K. Diab, V. S. Korvyakov, O. Pashchinina, B. S. Khasan, L. Terekhina
{"title":"The rationale for conducting a scientific study on the choice of surgical treatment tactics for patients with temporal bone defects localized in the projection of the middle cranial fossa – the roof of the attic and(or) antrum","authors":"K. Diab, V. S. Korvyakov, O. Pashchinina, B. S. Khasan, L. Terekhina","doi":"10.18692/1810-4800-2020-4-74-81","DOIUrl":"https://doi.org/10.18692/1810-4800-2020-4-74-81","url":null,"abstract":"The article on the basis of a review of literature presents the justification for the possibility of conducting a scientific study on the choice of surgical treatment tactics of patients with temporal bone defects, localized in the projection of the middle cranial hole. When choosing a method of surgical treatment, the main importance will be given not only to the localization, number and size of bone defect, but also to experimentally established features inherent in cranioplasty, which are associated with nature the graft used, its installation and fixation in the bone bed, as well as the shelter of its free surfaces with additional plastic materials.","PeriodicalId":372409,"journal":{"name":"Russian Otorhinolaryngology","volume":"302 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126567982","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":"Conicotomy and emergency tracheotomy in general hospital","authors":"A. V. Gerbergagen, A. Zelenov","doi":"10.18692/1810-4800-2020-6-78-82","DOIUrl":"https://doi.org/10.18692/1810-4800-2020-6-78-82","url":null,"abstract":"The article presents 6 clinical cases of emergency conicotomy and / or tracheotomy in an in-patient department of a general emergency hospital. A variety of tactics for the management of the preoperative period and surgical aid is described in conditions of extreme shortage of time for the adoption and implementation of a decision due to the severity of the patient’s condition and the rate of increase in the disorders of the vital functions. The causes of unfavourable outcomes of operations are analyzed. Proposals have been made to improve the training of personnel for action in an emergency situation and to provide material and technical support for this type of assistance in health facilities.","PeriodicalId":372409,"journal":{"name":"Russian Otorhinolaryngology","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124690247","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}
A. Korneenkov, O. Konoplev, I. Fanta, S. Levin, E. E. Vyazemskaya
{"title":"Statistical analysis and estimation of clinical effect based on Bayes factor for otorhinolaryngology","authors":"A. Korneenkov, O. Konoplev, I. Fanta, S. Levin, E. E. Vyazemskaya","doi":"10.18692/1810-4800-2020-5-14-24","DOIUrl":"https://doi.org/10.18692/1810-4800-2020-5-14-24","url":null,"abstract":"The article discusses the use of Bayesian methods for statistical inference as an alternative to the traditional method of testing hypotheses based on the significance level. Illustrative examples of solving traditional statistical problems of hypothesis testing in otorhinolaryngology based on the calculation and interpretation of the Bayes factor are presented. As two tasks for illustration, we used the tasks of assessing the impact of sauna visits on indicators of nasal flow in patients with allergic rhinitis and the task of assessing the association of the season of the year and the frequency of birth of children with hearing impairment. Although in the form of an article it is impossible to fully describe and explain all the mathematical terms and their origin for understanding the logic of Bayesian methods, we tried to explain what they mean without reference to the mathematical manuals. As Bayesian methods are increasingly used in statistical applications, a basic understanding of how to calculate them should be part of the toolkit of every medical researcher, and how to interpret it, of every practitioner who is interested in modern results of clinical trials. All calculations used in the article are accompanied by an R-code, so they can easily be reproduced, the text of the article can be used as step-by-step instructions for their implementation.","PeriodicalId":372409,"journal":{"name":"Russian Otorhinolaryngology","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122420872","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}
V. V. Dvoryanchikov, V. Mironov, S. S. Pavlova, V. I. Podsvirov, P. Nacharov
