Vol 5, No 1 (2020)
- Year: 2020
- Articles: 15
- URL: https://innoscience.ru/2500-1388/issue/view/2629
- DOI: https://doi.org/10.35693/2500-1388-2020-5-1
Articles
Current aspects of treatment of patients with bilateral laryngeal paralysis
Abstract
Diagnosis of anxiety-depression disorders in patients with laryngeal granuloma
Abstract
A new method of endonasal dacryocystorhinostomy
Abstract
Isolated lesions of the sphenoid sinus: features of diagnosis and treatment
Abstract
Aim – to analyze the cases of isolated lesions of the sphenoid sinuses and to identify the main errors in the differential diagnosis in the prehospital and treatment periods.
Material and methods. The study includes the data on the treatment of 58 patients with an isolated lesion of the sphenoid sinus in the period 2015–2018. The patients' age varied from 18 to 68 years. Gender distribution: men – 21 (30.7%), women – 37 (69.3%).
Results. The following surgical approaches were used: transnasal access, extended transnasal access, transetmoid access, access according to the Bolger Box technique. In one case, the transpterygoid approach was used. When performing extended access, it was possible to achieve the formation of persistent, epithelized anastomosis in all the cases. In polypous-purulent forms of sphenoiditis, the relapses of the disease were most often observed, however, only anti-inflammatory therapy was required, including a sinus irrigation through the formed anastomosis.
Conclusion. Further studies are required, to examine the features/safety and clinical efficacy of the various endosurgical approaches.
Evaluation of mucociliary clearance in the postoperative period after a maxillary sinus surgery
Abstract
Aim – evaluation of the local function of the mucociliary clearance (MCC) in the postoperative period in patients with foreign bodies in the maxillary sinuses, who have undergone various surgical treatment.
Material and methods. Using an original analysis technique for high-speed digital video recording of a microscopic picture of a specimen, obtained by brush biopsy from specific regions of the nasal cavity and paranasal sinus under endoscopic control, the MCC of the nasal mucosa was evaluated in the control group (n=60) and in the group of patients, who received various surgery (n=60) of maxillary sinuses.
Results. We obtained the data on persistent and apparent local MCC disorders in the field of the surgical intervention in the postoperative period.
Conclusion. Surgical interventions with access not in the area of the natural ostium of the maxillary sinus are more gentle, since they do not injure the mucociliary clearance in the key region – the ostium.