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1.
Vestn Otorinolaringol ; 86(2): 62-65, 2021.
Artigo em Russo | MEDLINE | ID: mdl-33929154

RESUMO

The article presents a review of the literature on the vestibular schwannoma of childhood, the features of its clinical manifestations, diagnostic methods, methods of treating education and indications for their use.


Assuntos
Neuroma Acústico , Acústica , Criança , Humanos , Neuroma Acústico/diagnóstico
2.
Vestn Otorinolaringol ; 85(5): 24-28, 2020.
Artigo em Russo | MEDLINE | ID: mdl-33140929

RESUMO

The article provides a brief overview of the epidemiology of facial nerve neuromas (FNN, schwannomas), its clinical signs, methods of diagnostic and treatment and indications for their use. A rare clinical case of diagnostics, surgical treatment of FNN with intracranial spread and its results are described in detail. The presented case demonstrates a possible low-symptom course of FNN with intracranial spread. The use of a combined surgical approach (translabyrinthine and extradural subtemporal) in conjunction with neurosurgeons makes it possible to remove FNN with intracranial spread with simultaneous intratemporal neuroplasty of the nerve trunk from the tympanic part of the canal to the bottom of the internal auditory canal with a fragment of the sural nerve with an improvement in the function of the affected nerve.


Assuntos
Orelha Interna , Neuroma , Nervo Facial/cirurgia , Humanos , Osso Petroso , Membrana Timpânica
3.
Vestn Otorinolaringol ; 83(1): 52-55, 2018.
Artigo em Russo | MEDLINE | ID: mdl-29488498

RESUMO

The objective of the present study was to optimize the treatment of patients with subglottic laryngeal stenosis. MATERIAL AND METHODS: We have examined a total of 14 patients presenting with subglottic laryngeal stenosis. The etiological factors and underlying conditions of laryngeal stenosis were the prolonged intubation in 4 patients, Wegener granulomatosis in 6 patients, and idiopathic stenosis of the larynx in 4 patients. All the patients underwent balloon dilatation with the application of the video endoscopic technique. RESULTS: The surgical treatment of all the patients made it possible to achieve the persistent expansion of the lumen of the subglottic part of the larynx, to shorten the periods of the in-patient treatment and rehabilitation of the patients. Restenosis of laryngeal lining stenting was observed in one patient presenting with Wegener's granulomatosis which was associated with the relapse of the underlying disease.


Assuntos
Dilatação , Laringoscopia , Laringoestenose , Adulto , Dilatação/efeitos adversos , Dilatação/métodos , Feminino , Granulomatose com Poliangiite/complicações , Humanos , Laringoscopia/efeitos adversos , Laringoscopia/métodos , Laringoestenose/diagnóstico , Laringoestenose/etiologia , Laringoestenose/fisiopatologia , Laringoestenose/cirurgia , Laringe/diagnóstico por imagem , Laringe/fisiopatologia , Laringe/cirurgia , Masculino , Pessoa de Meia-Idade , Avaliação de Processos e Resultados em Cuidados de Saúde , Respiração Artificial/efeitos adversos , Cirurgia Vídeoassistida/efeitos adversos , Cirurgia Vídeoassistida/métodos
4.
Vestn Otorinolaringol ; 82(4): 32-34, 2017.
Artigo em Russo | MEDLINE | ID: mdl-28980593

RESUMO

This article summarizes the results of computer simulation of the air flows in the nasal cavity and the maxillary sinus by the computational fluid dynamics (CFD) method. The objective of the study was to apply the method of computational aerodynamics to simulate the air flows in the nasal cavity and the maxillary sinus under the normal conditions and after the surgical interventions on the middle nasal meatus. The normal air space of the nasal cavity and paranasal sinuses was simulated and the computer modeling of the main options for the surgical approach to the maxillary sinus through the middle nasal meatus was performed including balloon sinuplasty, functional endoscopic sinus surgery, and uncinate process mobilization. The study has demonstrated the increase of the air flow velocity in the maxillary sinus after computer-assisted balloon sinuplasty. The computer simulation of functional endoscopic sinus surgery including the removal of the uncinated process revealed the mass exchange between the maxillary sinus and the nasal cavity.


Assuntos
Manuseio das Vias Aéreas/métodos , Simulação por Computador , Seio Maxilar , Cavidade Nasal , Adulto , Feminino , Humanos , Hidrodinâmica , Masculino , Seio Maxilar/diagnóstico por imagem , Seio Maxilar/fisiopatologia , Seio Maxilar/cirurgia , Pessoa de Meia-Idade , Cavidade Nasal/diagnóstico por imagem , Cavidade Nasal/fisiopatologia , Cavidade Nasal/cirurgia , Procedimentos Cirúrgicos Nasais/métodos , Cirurgia Endoscópica por Orifício Natural/métodos , Período Pós-Operatório
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