{"title":"Common pathogenesis of chronic tonsillitis and acute appendicitis","authors":"V. V. Dvoryanchikov, V. Mironov, S. S. Pavlova, V. I. Podsvirov, P. Nacharov","doi":"10.18692/1810-4800-2020-3-8-15","DOIUrl":"https://doi.org/10.18692/1810-4800-2020-3-8-15","url":null,"abstract":"For many decades, the problem of chronic tonsillitis still does not lose its relevance. However, some aspects of the etiology and pathogenesis of chronic tonsillitis remain unexplored. This article presents the results of a study of the bacterial flora and structural components of the tissues of the palatine tonsils in chronic decompensated tonsillitis and appendix in patients with acute tonsillitis, as well as a comparison of some indicators of the general clinical analysis of peripheral blood in patients with these types of pathology. Chronic tonsillitis occurred in the history of patients with acute appendicitis in 78% of cases, which is ten times the frequency of its detection in the urban population. In all patients with acute appendicitis, palatine tonsil hypertrophy was detected, mainly of the III degree, as well as the presence of liquid or thick caseous pus in the gaps. In chronic decompensated tonsillitis, an increase in the seeding of the palatine tonsils of Streptococcus pyogenes occurs, and in acute appendicitis, Staphylococcus aureus and Streptococcus pyogenes appear on the background of Escherichia coli. Unidirectional changes in the areas of structural components of palatine tonsils in patients with chronic decompensated tonsillitis and appendix in patients with acute appendicitis were revealed. Based on the data obtained, we can assume the similarities and interconnections of the pathogenesis of chronic decompensated tonsillitis and acute appendicitis.","PeriodicalId":372409,"journal":{"name":"Russian Otorhinolaryngology","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116317527","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}
A. N. Slavskii, Yu. V. Sel’skaya, V. M. Svistushkin, D. M. Savvateeva, M. Vinogradova, Moscow Russia neck surgery clinic
{"title":"Clinical observation of the patient with cholesterol granuloma of middle ear","authors":"A. N. Slavskii, Yu. V. Sel’skaya, V. M. Svistushkin, D. M. Savvateeva, M. Vinogradova, Moscow Russia neck surgery clinic","doi":"10.18692/1810-4800-2020-3-82-87","DOIUrl":"https://doi.org/10.18692/1810-4800-2020-3-82-87","url":null,"abstract":"Cholesterol granuloma is a cyst-like benign neoplasm containing cholesterol crystals usually surrounded by a fibrous capsule. Cholesterol crystals surrounded by giant multinucleated cells and lymphoid-histiocytic cellular infiltrates, which is a morphological manifestation of the body’s immune response. Therefore, cholesterol granuloma may be regarded as a favorable course of the inflammatory process, which previously could have a more active carious-granulation course. Most often, cholesterol granuloma affects the temporal bone and the middle ear cavity, the inner ear region, sella turcica of the sphenoid bone (Royer M. C., Pensak M. L.,2007). Clinical manifestations of cholesterol granuloma largely depend on its location. This pathology belongs to rare metabolic disorders with relatively few references to it in world literature. Currently, the diagnosis of apex petrosus cholesterol granulomas has been simplified by the new imaging techniques, such as Magnetic Resonance Imaging (MRI) and Computer Tomography (CT), which help us to save time for diagnostic and the percentage of errors in the diagnosis is reduced.","PeriodicalId":372409,"journal":{"name":"Russian Otorhinolaryngology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131360735","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 analysis of physical methods of surgical treatments for patients with chronic tonsillitis","authors":"A. Kryukov, G. Tsarapkin, S. Panasov","doi":"10.18692/1810-4800-2020-3-64-72","DOIUrl":"https://doi.org/10.18692/1810-4800-2020-3-64-72","url":null,"abstract":"The authors carried out a detailed analysis of various methods of physical exposure to tissues during surgical treatment of patients with chronic tonsillitis. Removal of palatal tonsils in their chronic inflammation has been carried out since ancient times. Today modern medical technologies allow performing this intervention using various technologies, whether – classic „cold“ tools or one of the variants of „hot“ methods of tonsillectomy. In the article, the authors analyzed the advantages and disadvantages of semi-surgical treatments for chronic tonsillitis, when most of the palatal tonsil remains intact, and also compared the effectiveness of possible surgical methods of radical tonsillectomy: using an electrocoagulator, harmonic or ultrasonic scalpel, surgical laser or cold plasma; frequency of intra- and postoperative hemorrhagic complications is estimated.","PeriodicalId":372409,"journal":{"name":"Russian Otorhinolaryngology","volume":"42 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114096131","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}
N. M. Khmel’nitskaya, E. Bezrukova, R. C. Makhmudov, L. Mkrtchyan
