Features of the architectonics of the structures of the nasal cavity and choanal zone in children with congenital malformations of the eyes

xlomafota13 shared this article with you from Inoreader Features of the architectonics of the structures of the nasal cavity and choanal zone in children with congenital malformations of the eyes Via Vestnik otorinolaringologii The article provides data on the embryogenesis of the eyeball, nasolacrimal canal and nasal cavity. A frequent combination of congenital choanal atresia and anomalies in the development of the eyes was noted, most likely associated with the temporal and topographic parallelism of the intrauterine development of these anatomical areas. In order to assess the condition of the nasal cavity and choanal region in congenital eye pathology, 43 children with op hthalmological malformations were examined. In 32 (74.4%) children, according to endoscopic examination, changes in the anatomy of the choanal region with a change in its size in the form of incomplete atresia were revealed. The results obtained allow the authors to recommend that all children with congenital ophthalmological malformations be examined and monitored by an otolaryngologist with an endoscopic examination of the nasal cavity and nasopharynx. В статье приведены данные об эмбриогенезе глазного яблока, носослезного канала и полости носа. Отмечено нередкое сочетание врожденной атрезии хоан и аномалий развития глаз, по всей видимости, связанное с временным и топографическим параллелизмом внутриутробного развития данных анатомических областей. С целью оценки состояния полости носа и хоанальной области при врожденной патологии глаз были обследованы 43 ребенка с офтальмологическими пороками развития. У 32 (74,4%) детей по данным эндоскопического обследования выявлены изменения анатомии хоанальной области с изменением ее размеров в виде неполной атрезии. Полученные результаты позволяют авторам рекомендовать всем детям с врожденными офтальмологическими пороками развития осмотр и наблюдение у врача-отоларинголога с проведением эндоскопического исследова ния полости носа и носоглотки. Keywords: Sturge-Weber syndrome; children; congenital choanal atresia; congenital eye defects; endoscopy; stenosis of the nasolacrimal canal. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Transcanal endoscopic middle ear surgery in children with chronic suppurative otitis media

xlomafota13 shared this article with you from Inoreader Transcanal endoscopic middle ear surgery in children with chronic suppurative otitis media Via Vestnik otorinolaringologii Vestn Otorinolaringol. 2021;86(1):25-29. doi: 10.17116/otorino20218601125. ABSTRACT Otomicroscopic surgery remains the gold standard in the surgical treatment of patients with CHS. Endoscopic ear surgery is gaining more and more importance as an adjunct to microsurgery. Recently, thanks to the resolution of the endoscopic technique, endoscopic surgery can be used as an independent method. This article presents the results of endoscopic tympanoplasty, endoscopic removal of the tympanic cholesteatoma, performed on the basis of the otorhinolaryngology department of the Morozov Children's City Clinical Hospital. Research has shown that transcanal endoscopic surgery is an effective alternative to traditional otomicroscopic surgery. Advantage in minimal impact and improved visualization of all quadrants of the tympanic membrane, the anterior tympanomeatal angle of the NSP, and structures of the middle ear. PMID:33720647 | DOI:10.17116/otorino20218601125 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Transcanal endoscopic middle ear surgery in children with chronic suppurative otitis media

xlomafota13 shared this article with you from Inoreader Transcanal endoscopic middle ear surgery in children with chronic suppurative otitis media Via Vestnik otorinolaringologii Vestn Otorinolaringol. 2021;86(1):25-29. doi: 10.17116/otorino20218601125. ABSTRACT Otomicroscopic surgery remains the gold standard in the surgical treatment of patients with CHS. Endoscopic ear surgery is gaining more and more importance as an adjunct to microsurgery. Recently, thanks to the resolution of the endoscopic technique, endoscopic surgery can be used as an independent method. This article presents the results of endoscopic tympanoplasty, endoscopic removal of the tympanic cholesteatoma, performed on the basis of the otorhinolaryngology department of the Morozov Children's City Clinical Hospital. Research has shown that transcanal endoscopic surgery is an effective alternative to traditional otomicroscopic surgery. Advantage in minimal impact and improved visualization of all quadrants of the tympanic membrane, the anterior tympanomeatal angle of the NSP, and structures of the middle ear. PMID:33720647 | DOI:10.17116/otorino20218601125 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

A case of isolated sphenoid osteoma with suppurative sinusitis in a 15-year-old child

xlomafota13 shared this article with you from Inoreader A case of isolated sphenoid osteoma with suppurative sinusitis in a 15-year-old child Via Vestnik otorinolaringologii Vestn Otorinolaringol. 2021;86(1):68-71. doi: 10.17116/otorino20218601168. ABSTRACT Isolated sphenoid osteomas are very rare even in adults. There are extremely few publications on pediatric cases of sphenoid osteomas. This paper presents a case of isolated sphenoid osteoma combined with suppurative sphenoiditis in a 15-year-old patient. The child presented with persistent headache resistant to medical treatment. Endoscopic sphenotomy allowed both to remove osteoma and to relieve the symptoms of sinusitis. The presented case can be considered as the third detailed description of the sphenoid osteoma in children and the first demonstration of the effectiveness of the endoscopic approach for its removal. PMID:33720655 | DOI:10.17116/otorino20218601168 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Modern causes of tracheostomy in children

