[A rare observation of amyloidosis of the larynx simulating a tumor]. / Redkoe nabliudenie amiloidoza gortani, simulirovavshego opukhol'.

Presented a clinical case of a rare localization amyloidosis of the larynx, simulating a tumor. Considered the features of diagnosis and treatment of this disease.

[A mucosal melanoma of the larynx (a case report)]. / Nabliudenie melanomy slizistoi obolochki gortani.

In this article describe the clinical case of treatment of melanoma of the larynx mucous membrane.Presented the clinic, immunohistochemistrydiagnostics and methods of surgical treatment.

[The use of the lactate-fortified milk whey for the prolongation of the functional life of the voice prostheses].

The objective of the present study was to develop the method for the prolongation of the functional life of the voice prostheses in the patients who underwent laryngectomy with special reference to the decrease of the risk of mycotic infection in the laryngo-oesophageal region. The original method is proposed with the application of the lactate-fortified milk whey that makes it possible to maintain the high concentration of living lactic acid bacteria in the laryngo-oesophageal segment where the voice prosthesis is located. The method was tested on 73 patients. It permitted to significantly prolong the functional life of the voice prostheses (from 12 to 20 months) and prevent mycotic infection. It is concluded that the proposed method promotes the improvement of the patients' quality of life following laryngectomy for the treatment of cancer.

[Primary hyperparathyroidism in oncological practice].

In the period from 1999 till 2009 there were 18 patients (14 women and 4 men) with adenomas of the parathyroid gland (PTG). Solitary lesions of the bones were diagnosed in 12 of them, 6 patients had multiple lesions. In 5 patients bone lesions were combined with nephrolithiasis and cholelithiasis. Operations resulted in osteodystrophy, normalization of hormonal and biochemical indices. One adenoma of PTG was found in 17 patients, in one woman there were two adenomas on both sides of the trachea, but they were diagnosed not at once. Reoperation gave recovery of the patient.

[Complications in tracheoesophageal bypass with vocal prosthesis].

A total of 112 cases of laryngeal and laryngopharyngeal cancer of stage III-IV have been analysed. The patients have undergone laryngectomy with tracheoesophageal bypass and prosthesis. In advanced tumors this operation is made in extremely unfavorable conditions due to the presence of severe inflammation in the tissues, chondroperichondritis and postradiation fibrosis, airways contamination with microbial flora. Complications arising in tracheoesophageal bypass and methods of their management are described. The knowledge of the problems and approaches to their management can help ENT doctors practicing vocal rehabilitation after laryngectomy.

[Reestablishment of the vocal function in patients with pharyngospasm after laryngectomy for laryngeal cancer].

Tracheoesophageal bypass was made in 114 patients after laryngectomy for reestablishment of voice. Of them, 17 (14.4%) patients had pharyngospasm which hinders voice recovery. To prevent this complication, the authors propose a special surgical policy which is different for delayed and primary (intraoperative) prosthesis.

[Establishment of acannular tracheostoma].

Creation of flat tracheostoma of a stable size is one of the key moments of tracheoesophageal bypass with prosthesis. The authors present original techniques of creation of a wide acannular tracheostoma for rehabilitation of voice function and providing adequate respiration after laryngectomy.

[Clinical and acoustic characteristics of tracheoesophageal bypass with prosthesis]. / Klinicheskie i akusticheskie kharakteristiki trakheopishchevodnogo shuntirovaniia s protezirovaniem.

The authors analyse different aspects of tracheoesophageal bypass with prosthesis, how to prolong operation of voice prostheses. It is shown that replacement of the prostheses is frequently necessary not because of wear but rather due to fungal or microfloral affection. Radiotherapy had no adverse effects on prosthesis. Complications of tracheoesophageal bypass with prosthesis, acoustic characteristics of the repaired voice are described.

[Rehabilitation of a voice function by means of prosthetic repair of voice after removal of the larynx for cancer]. / Reabilitatsiia golosovoi funktsii s pomoshch'iu golosovykh protezov posle udaleniia gortani po povodu raka.

The paper presents treatment results in 223 patients who have undergone tracheoesophageal anastomosis with prosthetic repair of voice (PRV) after laryngectomy for cancer. PRV was made both simultaneously with laryngectomy (n=126) and after it (n=97). The procedure, complications and their prevention are described. The authors support the idea of the "gold standard"--voice repair for each laryngectomized patient. Tracheoesophageal anastomosis opens great prospects: loud intelligible speech recovered in 91.9% patients.