RESUMO
The objective of the present study was to compare different methods for the endoscopic examination of the larynx in the newborn babies, during the period of breast feeding and early infancy. Special attention was given to differential diagnostics and the cases of the asymptomatic clinical curse of the disease. Case reports are presented, and the relevant literature data are analysed.
Assuntos
Laringe , Paresia , Paralisia das Pregas Vocais , Aleitamento Materno , Diagnóstico Diferencial , Feminino , Humanos , Lactente , Recém-Nascido , Laringe/patologia , Laringe/fisiopatologia , Masculino , Paresia/diagnóstico , Paresia/etiologia , Paresia/fisiopatologia , Índice de Gravidade de Doença , Paralisia das Pregas Vocais/diagnóstico , Paralisia das Pregas Vocais/etiologia , Paralisia das Pregas Vocais/fisiopatologiaRESUMO
The objective of the present study was to elucidate the role of respiratory viruses in etiology of acute rhinosinusitis (ARS) in the children and adolescents. We analysed the results of a microbiologial study of 50 aspirates from the paranasl sinuses. It was shown that acute rhinosinusitis had bacterial and viral-bacterial etiology in 8% and 24% of the cases respectively. In 42% of the cases the pathogen could not be identified by any of the methods used in the study.
Assuntos
Adenoviridae/patogenicidade , Respirovirus/patogenicidade , Rinite/virologia , Rhinovirus/patogenicidade , Sinusite/virologia , Adolescente , Criança , Pré-Escolar , HumanosRESUMO
The objective of the present study was to estimate the relevance and validity of the electroglottographic technique as a method for diagnostics of voice disorders in children. The authors analyse the normative data on the vocal disorders in the children obtained by electroglottography (EGT) and assess the value of this technique for the control of treatment of dysphonia of different etiology. It is shown that that dynamics of these findings (before and after the treatment including their comparison with age-related normative data) attains statistical significance . It is concluded that the results of EGT can be regarded as the important diagnostic criteria for the effectiveness and quality of the treatment of dysphonia of different origin in children.
Assuntos
Eletrodiagnóstico/métodos , Glote/fisiopatologia , Prega Vocal/fisiopatologia , Distúrbios da Voz/diagnóstico , Qualidade da Voz , Criança , Pré-Escolar , Diagnóstico Diferencial , Feminino , Humanos , Lactente , Laringoscopia , Masculino , Reprodutibilidade dos Testes , Distúrbios da Voz/fisiopatologiaRESUMO
The objective of the present work was to study voice disturbances in young children with gastroesophageal reflux disease. Diagnostic algorithm included direct transnasal examination of the larynx using an Olympus fibroscope (Japan), fibrogastroduodenoscopy, 24-hour potentiometry, biopsy of oesophageal mucosa, and acoustic analysis of the voice. A total of 26 children at the age from 8 months to 3 years with voice disturbances were examined, including 12 children below one year, 5 between 1 and 2 years, and 9 between 2 and 3 years. The main signs of laryngoesophageal reflux were dysphonia, oedema, hyperemia, and altered light reflex of mucous membrane of arytenoid cartilages, interarytenoid space, and vocal cords. It is concluded that voice disturbances are the most common symptoms of laryngoesophageal reflux in young children which necessitates the earliest possible endoscopic study of the larynx in all cases of dysphonia.
Assuntos
Refluxo Gastroesofágico/complicações , Distúrbios da Voz/etiologia , Biópsia , Pré-Escolar , Diagnóstico Diferencial , Endoscopia Gastrointestinal , Feminino , Refluxo Gastroesofágico/diagnóstico , Refluxo Gastroesofágico/epidemiologia , Humanos , Lactente , Masculino , Potenciometria , Prevalência , Acústica da Fala , Distúrbios da Voz/diagnóstico , Distúrbios da Voz/epidemiologia , Qualidade da VozRESUMO
The article devoted to the treatment of inflammatory diseases of throat and larynx in children. Features of clinical course of inflammation process, predominant ethiological factors as well group of drugs used in childhood are described. Special attention was paid to drugs for topical treatment and peculiarities of their usage in children. The role of eliminative agents in treatment of inflammatory diseases of throat is elucidated. Outcome of research of efficacy and safety of Aqualor throat cleansing as an initial monotherapy of mild and moderate pharyngolaryngites in children elder 6 y.o. are presented. Data obtained let us to recommend Aqualor throat cleansing as a safe and effective remedy for treatment of non-complicated pharyngolaryngitis in children.
Assuntos
Aloe , Matricaria , Faringite/tratamento farmacológico , Fitoterapia/métodos , Extratos Vegetais/administração & dosagem , Administração Tópica , Criança , Pré-Escolar , Endoscopia , Feminino , Seguimentos , Humanos , Lactente , Masculino , Faringite/diagnóstico , Resultado do TratamentoRESUMO
The article describes various forms of rhinitis and principles of their management; results of monotherapy of patients with different forms of acute rhinitis (viral, allergic) using homeopathic drug corisalium.
Assuntos
Materia Medica/uso terapêutico , Infecções Respiratórias/tratamento farmacológico , Rinite/tratamento farmacológico , Criança , Esquema de Medicação , Humanos , Extratos Vegetais/uso terapêuticoAssuntos
Laringoscopia , Procedimentos Cirúrgicos Otorrinolaringológicos/métodos , Paresia , Paralisia das Pregas Vocais , Criança , Diagnóstico Diferencial , Humanos , Imageamento por Ressonância Magnética , Paresia/diagnóstico , Paresia/etiologia , Paresia/cirurgia , Nervo Laríngeo Recorrente/fisiopatologia , Índice de Gravidade de Doença , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Paralisia das Pregas Vocais/diagnóstico , Paralisia das Pregas Vocais/etiologia , Paralisia das Pregas Vocais/cirurgiaRESUMO
Laryngeal examination of infants with rigid optic instruments is described. Clinical cases are reported.
Assuntos
Laringite/patologia , Laringoscopia/métodos , Sons Respiratórios/diagnóstico , Gravação em Vídeo/instrumentação , Criança , Diagnóstico Diferencial , Feminino , Humanos , Lactente , Laringite/diagnóstico , MasculinoRESUMO
In screening examination of 202 young children attending kindergartens, acoustic impedance audiometry has detected children (44%) with hearing problems. Endoscopic examination of the nasopharynx demonstrated that conductive hypoacusis resulted from hypertrophy of adenoid vegetations of different degree and chronic adenoiditis. These data emphasize the role of active audiological examination of young children in detection and prophylaxis of acoustic disorders.
Assuntos
Audiometria/métodos , Transtornos da Audição/diagnóstico , Pré-Escolar , Transtornos da Audição/prevenção & controle , Humanos , Lactente , Laringoscopia , Nasofaringe/patologia , Reprodutibilidade dos TestesRESUMO
The article deals with respiratory allergic pathology in children with a focus on the course of different forms regarding anatomo-physiological changes of the growing organism, on laryngeal status and voice function. Difficulties of examination of the larynx in children especially in young children are described as well as methods of such examination. It is emphasized that children with different forms of respiratory allergic pathology need endoscopic ENT examination. Original clinical experience is analysed.