Clinical case Successful Treatment of Fractures of the Pylon, the Talus and the Calcaneus in a Patient with Severe Concomitant Injury: Clinical Observation
Korolev MA, Yarmak DO, Miroshnikova EA, Ratjev AP, Zhavoronkov EA, Korobushkin GV, Lazishvili GD, Moldakulov ZhM
In this article we consider the case of successful treatment of the pylon, talus and calcaneus fractures in a patient with severe concomitant trauma. Clinical evaluation of the limb condition was held, the functional results and dynamics of the patient's life quality were studied. The protocol of staged treatment of the patient allowed to obtain good results and can be useful for orthopedic surgeons.
Received: 2015-02-06
Published online: 2017-01-05
DOI:
Comments 0
VIEWS 4336
Method Procedure of Taking the Material for Microbiological Study in Patients with Various Forms of Sinusitis
Malygina LV, Denisova OA, Radtsig EYu
The definition of ENT-pathology infectious agent is a principal question. Urgent data on this problem are necessary for the choice of the right starting drug for empirical etiotropic therapy. The article describes methods being used for these purposes in patients with different forms of sinusitis, there is made a comparison of its practical significance.
Received: 2014-11-21
Published online: 2017-01-05
DOI:
Comments 0
VIEWS 4257
Original research Comparison of Amikacin and Netromycin Ototoxicity when Administered to Immature Animals
Ishanova YuS, Dyakonova IN, Rakhmanova IV, Tikhomirov AM
The aim of the research was the comparative analysis of ototoxicity of amikacin and netromycin after their introduction to immature animals in therapeutic doses. As a result according to the registration of distortion-product otoacoustic emission and the record of short-latency auditory brainstem response more expressed toxic action of amikacin was revealed which was reflected in more substantial increase of thresholds of the 1st peak and greater decrease of its amplitude in comparison with the group of the animals receiving netromycin. Introduction of amikacin and netromycin took the same damaging effect on the area of outer hair cells responsible for the perception of frequencies 2 and 4 kHz.
Received: 2014-11-24
Published online: 2017-01-05
DOI:
Comments 0
VIEWS 4391
Original research Middle Ear Pathology in Premature Infants of Different Gestational Age
Rakhmanova IV, Zinker GM, Matroskin AG, Kotov RV, Donin IM
The aim of the work was to study the middle ear pathology prevalence in premature infants of different gestational age in the first year of life. There were examined 128 premature infants born at term from 24 to 37 weeks of gestation, and 49 full-term infants. Examination showed a high percentage of the middle ear pathology incidence in premature infants of different gestational age: 42 % — at the initial evaluation, 31 % — at 3 months, 25 % — at 6 months and 40 % — at one year, while in the first six months of life — with predominance of otitis media with effusion (59 % of children), and in the first year of life — of tubootitis (52 %).
Received: 2014-11-24
Published online: 2017-01-05
DOI:
Comments 0
VIEWS 3932
Original research Speech Disorders in Young Children with Hearing Loss after Acute Otitis Media
Sapozhnikov YaM, Minasyan VS, Cherkasova EL, Mkhitaryan AS
Based on the survey of 79 young children with hearing loss after suffering an acute otitis media there was identified a slowdown compared with normal hearing peers. With this speech development suffered more, in particular, a distorted development of its components was revealed. Despite the fact that patients demonstrated the ability to make contact with adults quickly and easily, they did not try to share with them the emotions, rarely smiling, avoided looking of an adult. Actions of children were not accompanied by speech. In object-gaming activities for children with hearing loss no significant deviations compared with normal hearing peers were detected. In the cognitive development most of children with hearing loss (67 infants) showed results that matched the age norm. The backlog of social development of such children primarily manifested in the low level of activity and initiative in relation to adults. The results should be taken into account in a comprehensive survey of young children after an acute otitis media.
Received: 2014-11-21
Published online: 2017-01-05
DOI:
Comments 0
VIEWS 4287
Original research Bone Density of Different Segments of Femoral Head as a Factor which Affects the Results of Femoral Neck Osteosynthesis
Karapetyan KS, Burenchev DV, Ivkov AV, Sirotin IV, Motylev EN, Skoroglyadov AV
Despite the large number of proposed methods of osteosynthesis of the femoral neck, a significant number of fracture nonunions and migrations of screws remains. A comparative study of bone density in different segments of the femoral head was made. There were used histological and radiological methods. It was revealed that in the upper segments of the femoral head there was a higher density than in the lower ones. It is concluded that in the femoral neck osteosynthesis by three screws their location should be at the vertices of the triangle facing ground up.
Received: 2014-11-19
Published online: 2017-01-05
DOI:
Comments 0
VIEWS 4215
Original research Peculiarities of Chronic Adenoiditis in Recurrently Respiratory Infected Children with Herpes Viruses and Atypical Pathogens
Tyurkina SI, Minasyan VS, Savenkova MS
The peculiarities of chronic adenoiditis in 143 recurrently respiratory infected children with herpes viruses and intracellular pathogens were studied. A predisposing factor was the presence of an acute infection in the mother (13.3 %), or in family members (71.3 %) later. The prevalence of recurrent exudative otitis (52.4 %), confirmed by tympanometry, lymphadenitis of cervical group (58 %); hypertrophy of the pharyngeal tonsil III degree (57.3 %) with a predominance of purulent forms of acute exacerbation of chronic adenoiditis (73.4 %), caused by a mixed flora, was identified.
Received: 2014-11-21
Published online: 2017-01-05
DOI:
Comments 0
VIEWS 4649
Original research The Etiology of Acute Purulent Otitis Media in Preschool Children
Bugaychuk OV, Radtsig EYu
In this article the results of the investigation of 391 patients (519 ears) aged 1 month to 15 years with an acute purulent otitis media (APOM) being under treatment in the ENT-department of the Morozov Children's Municipal Clinical Hospital are given. The etiological spectrum of pathogens of acute otitis media was defined. The sample for microbiological investigation was middle ear discharge taken by paracentesis (myringotomy) or fresh spontaneous perforation of the eardrum. Among etiologically decoded APOM 23.6 % were caused by Streptococcus pneumoniae. Repeated and/or recurrent APOM was identified in 52 % of investigated patients. It was concluded that a large number of APOM (46 %) with non-confirmed bacterial etiology require further study and the search for the causative agent of the disease.
Received: 2014-11-21
Published online: 2017-01-05
DOI:
Comments 0
VIEWS 4249