Retrobulbar hematoma in endoscopic endonasal dacryocystorhinostomy

xlomafota13 shared this article with you from Inoreader Retrobulbar hematoma in endoscopic endonasal dacryocystorhinostomy Via Vestnik otorinolaringologii Vestn Otorinolaringol. 2021;86(1):112-116. doi: 10.17116/otorino202186011112. ABSTRACT Recently, an increase in the number of operations on the lacrimal ducts performed by otorhinolaryngologists has been noted throughout the world. During these operations, intra- and postoperative complications may develop, which require the intervention of an ophthalmologist. A rare complication of endoscopic dacryocystorhinostomy is the development of retrobulbar hemorrhage. This article presents a clinical case of the development of retrobulbar hemorrhage in endoscopic dacryocystorhinostomy. The patient with dacryocystitis underwent endoscopic dacryocystorhinostomy. Preoperative computed tomography revealed a lack of bone tissue in the lacrimal sac fossa. Severe bleeding was noted during the operation. Against the background of tamponade of the formed anastomosis, a growing exophthalmos, conjunctival chemosis, subconjunctival hemorrhage were noted. After removing the tampon, a positive trend was noted. Dexamethasone solution was intraoperatively intravenously administered, in the postoperative period - methylprednisolone solution. According to computed tomography data, exophthalmos persisted on the first day after the operation, hematoma was localized. Visual functions are unchanged. Six months after the operation, the patient had no complaints. According to the computed tomography data, a functioning dacryorhinostomy anastomosis was determined. Often, an interdisciplinary approach to such complications is required, since it can provide full orbital decompression, as well as adequate postoperative management of the patient, which contributes to the most complete ophthalmic rehabilitation. The interaction of otorhinolaryngologists and ophthalmologists in such cases is an indispensable condition for the safety of the operation. PMID:33720663 | DOI:10.17116/otorino202186011112 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

The experience in surgical treatment of hearing loss in Van der Hoeve patients

xlomafota13 shared this article with you from Inoreader The experience in surgical treatment of hearing loss in Van der Hoeve patients Via Vestnik otorinolaringologii Vestn Otorinolaringol. 2021;86(1):6-10. doi: 10.17116/otorino2021860116. ABSTRACT Despite the rare incidence of Van der Hoeve syndrome in the population, the problem of treating patients with this type of disease is important for modern science and practical medicine. One of the most difficult tasks in treatment is to improve the quality of hearing. The world scientific community lacks a unified coordinated approach to the methods of auditory rehabilitation of patients with Van der Hoeve syndrome. In recent years, there have been tendencies in the scientific literature to increase the frequency of non-surgical approach due to the low incidence of satisfactory results of surgical treatment. In this regard, we present our experience of complex treatment of patients with Van der Hove syndrome, based on the use of modern surgical technologies and conservative pathogenetically substantiated treatment. PMID:33720643 | DOI:10.17116/otorino2021860116 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

To the question of genetic predisposition to the development of professional sensorineural hearing loss

xlomafota13 shared this article with you from Inoreader To the question of genetic predisposition to the development of professional sensorineural hearing loss Via Vestnik otorinolaringologii Vestn Otorinolaringol. 2021;86(1):15-19. doi: 10.17116/otorino20218601115. ABSTRACT Objective was to study single-nucleotide polymorphisms (SNP) in CAT, NCL, HSPA1L, PCDH15, and PON2 genes and their associations with hearing impairment among the people working among noise-exposed workers of the mashine-building plant (JSC «Krasmash», Krasnoyarsk, Eastern Siberia, Russia). MATERIALS AND METHODS: The 443 employees of Krasmash JSC, who have been working under conditions of increased noise for at least 1 year, were surveyed and examined. A hearing study was performed by speech and tonal audiometry. Tonal audiometry was carried out in accord with according to a standard method in the frequency range 125-8000 Hz. People with chronic hearing impairment, survivors of meningitis and family history of hearing impairment were excluded from the study. The allelic composition of the studied genes was determined in the remaining group of 288 workers (study group). Polymorphisms were detected using bioluminescent method, developed by the authors earlier. The study group comprised 122 people with hearing impairment (experimental group) and 166 people without impairment (control group). RESULTS: The genotyping results of on allelic variants rs494024 (CAT), rs7598759 (NCL), rs2227956 (HSPA1L), rs7095441 (PCDH15) and rs7785846 (PON2) showed that their frequencies in the study group did not differ and were comparable with those for the European population. No statistically significant differences were revealed in the distribution of the genotypes of the studied mutations between the experimental and control groups. Also no statistically significant associations we found between hearing impairment and availability of two or several SNPs, or these SNPs and clinical characteristics of the disease (degree of hearing impairment, tinnitus). In the group of workers with an experience of 5 to 16 years, an association was found for hearing impairment and SNP rs494024, as well as when it is combined with rs7598759. CONCLUSIONS: The associations between SNP rs7598759, rs2227956, and rs7095441 and hearing impairment were not found. In the group of workers with 5-16 year experience, this association was found for SNP rs494024, as well as when it is combined with rs7598759. Discovered associations require further study. PMID:33720645 | DOI:10.17116/otorino20218601115 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Features of the architectonics of the structures of the nasal cavity and choanal zone in children with congenital malformations of the eyes