{"title":"Clinical and morphological features of chronic tonsillitis of frequently ill children of different age groups","authors":"N. M. Khmel’nitskaya, E. Bezrukova, R. C. Makhmudov, L. Mkrtchyan","doi":"10.18692/1810-4800-2020-3-41-45","DOIUrl":"https://doi.org/10.18692/1810-4800-2020-3-41-45","url":null,"abstract":"The aim of the research is to determine the main clinical, morphological and immunohistochemical manifestations of hypertrophy and chronic tonsillitis in different age groups of children who are frequently ill. Materials and methods. The objects of the research were the medical histories and surgical materials after tonsillotomy (patients under the age of 6 inclusive) and tonsillectomy (patients from 7 years old) of 48 children’s tonsils. 4 age groups of children were identified. Qualitative assessment of epithelial cells, subepithelial layer of connective tissue, contents of lacunae, follicular and interfollicular lymphoid tissue, stromal component of palatine tonsils as well as distribution of T- and B-lymphocytes in palatine tonsils’ tissue was performed. Morphological changes in the lymphoid tissue of palatine tonsils in children of patients under the age of 6 indicate the preservation of immune activity during interaction with most foreign invader. The most pronounced decrease in the volume of lymphoid tissue because of fibrosis is observed in children between the ages 13 – 18 years old.","PeriodicalId":372409,"journal":{"name":"Russian Otorhinolaryngology","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125691365","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":"The experience of using Frinosole in the early postoperative period in patients after endonasal endoscopic operations","authors":"T. A. Mashkova, A. Maltsev","doi":"10.18692/1810-4800-2020-3-100-104","DOIUrl":"https://doi.org/10.18692/1810-4800-2020-3-100-104","url":null,"abstract":"The effectiveness of the drug Frinosole in the complex treatment of early postoperative changes in the nasal mucosa after endonasal endoscopic surgery was studied. It has been confirmed that during surgical trauma of the mucous membrane of the nasal cavity, inhibition of the main functions of the respiratory epithelium occurs with a sharp increase in the absorption capacity of the mucous membrane of the nasal cavity. These changes correlate with the clinical picture of the early postoperative period. The data presented indicate a high efficacy of the drug in complex postoperative treatment and make it possible to recommend it for wider use in order to minimize the duration of the postoperative healing stages and prevent possible complications associated with excessive granulation and scarring of the nasal mucosa in the surgical areas.","PeriodicalId":372409,"journal":{"name":"Russian Otorhinolaryngology","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117189261","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}
M. A. Zavaliy, T. A. Krylova, A. Orel, A. G. Balabantsev
{"title":"Diagnosis and treatment of non-allergic rhinitis","authors":"M. A. Zavaliy, T. A. Krylova, A. Orel, A. G. Balabantsev","doi":"10.18692/1810-4800-2020-4-27-33","DOIUrl":"https://doi.org/10.18692/1810-4800-2020-4-27-33","url":null,"abstract":"There is considerable disagreement in the views on the problem of rhinitis, which concerns classification issues, as well as the role and place of various treatment methods. There are no official statistics on non-allergic rhinitis in Russia yet, due to the absence of certain types of rhinitis in the ICD-10. The prevalence of non-allergic rhinitis is one third of the prevalence of allergic rhinitis, involving, for example, in the United States about 7% of the population. Against the background of a convincing evidence base and well-structured international reference documents for allergic rhinitis, other forms of rhinitis, especially non-allergic rhinitis, remain almost “white” spots in medicine, and this leads to numerous errors in the therapeutic approach to this disease. The purpose of this scientific study was to justify the conduct of pathogenic therapy of patients with chronic non-allergic rhinitis by using the differential diagnostic algorithm to establish the etiology of chronic rhinitis. The article formulates a treatment and diagnostic algorithm based on summation of the examination results of 1040 patients with chronic rhinitis. The prevalence and comorbidity of non-allergic rhinitis was determined, the diagnostic value for patients with pseudo-allergic rhinitis of various diagnostic methods (nasocytogramma, prik-test with allergens, biochemical markers of various types of pseudo-allergic rhinitis) was analyzed, and treatment approaches are systematized.","PeriodicalId":372409,"journal":{"name":"Russian Otorhinolaryngology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125900882","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}