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1.
Vestn Otorinolaringol ; 85(3): 91-94, 2020.
Artículo en Ruso | MEDLINE | ID: mdl-32628391

RESUMEN

The purpose of this work is to generalize and critically evaluate current literature data on the state of problem of the relationship between acute and chronic diseases of upper and lower respiratory tract. Modern ideas about the mechanisms of relationship of pathological processes of ENT organs with bronchopulmonary pathology are considered. A number of organizational issues are discussed in order to optimize the medical diagnostic process in the pathology of respiratory system.


Asunto(s)
Sistema Respiratorio , Infecciones del Sistema Respiratorio , Enfermedad Crónica , Humanos
3.
Vestn Otorinolaringol ; 81(5): 8-11, 2016.
Artículo en Ruso | MEDLINE | ID: mdl-27876726

RESUMEN

We have undertaken the analysis of medical records of the patients presenting with major otogenic intracranial complications (OICC) including purulent meningitis, brain or cerebellum abscess, and thrombosis of sigmoid sinus. The presence of isolated and combined variants of otogenic intracranial complications was documented in 112 (43%) and 148 (56.9%) patients, respectively. The development of OICC in 80% of the patients was associated with exacerbation of chronic suppurative otitis media; in the remaining 20% of the patients OICC were the consequences of acute suppurative otitis media. Thrombosis of sigmoid sinus as an independent otogenic intracranial complication was documented in 17.5% of the patients while 42.5% of the cases required the treatment by an interdisciplinary team of specialists with the participation of an otorhinolaryngologist, neurologist, intensive care and other professionals. Such approach partly accounts for the relatively low (10.6%) mortality rate among our patients with OICC.


Asunto(s)
Encefalopatías , Enfermedades del Oído/complicaciones , Adulto , Encefalopatías/diagnóstico , Encefalopatías/epidemiología , Encefalopatías/etiología , Encefalopatías/terapia , Niño , Diagnóstico Diferencial , Manejo de la Enfermedad , Femenino , Humanos , Masculino , Manejo de Atención al Paciente/métodos , Selección de Paciente , Estudios Retrospectivos , Federación de Rusia/epidemiología
4.
Vestn Otorinolaringol ; 81(5): 12-14, 2016.
Artículo en Ruso | MEDLINE | ID: mdl-27876727

RESUMEN

The objective of the present study was to formulate the indications for the specific immunotherapy (SIT) of ENT diseases based on the results of the examination and treatment of 1058 patients presenting with allergic rhinitis with special reference to the advantages of this approach over pharmacotherapy. Much attention is given to the adverse reactions associated with the application of immunotherapy and the methods for their correction. Personal opinions of the authors with regard to selected aspects of the use of specific immunotherapy in the otorhionolaryngological practice are presented.


Asunto(s)
Inmunoterapia , Mucosa Nasal , Rinitis Alérgica , Adolescente , Preescolar , Femenino , Humanos , Inmunohistoquímica , Pruebas Inmunológicas/métodos , Inmunoterapia/efectos adversos , Inmunoterapia/métodos , Masculino , Persona de Mediana Edad , Mucosa Nasal/inmunología , Mucosa Nasal/patología , Evaluación de Procesos y Resultados en Atención de Salud , Estudios Retrospectivos , Rinitis Alérgica/diagnóstico , Rinitis Alérgica/epidemiología , Rinitis Alérgica/terapia , Federación de Rusia/epidemiología
5.
Vestn Otorinolaringol ; 81(5): 19-22, 2016.
Artículo en Ruso | MEDLINE | ID: mdl-27876729

RESUMEN

The objective of the present work was to analyze the current concept of the genetically predetermined condition Zivert-Kartagener's syndrome with special reference to the pathogenetic mechanisms underlying the development of this condition, its clinical picture and methods of treatment. The authors' original observations of the patients presenting with Zivert-Kartagener's syndrome are reported.