xlomafota13 shared this article with you from Inoreader Features of the architectonics of the structures of the nasal cavity and choanal zone in children with congenital malformations of the eyes Via Vestnik otorinolaringologii The article provides data on the embryogenesis of the eyeball, nasolacrimal canal and nasal cavity. A frequent combination of congenital choanal atresia and anomalies in the development of the eyes was noted, most likely associated with the temporal and topographic parallelism of the intrauterine development of these anatomical areas. In order to assess the condition of the nasal cavity and choanal region in congenital eye pathology, 43 children with op hthalmological malformations were examined. In 32 (74.4%) children, according to endoscopic examination, changes in the anatomy of the choanal region with a change in its size in the form of incomplete atresia were revealed. The results obtained allow the authors to recommend that all children with congenital ophthalmological malformations be examined and monitored by an otolaryngologist with an endoscopic examination of the nasal cavity and nasopharynx. В статье приведены данные об эмбриогенезе глазного яблока, носослезного канала и полости носа. Отмечено нередкое сочетание врожденной атрезии хоан и аномалий развития глаз, по всей видимости, связанное с временным и топографическим параллелизмом внутриутробного развития данных анатомических областей. С целью оценки состояния полости носа и хоанальной области при врожденной патологии глаз были обследованы 43 ребенка с офтальмологическими пороками развития. У 32 (74,4%) детей по данным эндоскопического обследования выявлены изменения анатомии хоанальной области с изменением ее размеров в виде неполной атрезии. Полученные результаты позволяют авторам рекомендовать всем детям с врожденными офтальмологическими пороками развития осмотр и наблюдение у врача-отоларинголога с проведением эндоскопического исследова ния полости носа и носоглотки. Keywords: Sturge-Weber syndrome; children; congenital choanal atresia; congenital eye defects; endoscopy; stenosis of the nasolacrimal canal. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Transcanal endoscopic middle ear surgery in children with chronic suppurative otitis media

xlomafota13 shared this article with you from Inoreader Transcanal endoscopic middle ear surgery in children with chronic suppurative otitis media Via Vestnik otorinolaringologii Vestn Otorinolaringol. 2021;86(1):25-29. doi: 10.17116/otorino20218601125. ABSTRACT Otomicroscopic surgery remains the gold standard in the surgical treatment of patients with CHS. Endoscopic ear surgery is gaining more and more importance as an adjunct to microsurgery. Recently, thanks to the resolution of the endoscopic technique, endoscopic surgery can be used as an independent method. This article presents the results of endoscopic tympanoplasty, endoscopic removal of the tympanic cholesteatoma, performed on the basis of the otorhinolaryngology department of the Morozov Children's City Clinical Hospital. Research has shown that transcanal endoscopic surgery is an effective alternative to traditional otomicroscopic surgery. Advantage in minimal impact and improved visualization of all quadrants of the tympanic membrane, the anterior tympanomeatal angle of the NSP, and structures of the middle ear. PMID:33720647 | DOI:10.17116/otorino20218601125 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Transcanal endoscopic middle ear surgery in children with chronic suppurative otitis media

xlomafota13 shared this article with you from Inoreader Transcanal endoscopic middle ear surgery in children with chronic suppurative otitis media Via Vestnik otorinolaringologii Vestn Otorinolaringol. 2021;86(1):25-29. doi: 10.17116/otorino20218601125. ABSTRACT Otomicroscopic surgery remains the gold standard in the surgical treatment of patients with CHS. Endoscopic ear surgery is gaining more and more importance as an adjunct to microsurgery. Recently, thanks to the resolution of the endoscopic technique, endoscopic surgery can be used as an independent method. This article presents the results of endoscopic tympanoplasty, endoscopic removal of the tympanic cholesteatoma, performed on the basis of the otorhinolaryngology department of the Morozov Children's City Clinical Hospital. Research has shown that transcanal endoscopic surgery is an effective alternative to traditional otomicroscopic surgery. Advantage in minimal impact and improved visualization of all quadrants of the tympanic membrane, the anterior tympanomeatal angle of the NSP, and structures of the middle ear. PMID:33720647 | DOI:10.17116/otorino20218601125 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