xlomafota13 shared this article with you from Inoreader Modern causes of tracheostomy in children Via Vestnik otorinolaringologii Vestn Otorinolaringol. 2021;86(1):36-40. doi: 10.17116/otorino20218601136. ABSTRACT The purpose of work is to analyze the causes of tracheostomy in children hospitalized in a large multidisciplinary pediatric hospital. MATERIAL AND METHODS: Retrospective analysis of case of children treated in a multidisciplinary urgent hospital - GBUZ «Morozovskaya CCCH of MDH», which in the period from 01.01.16 to 31.12.18 was made operation «tracheostomy» was conducted. RESULTS: Tracheostomy was performed in 138 (0.064%) among 216 469 hospitalized children. Age at the time of tracheostomy ranged from 2 weeks to 17.5 years (on average 67.9±59.84 months, Me=47.5 months), and 36.2% of children had tracheostomy was done on the 1st year of life. 126 (91.3%) patients required prolonged tracheal intubation prior to tracheostomy placement; the duration of intubation ranged from 1 to 95 days (on average 19.9±13.42 days, Me=14 day s). The main reasons of tracheostomy were the need for long-term mechanical ventilation/respiratory support; the need for constant sanitation of the lower respiratory tract with bulbar/pseudobulbar disorders; upper respiratory paths obstruction. The diseases that led to this condition can be grouped into 4 categories: CNS pathology - 76 (55.1%) patients; brain / spinal cord tumors - 36 (26.1%); neurodystrophy and stenosis of the upper respiratory tract of various etiology - 13 (9.4% each) patients. 68.1% of patients were found incurable and required palliative care. Mortality among patients with a known catamnesis was 39.1%, mainly due to progression of the underlying disease; the lethality associated with tracheal cannulation was 1.4%. CONCLUSION: Currently, pediatric tracheostomy is moving into the category of predominantly planned surgical interventions. More than 2/3 of children requiring tracheostomy are patients in need of palliative care with severe pathology of the cen tral nervous system; in which the main indications for surgery are the need for respiration support and regular tracheobronchial care.. PMID:33720649 | DOI:10.17116/otorino20218601136 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Epistaxis and arterial hypertension: a pathogenic link

xlomafota13 shared this article with you from Inoreader Epistaxis and arterial hypertension: a pathogenic link Via Vestnik otorinolaringologii Vestn Otorinolaringol. 2021;86(1):72-77. doi: 10.17116/otorino20218601172. ABSTRACT THE AIM OF THIS RESEARCH: Was to study changes in the nasal mucosa vessels in hypertensive patients suffering from recurrent epistaxis. PATIENTS AND METHODS: 78 hypertensive patients aged between 50 and 70, admitted due to epistaxis were studied. Diabetic, coagulopathic patients and those taking anticoagulants were excluded from the research. All the patients were divided into 2 groups: group 1 (46 people) with a single epistaxis, group 2 (32 people) with a recurrent epistaxis. At the admission time all the patients showed elevated arterial pressure, yet the differences between the patients of group 1 and group 2 were not significant. 14 patients of group 2 did not reveal any source of hemorrhage due to a severely deviated septum. These patients underwent septoplasty followed by mucoperichondrium biopsy. Histological study of samples showed multip le erosions within the epithelial layer, as well as necrotic patches spreading to the deeper mucous coat layers. The microvasculature showed dystrophic changes in the endothelium, its focal desquamation with basal membrane exposure and thrombocytes and erythrocytes adhesion at such places, erythrocyte aggregation, plasma separation, erythrocyte and fibrinous thrombi formation. Ultrastructural investigation revealed dystrophic changes in the capillary endothelium of the nasal mucosa combined with rheological disorders expressed as erythrocytes sludge. Thus, the cause of epistaxis is not high arterial pressure, but those changes in the nasal mucosa vessels promoted by long arterial hypertension. PMID:33720656 | DO I:10.17116/otorino20218601172 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Comparative efficacy of various treatment regimens for children 2-5 years old with symptoms of acute viral rhinosinusitis

xlomafota13 shared this article with you from Inoreader Comparative efficacy of various treatment regimens for children 2-5 years old with symptoms of acute viral rhinosinusitis Via Vestnik otorinolaringologii Vestn Otorinolaringol. 2021;86(1):46-50. doi: 10.17116/otorino20218601146. ABSTRACT In an open, randomized prospective comparative clinical study in parallel groups of patients with a diagnosis of acute respiratory infection, acute rhinosinusitis, 107 children aged 4-5 years took part. The purpose of this study was to compare the effectiveness of various treatment regimens for acute viral rhinosinusitis in children. We compared the treatment effectiveness of acute viral rhinosinusitis using the herbal medicine Sinupret in the form of oral drops, standard treatment and standard treatment supplemented with topical antibacterial drugs. The objectivity of treatment effectiveness evaluation was based on the complaints' dynamics, the changes' presence in the mucous membrane of the nasal cavity within 10 days: at the initial visit, after 3 days, on the 7th and 10th days after the initial examination. A follow-up visit wa s also scheduled for the 14th day. The analysis of the obtained data revealed that the Sinupret usage in the complex treatment of children with viral etiology acute rhinosinusitis contributes to a more pronounced positive symptoms' dynamics compared to children who did not receive Sinupret. Sinupret eliminates mucostasis, which contributes to a faster restoration of the drainage and ventilation function of the auditory tube, restores mucociliary clearance, improves the condition and well-being of children, improves the effectiveness of therapy and shortens the treatment time. PMID:33720651 | DOI:10.17116/otorino20218601146 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.