Asunto(s)
Dextrocardia/diagnóstico por imagen , Infertilidad , Síndrome de Kartagener , Depuración Mucociliar/genética , Rinitis , Sinusitis , Enfermedad Crónica , Manejo de la Enfermedad , Dineínas/genética , Femenino , Humanos , Infertilidad/diagnóstico , Infertilidad/etiología , Síndrome de Kartagener/diagnóstico , Síndrome de Kartagener/fisiopatología , Síndrome de Kartagener/terapia , Mutación , Pronóstico , Rinitis/diagnóstico , Rinitis/etiología , Rinitis/fisiopatología , Rinitis/terapia , Sinusitis/diagnóstico , Sinusitis/etiología , Sinusitis/fisiopatología , Sinusitis/terapia , Supuración/fisiopatología , Adulto Joven
6.
Vestn Otorinolaringol ; 81(5): 15-18, 2016.
Artículo en Ruso | MEDLINE | ID: mdl-27876728
7.
Vestn Otorinolaringol ; 81(5): 27-29, 2016.
Artículo en Ruso | MEDLINE | ID: mdl-27876731

RESUMEN

This paper presents the currently available data on congenital lateral cysts and fistulas of the neck based on the authors' original experience and the review of the relevant literature. The modern methods for diagnostics and the surgical treatment of these conditions are described and the causes underling the development of their relapses are analyzed. Recommendations for the prevention of congenital cysts and fistulas on the neck are proposed.


Asunto(s)
Fístula Cutánea , Quistes , Disección del Cuello/métodos , Cuello , Adolescente , Adulto , Preescolar , Medios de Contraste/farmacología , Fístula Cutánea/diagnóstico , Fístula Cutánea/etiología , Fístula Cutánea/fisiopatología , Fístula Cutánea/cirugía , Quistes/complicaciones , Quistes/congénito , Quistes/diagnóstico , Quistes/cirugía , Femenino , Estudios de Seguimiento , Humanos , Imagen por Resonancia Magnética/métodos , Masculino , Cuello/anomalías , Cuello/diagnóstico por imagen , Evaluación de Procesos y Resultados en Atención de Salud , Intensificación de Imagen Radiográfica/métodos , Federación de Rusia , Tomografía Computarizada por Rayos X/métodos
8.
Vestn Otorinolaringol ; 81(5): 33, 2016.
Artículo en Ruso | MEDLINE | ID: mdl-27876733

RESUMEN

This paper was designed to report a rare observation of intralaryngeal aberrant goiter associated with goiter of the main thyroid tissue and chronic suppurative otitis media complicated by the polyp that causes occlusion of the auditory passage. The histomorphological investigation of the material harvested intraoperatively following rehabilitation of the purulent focus in the middle ear and the removal of the tumour from the inside of the right vestibular fold confirmed the diagnosis of colloid goiter.


Asunto(s)
Antibacterianos/uso terapéutico , Coristoma , Bocio , Enfermedades de la Laringe , Otitis Media con Derrame , Procedimientos Quirúrgicos Otorrinolaringológicos/métodos , Glándula Tiroides , Adulto , Coristoma/diagnóstico por imagen , Coristoma/fisiopatología , Coristoma/cirugía , Femenino , Bocio/diagnóstico por imagen , Bocio/fisiopatología , Bocio/cirugía , Humanos , Enfermedades de la Laringe/diagnóstico , Enfermedades de la Laringe/etiología , Enfermedades de la Laringe/fisiopatología , Enfermedades de la Laringe/cirugía , Otitis Media con Derrame/diagnóstico , Otitis Media con Derrame/etiología , Otitis Media con Derrame/fisiopatología , Otitis Media con Derrame/cirugía , Resultado del Tratamiento
10.
Vestn Otorinolaringol ; 81(5): 30-32, 2016.
Artículo en Ruso | MEDLINE | ID: mdl-27876732

RESUMEN

The authors analyze the literature publications and the results of their original investigations concerning the application of the propolis-based pharmacological products for the treatment of acute and chronic diseases of the upper respiratory tract and ears. The desirability of the more extensive application of the propolis-containing medicines in the routine otorhinolaryngological practice is emphasized bearing in mind their numerous biological effects including antibiotic, anti-inflammatory, immunostimulating, anti-oxidative, anesthetic, and cytostatic actions.


