[Complications caused by hearing aid mold impression material - clinical case and literature review]. / Oslozhneniia protsedury sniatiia slepkov naruzhnykh slukhovykh prokhodov - klinicheskii sluchai i obzor literatury.

The procedure of taking an impression of the external auditory canal for the manufacture of individual earplugs in the ear canals can be associated with complications in some cases. The article describes the clinical case of ingestion of the impression mass during taking the impression of the external auditory canal in the patient with chronic otitis media. The presence of pronounced hearing loss has become the basis for the selection of a hearing aid. As a result, during taking a cast of the external auditory canal, the material fell into the middle ear cavity. Despite contacting specialists, the patient experienced earache with periodic suppuration during the year. When contacting our clinic, perforation of the tympanic membrane was detected and a CT of the temporal bones revealed a foreign body in the tympanic cavity. The patient underwent surgical treatment. The clinical case we are observing and the literature data show how important it is collect to carefullythe anamnesis and conduct otorhinolaryngological examination before the procedure for taking an impression of the external auditory canal when selecting a hearing aid.

[The evaluation of the quality of life in the patients presenting with various forms of chronic otitis media]. / Otsenka kachestva zhizni patsientov s razlichnymi formami khronicheskogo srednego otita.

Chronic otitis media (COM) is a widespread pathological condition that affects up to 2% of the general population. Certain forms of this disease markedly deteriorate the quality of life of the patients which makes them overestimate the severity of harm to their health status and can be a cause of inflated expectations as regards the results of the planned surgical treatment. The linking element between the patient's expectations and the outcomes of the surgical intervention may be the recently developed questionnaires for the evaluation of the health-related quality of life (HRQoL). One of them, the COMQ-12 questionnaire, was devised to estimate the subjective reports by the patients concerning the deterioration of their quality of life attributable to chronic otitis media. The objective of the present study was to characterize the value of the 5-point Russian-language version of COMQ-12 for the evaluation of each of its 12 items concerning various aspects of health based on the personal opinions of the patients suffering from chronic otitis media The study included 108 patients 49 of whom were men and 59 women (45% and 55% respectively) at the age varying from 16 to 84 years. The COMQ-12 scores, according to the reports of individual patients, ranged from 4 to 43 of the 60 ones possible. The average score was 19.4 (SD=8.3). The overall median COMQ-12 score was 20, and the mode scored 14. The Cronbach-alpha index was equal to 0.860. The Russian-language version of the COMQ-12 questionnaire provides a reliable tool for the estimation of the quality of life in the patients presenting with various forms of chronic otitis media.

[Subjective tympanophonia. The current concepts of therapy].

The authors overview the current concepts of the management of the patients complaining of subjective tympanophonia with special reference to the medicamental and medicamental treatment of this condition and rehabilitation. Bearing in mind a great variety of approaches to addressing this problem, only the most important, widely applied, and clinically verified methods for this purpose are considered.

[The modern view of the clinical significance of tensor tympani muscle].

The objective of the present work was analyse the modern views of the role of tensor tympani muscle in the development of otic pathology. In this context, the authors discuss tenotomy of the middle ear muscles for the treatment of Meniere's disease, diagnostics and clinical aspects of middle ear myoclonus, and tonic tensor tympani syndrome.

[Eosinophilic otitis media as a disease with chronic nasal polyposis and bronchial asthma].

Rather a few publications devoted to eosinophilic otitis media (EoOM) can be found in the literature. This condition refractory to the treatment is characterized by the elevated number of eosinophils in the exudate and mucosal membrane of the middle ear. The disease is not infrequently associated with bronchial asthma and polypous rhinosinusitis. The patients presenting with eosinophilic otitis suffer the progressive loss of hearing; some of them all of a sudden develop deafness. The present literature reviews is focused on the clinical features of eosinophilic otitis media and the available methods for its treatment.

[Local therapy of acute sensorinerual deafness by means of intratympanic administration of steroids].

AIM OF THE STUDY: to estimate the efficacy of local therapy of acute sensorinerual deafness by means of intratympanic administration of steroids. PATIENTS AND METHODS: the study included 73 patients presenting with acute sensorinerual deafness (ACND). 24 of them were given local steroid therapy (through a shunt) during 6 months, another 24 patients received traditional systemic therapy, and 25 ones systemic steroid monotherapy (intravenously) for 10 days. The tonal threshold audiograms obtained before as well as 1, 3, and 6 months after the treatment were compared. It was shown that the efficacy of the intratympanic administration of steroids during 1 month was not significantly different from that of systemic therapy. The long-term therapy (for 6 months) by the intratympanic administration of steroids yielded better results than systemic therapy. CONCLUSION: the local intratympanic administration of steroids may be used as a self-contained method for the primary treatment of acute sensorinerual deafness.

[The experience in using of the induced otoacoustic emission in the practice of audiologist]. / Opyt ispol'zovaniia vyzvannoi otoakusticheskoi émissii v praktike vracha-surdologa.

Described in the paper is the possibility of using the induced otoacoustic emission (registered by different devices) in the practice of audiologist. The devices used for the purpose confirm the method as promising.