on an outpatient basis by other specialists (pediatrician, allergist, ophthalmologist) and were seen by a specialized specialist later.Conclusion: Orbital complications of acute sinusitis in children continue to remain high and account for up to 13.1% of hospitalized children with acute sinusitis. Considering the advantages of endoscopic rhinosurgery, we perform endoscopic endonasal sinusotomy and orbitotomy for purulent complications of acute sinusitis, taking into account the age-specific features of ONP in children. The effectiveness of conservative therapy in non-purulent orbital complications is 75%.","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 5","pages":"41-47"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Plastic perforation of the nasal septum with a flap on the branches of the superior labial artery]. [在唇上动脉的分支上做皮瓣的鼻中隔塑料穿孔]。

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino20259002126

Yu Yu Rusetsky, V A Stepanova, J T Mokoyan, V M Svistushkin, A N Yelumeeva, A N Shcheglov

{"title":"[Plastic perforation of the nasal septum with a flap on the branches of the superior labial artery].","authors":"Yu Yu Rusetsky, V A Stepanova, J T Mokoyan, V M Svistushkin, A N Yelumeeva, A N Shcheglov","doi":"10.17116/otorino20259002126","DOIUrl":"https://doi.org/10.17116/otorino20259002126","url":null,"abstract":"An innovative method of endonasal closure of postoperative perforations of the nasal septum is presented, which is based on the use of a mucoperiosteal flap formed on the branches of the superior labial artery. Since 2023, the described technique has been used in 15 patients (average age 43 years). The duration of postoperative follow-up varies from 4 to 9 months. The assessment of the quality of life of patients before and after surgery was carried out using the SNOT-22 questionnaire. The average duration of the operation was 60 minutes. In 14 (93.3%) of the 15 patients, complete anatomical closure of the perforation was achieved. Complete healing of the donor area was noted 1 month after the operation. There were no postoperative complications (bleeding, infections). The average score for SNOT-22 decreased from 42.3±1.65 to 12.02±2.30 points 3-6 months after surgery (p<0.05), indicating a significant improvement in the quality of life of patients. The high efficiency of the proposed method is demonstrated. The technical accessibility and prospects for wide application in surgical practice are noted. Further studies in large groups of patients are needed to definitively determine the place of this method in surgery for closing nasal septum perforations.","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 2","pages":"26-31"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[A method for plastic closure of large labyrinthine fistulas in patients with chronic suppurative otitis media]. [慢性化脓性中耳炎大迷路瘘管的塑料封闭方法]。

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino20259006149

A Yu Ovchinnikov, M A Edzhe, E M Khon, D N Atlashkin, A Yu Shcherbakov

{"title":"[A method for plastic closure of large labyrinthine fistulas in patients with chronic suppurative otitis media].","authors":"A Yu Ovchinnikov, M A Edzhe, E M Khon, D N Atlashkin, A Yu Shcherbakov","doi":"10.17116/otorino20259006149","DOIUrl":"https://doi.org/10.17116/otorino20259006149","url":null,"abstract":"Current surgical treatment strategies for patients with chronic suppurative otitis media (CSOM) and cholesteatoma complicated by a labyrinthine fistula (LF) are as gentle as possible and aimed at preserving inner ear function. The otolaryngologist's goal is to eliminate the bony labyrinth defect in the most reliable manner.Objective: To improve the effectiveness of surgical treatment of large labyrinthine fistulas in patients with chronic suppurative otitis media.Material and methods: Twelve adult patients with CSOM and cholesteatoma complicated by a lateral semicircular canal fistula were treated. The average age of the patients was 49±0.24 years; there were 7 women and 5 men. All patients had a unilateral disease. A new technique for plastic closure of large LFs, the spiked closure technique, was used, which involves forming a dense wall of three layers (cartilage, perichondrium, and fascia) at the defect site.Results: Following plastic closure of large labyrinthine fistulas using the spiked closure technique, clinical manifestations of cochleovestibular disorders in the postoperative period were significantly reduced.Conclusion: The effectiveness of surgical closure of large labyrinthine fistulas using the spiked closure technique has been demonstrated.","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 6","pages":"49-54"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145850881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Treatment of acute tonsillopharyngitis in elderly patients: aspects of complex topical therapy]. 老年患者急性扁桃体咽炎的治疗：复杂局部治疗的几个方面。

