Waltherparsons1211
Simultaneous endoscopic septoplasty was required in 36 (15.5%) cases.
Performing a simultaneous endoscopic septoplasty provides comfortable surgical access and contributes to the final successful outcome of EN-DCR.
Performing a simultaneous endoscopic septoplasty provides comfortable surgical access and contributes to the final successful outcome of EN-DCR.
To estimate efficacy and safety of endoscopic orbital decompression in patients with dysthyroid optic neuropathy (DON).
19 patients aged 54.8±7.1 y.o. with DON were enrolled into the study.
Visual acuity was from counting fingers till 0.9 (0.4±0.28) before surgery, it increased till 0.7±0.2 (
<0.05) after surgery. The amount of correct Ishihara plates increased from 5.8±7 till 13.3±7.6 (
<0.05). Exophthalmos reduced by 1.7 mm (
<0.05). Significant reduce of orbital inflammation was noted as well.
This study is the first study of this kind in Russian Federation. Obtained results showed high efficacy and safety of endoscopic orbital decompression in patients with DON.
This study is the first study of this kind in Russian Federation. Obtained results showed high efficacy and safety of endoscopic orbital decompression in patients with DON.The number of cases of acute bacterial rhinosinusitis (ABRS) in our country tends to increase. According to clinical guidelines of the Ministry of Health of the Russian Federation, nasal catheter drainage is used to treat ABRS, but not all ENT-doctors use this method in daily practice. Many of them use it empirically and obtain good results.
To study the experience of ENT-doctors using the YAMIK nasal catheter (NC) in their clinical practice.
To achieve the goal, a 16-question questionnaire was developed. Further, a survey of 30 ENT-doctors was conducted via e-mail.
The study showed a marked dispersion of data regarding the time of starting therapy, the number of necessary procedures, as well as the components of medication solutions administered to the paranasal sinuses. At the same time, the effectiveness of the method, in doctors' opinion, is very high (above 90%). The incorrect technique of NC application, absence of studies according to the principles of Good Clinical Practice (GCP), and constructive disadvantages of NC may be probable reasons for the method undervaluation.
The prescription of procedures with NC to patients with ABRS is empirical and is probably related to the absence of clear indications for such treatment, data on its duration, and associated therapy. Consequently, research following GCP principles is required to develop an algorithm for treating ABSR with an NC. The development of a new design for an NC that will allow each ENT-doctor to learn the method is also appropriate.
The prescription of procedures with NC to patients with ABRS is empirical and is probably related to the absence of clear indications for such treatment, data on its duration, and associated therapy. Consequently, research following GCP principles is required to develop an algorithm for treating ABSR with an NC. Screening Library in vitro The development of a new design for an NC that will allow each ENT-doctor to learn the method is also appropriate.Diseases diagnosis of the larynx in children and adults remains a difficult and urgent task of otorhinolaryngology. Modern diseases diagnostics of the larynx is based on endoscopic examination methods, which are the most informative and allow assessing the status of the larynx at a very advanced level. In 397 patients (329 adults and 68 children) with dysphonia, video rhinopharyngolaryngoscopy was performed using the PENTAX Medical VIVIDEO system. In addition, in 36 adults and 8 children, the status of the larynx was assessed by video laryngoscopy and video laryngostroboscopy using a rigid endoscope. Comparative analysis of video rhinopharyngolaryngoscopy and video endolaryngoscopy usage showed that the quality and size of the video image of the larynx in adults and children when using a video rhinopharyngolaryngoscope are comparable to the picture obtained using a rigid endoscope. The use of a video rhinopharyngolaryngoscope increases the efficiency of the examination, since the small diameter of the inserted working part allows carrying out the procedure as fast and comfortably as possible for the patient.According to statistical data given in the article the incidence of oropharyngeal cancer increases, despite the ease of access to the maxillofacial area and the possibility to make visual and manual examination of this site. It should be stressed that locally advanced oropharyngeal cancer of the III-IV stages was the first diagnosis in 82.9% of patients. It may be due to low level suspicion of primary care physicians. The paper considers risk factors for development of oropharyngeal cancer and presents the list of compulsory diagnostic tests. The authors suggest that recommended diagnostic algorithm will be helpful to a timely detection of precancer and cancer abnormalities in the oropharynx in order to minimize the time and to define the optimal scheduling of examination of a patient in specialized health care centers for early detection of cancer.Transplantation of human internal organs is accompanied by the risk of the subsequent occurrence of a malignant neoplasm. The increased incidence of malignant neoplasms is due to immunosuppressive therapy, which leads to impaired immune surveillance for malignant neoplasms, as well as increased susceptibility to oncogenic viruses. We have not found a description of the laryngeal cancer development after heart transplantation in the available literature. Here is our observation. Patient P., 66 years old, was admitted to the department of head and neck tumors of the State Clinical Hospital No. 1 on 05/27/19 with complaints of hoarseness. Based on the examination, the diagnosis of laryngeal cancer cT3N0M0M was established. Anamnesis revealed that due to ischemic cardiomyopathy, post-infarction mitral insufficiency, balloon angioplasty and stenting of the right coronary artery on 17.08.11 and 06.11.13, orthotonic heart transplantation was performed. The clinical situation was discussed with mutual participation of oncologists, radiologists, chemotherapists - a combined treatment plan was developed with preoperative radiation therapy of total focal dose (TFD) 44Gy at the first stage, which was carried out with slight positive dynamics, followed by laryngectomy.