Bulletin of RSMU

ISSN Print 2500–1094 ISSN Online 2542–1204

BIOMEDICAL JOURNAL OF PIROGOV UNIVERSITY (MOSCOW, RUSSIA)

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

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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

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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

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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

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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

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Baranov KK, Bogomilsky MR, Minasyan VS

This article presents an analytical review of the literature data and clinical observations of the authors on the actual problem of exacerbations of chronic suppurative otitis media in children. Contemporary possibilities of early diagnosis of the disease with high precision using a digital otoscope and computed tomography of the temporal bones were discussed. A rational approach to the treatment of chronic inflammatory diseases of the middle ear in terms of surgical technique was described. Presented methods of diagnosis and treatment allow not only to achieve the restoration of the affected anatomical structures of the middle ear, auditory function, but also to prevent otogenic complications in children.

Received: 2014-11-21

Published online: 2017-01-05

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Svistushkin VM, Egorov VI, Zolotova AV, Shevchik EA

The aim of the work was to estimate the regeneration of the ear drum after the radiofrequency and laser myringotomy. 37 patients with otitis media with effusion were observed. In the 1st group (19 patients) perforation was performed using a radiofrequency device, in the 2nd group (18 patients) — with a laser. The evaluation of inflammatory changes of the tympanic membrane in the early postoperative period and the time of the perforation closure were estimated.

Received: 2014-11-21

Published online: 2017-01-05

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Kirichenko IM, Popadyuk VI

The article provides a brief review of the literature on the etiology and pathogenesis, clinic and methods of treatment of keloids. The clinical case of a large keloid of an auricle is considered. There was conducted a combined treatment of a patient with a positive clinical effect.

Received: 2014-11-21

Published online: 2017-01-05

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