A case of isolated sphenoid osteoma with suppurative sinusitis in a 15-year-old child

xlomafota13 shared this article with you from Inoreader A case of isolated sphenoid osteoma with suppurative sinusitis in a 15-year-old child Via Vestnik otorinolaringologii Vestn Otorinolaringol. 2021;86(1):68-71. doi: 10.17116/otorino20218601168. ABSTRACT Isolated sphenoid osteomas are very rare even in adults. There are extremely few publications on pediatric cases of sphenoid osteomas. This paper presents a case of isolated sphenoid osteoma combined with suppurative sphenoiditis in a 15-year-old patient. The child presented with persistent headache resistant to medical treatment. Endoscopic sphenotomy allowed both to remove osteoma and to relieve the symptoms of sinusitis. The presented case can be considered as the third detailed description of the sphenoid osteoma in children and the first demonstration of the effectiveness of the endoscopic approach for its removal. PMID:33720655 | DOI:10.17116/otorino20218601168 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Modern causes of tracheostomy in children

xlomafota13 shared this article with you from Inoreader Modern causes of tracheostomy in children Via Vestnik otorinolaringologii Vestn Otorinolaringol. 2021;86(1):36-40. doi: 10.17116/otorino20218601136. ABSTRACT The purpose of work is to analyze the causes of tracheostomy in children hospitalized in a large multidisciplinary pediatric hospital. MATERIAL AND METHODS: Retrospective analysis of case of children treated in a multidisciplinary urgent hospital - GBUZ «Morozovskaya CCCH of MDH», which in the period from 01.01.16 to 31.12.18 was made operation «tracheostomy» was conducted. RESULTS: Tracheostomy was performed in 138 (0.064%) among 216 469 hospitalized children. Age at the time of tracheostomy ranged from 2 weeks to 17.5 years (on average 67.9±59.84 months, Me=47.5 months), and 36.2% of children had tracheostomy was done on the 1st year of life. 126 (91.3%) patients required prolonged tracheal intubation prior to tracheostomy placement; the duration of intubation ranged from 1 to 95 days (on average 19.9±13.42 days, Me=14 day s). The main reasons of tracheostomy were the need for long-term mechanical ventilation/respiratory support; the need for constant sanitation of the lower respiratory tract with bulbar/pseudobulbar disorders; upper respiratory paths obstruction. The diseases that led to this condition can be grouped into 4 categories: CNS pathology - 76 (55.1%) patients; brain / spinal cord tumors - 36 (26.1%); neurodystrophy and stenosis of the upper respiratory tract of various etiology - 13 (9.4% each) patients. 68.1% of patients were found incurable and required palliative care. Mortality among patients with a known catamnesis was 39.1%, mainly due to progression of the underlying disease; the lethality associated with tracheal cannulation was 1.4%. CONCLUSION: Currently, pediatric tracheostomy is moving into the category of predominantly planned surgical interventions. More than 2/3 of children requiring tracheostomy are patients in need of palliative care with severe pathology of the cen tral nervous system; in which the main indications for surgery are the need for respiration support and regular tracheobronchial care.. PMID:33720649 | DOI:10.17116/otorino20218601136 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Epistaxis and arterial hypertension: a pathogenic link

xlomafota13 shared this article with you from Inoreader Epistaxis and arterial hypertension: a pathogenic link Via Vestnik otorinolaringologii Vestn Otorinolaringol. 2021;86(1):72-77. doi: 10.17116/otorino20218601172. ABSTRACT THE AIM OF THIS RESEARCH: Was to study changes in the nasal mucosa vessels in hypertensive patients suffering from recurrent epistaxis. PATIENTS AND METHODS: 78 hypertensive patients aged between 50 and 70, admitted due to epistaxis were studied. Diabetic, coagulopathic patients and those taking anticoagulants were excluded from the research. All the patients were divided into 2 groups: group 1 (46 people) with a single epistaxis, group 2 (32 people) with a recurrent epistaxis. At the admission time all the patients showed elevated arterial pressure, yet the differences between the patients of group 1 and group 2 were not significant. 14 patients of group 2 did not reveal any source of hemorrhage due to a severely deviated septum. These patients underwent septoplasty followed by mucoperichondrium biopsy. Histological study of samples showed multip le erosions within the epithelial layer, as well as necrotic patches spreading to the deeper mucous coat layers. The microvasculature showed dystrophic changes in the endothelium, its focal desquamation with basal membrane exposure and thrombocytes and erythrocytes adhesion at such places, erythrocyte aggregation, plasma separation, erythrocyte and fibrinous thrombi formation. Ultrastructural investigation revealed dystrophic changes in the capillary endothelium of the nasal mucosa combined with rheological disorders expressed as erythrocytes sludge. Thus, the cause of epistaxis is not high arterial pressure, but those changes in the nasal mucosa vessels promoted by long arterial hypertension. PMID:33720656 | DO I:10.17116/otorino20218601172 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Comparative efficacy of various treatment regimens for children 2-5 years old with symptoms of acute viral rhinosinusitis