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino20259004119

T Yu Vladimirova, A B Martynova

{"title":"[Treatment of acute tonsillopharyngitis in elderly patients: aspects of complex topical therapy].","authors":"T Yu Vladimirova, A B Martynova","doi":"10.17116/otorino20259004119","DOIUrl":"10.17116/otorino20259004119","url":null,"abstract":"Introduction: Infectious and inflammatory diseases of the pharynx remain the focus of attention of physicians of many specialties due to their high prevalence and social significance.Material and methods: The main group (n=30, mean age 68.9±5.6 years) was prescribed Dorithricin for resorption, 1 tablet every 3 hours, no more than 6 tablets per day for 6 days. The control group (n=30, mean age 68.3±4.7 years) was recommended treatment with antiviral and antipyretic agents.Results: By the 2nd visit, 16.7% of elderly patients experienced complete relief of sore throat, and no cases of high-intensity sore throat were recorded. By the 3rd day of treatment, the proportion of such patients increased significantly, amounting to 43.3%, and by the end of treatment, 96.7% of patients taking Dorithricin had no sore throat. The most significant changes during treatment were noted in relation to such additional symptoms as discomfort when swallowing and dysphagia. When assessing the pharyngoscopic picture, statistically significant differences were noted between the groups by the 2nd visit in relation to hyperemia of the oropharyngeal mucosa (p=0.048), the severity of edema of the oropharyngeal mucosa (p=0.043). Patients who received Dorithricin rated their satisfaction with the treatment as satisfied and extremely satisfied in 33.3% and 66.7%, the assessment of doctors was comparable.Conclusion: This study may contribute to the confidence of physicians in prescribing the complex drug Dorithricin, which includes substances that affect all key components of the pathogenesis of acute tonsillopharyngitis in elderly patients and increase patient satisfaction and expectations.","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 4","pages":"19-26"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Doctors-participants of the Great Patriotic War. Talyshinskiy A.M.o - senior doctor of Air Defence Artillery Division, Captain of the Medical Service. To 100th birthday anniversary of Grand PhD in Medical sciences, Professor Talyshinskiy A.M.o.] 医生——卫国战争的参与者。塔利辛斯基防空炮兵师高级医生，医务队长。纪念医学大博士塔利辛斯基教授诞辰100周年。

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino2025900315

L N Starkova, N A Pikhtileva, T I Karaseva

引用次数: 0

[Evolution of surgical treatment of bilateral laryngeal paralysis]. [双侧喉麻痹的外科治疗进展]。

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino20259006195

E A Kirasirova, O K Piminidi, T M Suslova, R F Mamedov, N V Lafutkina, S I Tyutina, R A Rezakov, E V Kulabukhov, V A Trusov, O V Shulga

引用次数: 0

[The effectiveness of laser sculpture uvulopalatoplasty in the treatment of a patient with rhonchopathy and severe obstructive sleep apnea syndrome. Clinical case]. 激光雕刻悬垂腭成形术治疗鼻窦炎合并重度阻塞性睡眠呼吸暂停综合征1例疗效观察。临床病例)。

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino20259001175

V B Knyazkov

引用次数: 0

[On the issue of classification of vomer deformities in children]. [关于儿童乳房畸形的分类问题]。

Vestnik otorinolaringologii Pub Date : 2025-01-01 DOI: 10.17116/otorino20259001135

A S Yunusov, E N Kotova

{"title":"[On the issue of classification of vomer deformities in children].","authors":"A S Yunusov, E N Kotova","doi":"10.17116/otorino20259001135","DOIUrl":"10.17116/otorino20259001135","url":null,"abstract":"Numerous publications on the classification of the nasal septum deformity (deviation) are mainly related to the anterior septal parts and the development of this pathology in the adult population. None of the available classifications contain the detail of the vomer deformities, required to select an algorithm for subsequent doctor's actions, as well as considering the clinical and anatomical features of this zone in children with congenital choanal atresia (CCA) or in its isolated deformity.Objective: To develop the classification of the vomer's deformities variants based on an analysis of CT of the paranasal sinuses (PNSs) in children with CCA and isolated deformity of the vomer, determining the choice of tactical and technical surgical treatment options.Material and methods: The classification is based on analysis of computed tomography of the PNSs of 334 children with CCA and isolated vomer deformity.Results: The vomer displacement towards the injured side was observed in the unilateral form of choanal atresia, thus arcuate, angular and lateral vomer displacement was revealed in the coronal plane. The following variants of the vomer deformity have been identified in the assessment of axial plane: S-shaped displacement towards the atresia when unilateral or towards one of sides, angular displacement by the type of crista, uniform displacement towards atresia, hyperplasia of the vomer's posterior edge, splitting of the vomer. The proposed classification systematizes numerous variants of the vomer's deformities, defined in the axial and coronal planes.Conclusion: The classification is the basis of the algorithm for selecting technical options and methods of surgical treatment of patients with CCA, choanal stenosis and isolated vomer deformity.","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"90 1","pages":"35-42"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0