Asunto(s)
Enfermedades Otorrinolaringológicas/terapia , Própolis/farmacología , Antiinfecciosos/farmacología , Antioxidantes/farmacología , Vías de Administración de Medicamentos , Humanos , Inmunización/métodos , Enfermedades Otorrinolaringológicas/diagnóstico , Enfermedades Otorrinolaringológicas/inmunología , Resultado del Tratamiento
12.
Vestn Otorinolaringol ; (5): 15-8, 2011.
Artículo en Ruso | MEDLINE | ID: mdl-22334916

RESUMEN

Physiological normal levels of total cholesterol, total lipids, total protein, superoxide dismutase, catalase, malonic dialdehyde, and total antioxidant activity were determined for the first time in nasal secretion of volunteer donors (n = 24). Excessive lipid peroxidation and suppression of antioxidant protection system were documented in 70 patients with round-the-year allergic rhinitis of whom 26 and 44 presented with the mild and moderately forms of the disease, respectively. The clinical efficiency of polyoxidonium (Russia) in the treatment of allergic rhinitis has been demonstrated. This preparation reduces the intensity of lipid peroxidation and strengthens the antioxidant protection of the organism. The results of the study confirm the high efficacy of combined therapy of allergic rhinitis with aerius and polyoxidonium.


Asunto(s)
Loratadina/análogos & derivados , Moco , Mucosa Nasal , Estrés Oxidativo/efectos de los fármacos , Piperazinas , Polímeros , Rinitis Alérgica Perenne , Adolescente , Adulto , Vías de Administración de Medicamentos , Quimioterapia Combinada , Femenino , Antagonistas de los Receptores Histamínicos H1 no Sedantes/administración & dosificación , Antagonistas de los Receptores Histamínicos H1 no Sedantes/efectos adversos , Humanos , Factores Inmunológicos/administración & dosificación , Factores Inmunológicos/efectos adversos , Metabolismo de los Lípidos/efectos de los fármacos , Loratadina/administración & dosificación , Loratadina/efectos adversos , Masculino , Malondialdehído/metabolismo , Moco/efectos de los fármacos , Moco/metabolismo , Mucosa Nasal/efectos de los fármacos , Mucosa Nasal/metabolismo , Piperazinas/administración & dosificación , Piperazinas/efectos adversos , Polímeros/administración & dosificación , Polímeros/efectos adversos , Rinitis Alérgica Perenne/tratamiento farmacológico , Rinitis Alérgica Perenne/metabolismo , Rinitis Alérgica Perenne/fisiopatología , Índice de Severidad de la Enfermedad , Superóxido Dismutasa/metabolismo , Resultado del Tratamiento
13.
Vestn Otorinolaringol ; (6): 34-5, 2010.
Artículo en Ruso | MEDLINE | ID: mdl-21311457

RESUMEN

Based on the current literature data and the results of original studies on the role of non-infectious (atopic) allergy in pathogenesis of chronic tonsillitis (CT), the author considers it unjustified under the current state of the art to characterize CT as an infectious allergic disease. He maintains that the classification of chronic tonsillitis proposed by Preobrazhensky and Pal'chun remains the most acceptable one for the practical purposes.


Asunto(s)
Hipersensibilidad/inmunología , Inmunocompetencia , Tonsilitis/inmunología , Enfermedad Crónica , Técnicas de Laboratorio Clínico/normas , Necesidades y Demandas de Servicios de Salud , Humanos , Tonsila Palatina/patología , Tonsilitis/diagnóstico , Tonsilitis/fisiopatología
14.
Vestn Otorinolaringol ; (3): 4-7, 2006.
Artículo en Ruso | MEDLINE | ID: mdl-16912663

RESUMEN

The article presents the results of clinical, laboratory, CT and MRT examination and treatment of patients with otogenic intracranial complications (OIC) hospitalized to ENT clinics for the last 10 years. The statistics show that the number of OIC patients tends to decrease for the last 40 years. This may be explained by perfection of specialized ENT service in backcountry rural districts. It is emphasized that use of antibiotics and other anti-inflammatory drugs before hospitalization changes a clinical OIC picture and complicates early diagnosis especially the diagnosis of cerebral and cerebellar abscesses.