xlomafota13 shared this article with you from Inoreader Comparative efficacy of various treatment regimens for children 2-5 years old with symptoms of acute viral rhinosinusitis Via Vestnik otorinolaringologii Vestn Otorinolaringol. 2021;86(1):46-50. doi: 10.17116/otorino20218601146. ABSTRACT In an open, randomized prospective comparative clinical study in parallel groups of patients with a diagnosis of acute respiratory infection, acute rhinosinusitis, 107 children aged 4-5 years took part. The purpose of this study was to compare the effectiveness of various treatment regimens for acute viral rhinosinusitis in children. We compared the treatment effectiveness of acute viral rhinosinusitis using the herbal medicine Sinupret in the form of oral drops, standard treatment and standard treatment supplemented with topical antibacterial drugs. The objectivity of treatment effectiveness evaluation was based on the complaints' dynamics, the changes' presence in the mucous membrane of the nasal cavity within 10 days: at the initial visit, after 3 days, on the 7th and 10th days after the initial examination. A follow-up visit wa s also scheduled for the 14th day. The analysis of the obtained data revealed that the Sinupret usage in the complex treatment of children with viral etiology acute rhinosinusitis contributes to a more pronounced positive symptoms' dynamics compared to children who did not receive Sinupret. Sinupret eliminates mucostasis, which contributes to a faster restoration of the drainage and ventilation function of the auditory tube, restores mucociliary clearance, improves the condition and well-being of children, improves the effectiveness of therapy and shortens the treatment time. PMID:33720651 | DOI:10.17116/otorino20218601146 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Cycloferon in local immunotherapy in patients with virus-associated rhinitis

xlomafota13 shared this article with you from Inoreader Cycloferon in local immunotherapy in patients with virus-associated rhinitis Via Vestnik otorinolaringologii Vestn Otorinolaringol. 2021;86(1):78-81. doi: 10.17116/otorino20218601178. ABSTRACT Evaluation of the effectiveness of various schemes of local immunotherapy in immunocompromised patients with allergic rhinitis was carried out. MATERIALS AND METHODS: A comparative analysis of the treatment of 72 patients with allergic rhinitis, divided into groups: I (main, n=21), which included immunocompromised patients who received sublingual allergen-specific immunotherapy with antipollin and inhaled immunotherapy with cycloferon (every other day, a course of 10 procedures, the total dose of Cycloferon per course is 1250 mg); II (comparison, n=22) - immunocompromised patients who received monotherapy with antipollinum and III (control, n=29) - patients with allergic rhinitis without signs of immunocompromise, who also received antipollinum. The effectiveness of therapy was assessed by the quality of life (RQLQ questionnai re), the severity of nasal symptoms (the patient's self-observation diary) and the need for drugs after a course of intranasal immunotherapy. RESULTS: The inclusion of cycloferon in the treatment of immunocompromised patients with allergic rhinitis increased its effectiveness - the severity of nasal symptoms decreased: in terms of sneezing, a decrease of 53.5 times versus 1.82 - in the control, «nasal congestion» - 6.3 times versus 2.6 - in the control, «itching in the nose» - 4.9 and 4.2 times, respectively (p<0.05). The changes had a positive effect on the total indicator of the quality of life of patients - an increase of 6.2 times (by 83.7%) (p>0.05) and significantly reduced the need for cromones (18 times, versus 10.3 - in the group comparison), inhaled corticosteroids (10.4 times versus 8 times in the comparison group, and in decongestans - 8.1 times versus 6.1 - in the comparison group (p>0.05)). CONCLUSIONS: The combined use of local immunotherapy with cycloferon and sublingual allergen-specific immunotherapy with antipollinum in immunocompromised patients with allergic rhinitis is the first-line method of choice that statistically significantly changes the quality of life of patients. PMID:33720657 | DOI:10.17116/otorino20218601178 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.