RESUMEN
The objective of the present study was the enhancement of the effectiveness of the treatment of the consequences of the gunshot wounds and mine-blast injuries inflicted to the face, head, and neck encountered in the otolaryngological practice as well as the prevention of the formation of the large demarcation areas in the injured tissues and the preparation of these tissues for the further restorative treatment. Anti-microbial and anti-inflammatory photodynamic therapy (PDT) as well as light-emitting-diode (LED) phototherapy were carried out in 20 patients who suffered gunshot wounds and mine-blast injuries to the face, head, and neck. The photodynamic therapy was performed with the use of an aqueous solution of methylene blue at a concentration of 0.1%, the 'Alod-1' infrared laser ('Granat' modification, Russia), and the 'AFS-Solaris' light-emitting diode-based phototherapeutic apparatus (Russia). The analysis of the results of the study has demonstrated the high efficiency of the proposed approach that made it possible to prevent the development of severe septic complications, reduce the amount of drug therapy, significantly shorten duration of the treatment, and create the conditions for the earlier rehabilitation and further plastic and cosmetic restoration of the tissue structures.
Asunto(s)
Traumatismos por Explosión/complicaciones , Traumatismos Craneocerebrales , Oído/lesiones , Laringe/lesiones , Traumatismos del Cuello , Nariz/lesiones , Faringe/lesiones , Fotoquimioterapia , Fototerapia , Heridas por Arma de Fuego/complicaciones , Traumatismos Craneocerebrales/etiología , Traumatismos Craneocerebrales/terapia , Humanos , Rayos Infrarrojos/uso terapéutico , Láseres de Semiconductores/uso terapéutico , Masculino , Traumatismos del Cuello/etiología , Traumatismos del Cuello/terapia , Fotoquimioterapia/instrumentación , Fotoquimioterapia/métodos , Fototerapia/instrumentación , Fototerapia/métodos , Resultado del TratamientoRESUMEN
A total of 165 patients presenting with neurosensory impairement of hearing and Meniere's disease were treated by supravascular (extracorporeal) laser irradiation of blood. The study undertaken to evaluate the efficacy of this treatment confirmed its beneficial effect in patients with acute hearing disorders. It was equally effective as regards elimination of labyrinthine hydropsis in patients presenting with Meniere's disease. The method proved less efficacious for the management of long-standing hearing impairement and chronic loss of hearing, but it can be used to prevent the development of these conditions.
Asunto(s)
Sangre/efectos de la radiación , Enfermedades Cocleares/radioterapia , Terapia por Luz de Baja Intensidad/métodos , Enfermedades Vestibulares/radioterapia , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Resultado del Tratamiento , Adulto JovenRESUMEN
59 patients with neurosensory hypoacusis and 45 with Meniere's disease underwent helium-neon laser intra- or supravascular radiation of blood. The treatment proved effective in acute neurosensory hypoacusis and Meniere's disease. In chronic neurosensory hypoacusis the effect was insignificant.