Asunto(s)
Encéfalo/diagnóstico por imagen , Encéfalo/patología , Imagen por Resonancia Magnética , Meningitis/diagnóstico , Meningoencefalitis , Otitis Media Supurativa , Tomografía Computarizada por Rayos X , Adolescente , Adulto , Enfermedad Crónica , Diagnóstico Diferencial , Femenino , Hospitalización/estadística & datos numéricos , Humanos , Masculino , Meningitis/etiología , Meningitis/terapia , Meningoencefalitis/diagnóstico , Meningoencefalitis/etiología , Meningoencefalitis/rehabilitación , Persona de Mediana Edad , Otitis Media Supurativa/complicaciones , Otitis Media Supurativa/diagnóstico , Otitis Media Supurativa/terapia
18.
Vestn Otorinolaringol ; (6): 34-7, 2006.
Artículo en Ruso | MEDLINE | ID: mdl-17419501

RESUMEN

Fifty five patients with allergic rhinitis and moderate hypothyroidism due to autoimmune thyroiditis have undergone clinical, functional, hormonal, immunological and allergological examinations. Of them, 45 patients received a course of treatment with thyroid hormones and antiallergic drugs while 10 patients received replacement hormonal therapy only. The results of the study demonstrate that treatment of allergic rhinitis associated with hypothyroidism is more effective if antiallergic drugs are added to replacement hormonal therapy.


Asunto(s)
Antialérgicos/uso terapéutico , Hipotiroidismo/complicaciones , Rinitis Alérgica Estacional/complicaciones , Rinitis Alérgica Estacional/tratamiento farmacológico , Terfenadina/análogos & derivados , Adulto , Femenino , Humanos , Inmunoglobulinas/inmunología , Masculino , Persona de Mediana Edad , Rinitis Alérgica Estacional/inmunología , Terfenadina/uso terapéutico
19.
Vestn Otorinolaringol ; (3): 20-3, 2004.
Artículo en Ruso | MEDLINE | ID: mdl-15159732

RESUMEN

A total of 170 patients aged 2.5 to 60 years have received treatment for otogenic meningitis caused by acute (n=37, 21.2%) or chronic otitis media (n=137, 78.2%). Otogenic meningitis ran atypically with masked clinical manifestations in 32.2% patients. It is thought justified to repeat an antibiotic injection into the cerebrospinal canal in a severe course of meningitis, especially in combination of meningitis with other forms of intracranial complications. If clinical signs of acute otitis media and meningitis manifested weakly and, therefore, otogenic nature of meningitis is questionable, it is recommended to implement an expectant treatment policy. The absence of noticeable positive shifts in the course of the disease after several days of intensive conservative treatment is an indication for surgical intervention.


Asunto(s)
Antibacterianos/uso terapéutico , Meningitis Bacterianas/tratamiento farmacológico , Meningitis Bacterianas/etiología , Otitis Media Supurativa/complicaciones , Adolescente , Adulto , Antibacterianos/administración & dosificación , Femenino , Humanos , Inyecciones Espinales , Masculino , Persona de Mediana Edad , Índice de Severidad de la Enfermedad
20.
Vestn Otorinolaringol ; (2): 42-4, 2002.
Artículo en Ruso | MEDLINE | ID: mdl-12056162

RESUMEN

The treatment was given to 95 patients aged 5 to 63 years with temporal (n = 86) and cerebellar abscesses (n = 9). Most of the patients were hospitalized after home treatment with antibiotics which complicated the diagnosis because of atypical course of the disease induced by them. The "cigar" tampon was used for draining brain abscess. The cover of the tampon was made not of the glove rubber but of a baby's rubber dummy and a rubber pipette cap. Holes were cut in the walls of the latter and gauze turundas inserted. The results of such manipulation were favourable. Therefore, it is recommended to use a modified "cigar" tampon-drain in the treatment of otogenic abscesses of the brain and cerebellum.


Asunto(s)
Absceso Encefálico/cirugía , Enfermedades Cerebelosas/cirugía , Drenaje/métodos , Tampones Quirúrgicos , Adolescente , Adulto , Absceso Encefálico/etiología , Enfermedades Cerebelosas/etiología , Niño , Femenino , Humanos , Masculino , Persona de Mediana Edad , Otitis Media Supurativa/complicaciones
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