ABSTRACT
OBJECTIVE: To study the features of clinical and laboratory parameters of rhinogenic complications of the orbit (RCO) and eyelids depending on the blood leukocyte shift index (LSI) to create a predictive model in pediatric patients. MATERIAL AND METHODS: The study included 50 patients who were treated at the Regional Clinical Hospital No. 2 of Tyumen with inflammatory pathology of the paranasal sinuses. Group I with RCO - reactive edema of the eyelids and orbital tissue included 29 (58.0%) patients (of which 16 (32.0%) were boys, 13 (26.0%) were girls). In group 2 with ROC, purulent-septic complications of the eyelids and orbit included 21 (42.0%) patients (of which 10 (20.0%) were boys, 11 (22.0%) were girls). RESULTS: LSI values in the general age group (n=50) from 1 to 17 years old were: 1.61 [1.40; 1.82] in patients of group 1; 3.45 [2.96; 3.94] in patients of group 2 (p≤0.05). With an index of LSI from 1.36 to 1.96, the development of reactive edema of the eyelids and orbital tissue is predicted, from 3.14 to 4.72 - the development of purulent-septic complications of the eyelids and orbit in patients of preschool and primary school age. CONCLUSION: The marker of clinical and laboratory parameters of the severity of the disease is the LSI indicator, taking into account the age of the child, which can be used in the early diagnosis of purulent-septic rhinogenic complications of the orbit and eyelids in children.
Subject(s)
Exophthalmos , Paranasal Sinuses , Male , Child, Preschool , Female , Humans , Child , Infant , Adolescent , Orbit , Eyelids , Edema/diagnosis , Edema/etiologyABSTRACT
A rare clinical case of recurrent nosebleeds associated with Randu-Osler disease, in which drug, hemostatic, transfusion therapy and combined nasal tamponade were ineffective, required ligation of the external carotid arteries on both sides, is presented.
Subject(s)
Epistaxis , Telangiectasia, Hereditary Hemorrhagic , Carotid Arteries , Carotid Artery, External/surgery , Epistaxis/diagnosis , Epistaxis/etiology , Epistaxis/surgery , Humans , Ligation/adverse effects , Nose , Telangiectasia, Hereditary Hemorrhagic/complicationsABSTRACT
The article discusses a set of innovative forms of teaching the pedagogical process in the form of business games, round tables, webinars, distance learning, a module-rating system and the use of Internet resources designed to improve the training of specialists in medical universities.
Subject(s)
Internet , UniversitiesABSTRACT
The objective of the present study was to elaborate the program for differential diagnostics of acute pharyngeal diseases based on the 'ENT-Neuro' artificial neuronal network. The study group was formed by means of sampling patients with acute pharyngeal diseases from a set of case histories of the subjects presenting with acute inflammatory diseases. The data thus obtained were employed to develop the expert system to support the decision making process with the use of the 'ENT-Neuro' artificial neuronal network that allows to carry out diagnostics of various inflammatory diseases of the pharynx including the following nosological entities: paratonsillitis, parapharyngitis, acute tonsillitis, and acute pharyngitis, with the minimal probability of erroneous diagnosis (4%). The proposed expert system makes it possible to choose the optimal treatment strategy for the management of various pharyngeal diseases taking into consideration the severity of a concrete pathology and thereby to reduce to a minimum the risk of the related complications.
Subject(s)
Neural Networks, Computer , Pharyngeal Diseases , Acute Disease , Adult , Diagnosis, Differential , Disease Management , Female , Humans , Male , Patient Selection , Pharyngeal Diseases/diagnosis , Pharyngeal Diseases/therapy , Severity of Illness IndexABSTRACT
The present paper reports a rare combination of Cooley's disease (thalassemia B) and the decompensated variant of chronic tonsillitis in a 14-year old girl. The patient presented with the severe form of hypochromic anemia and degenerative changes of erythrocytes. She was treated by means of bilateral tonsillectomy associated with the high risk of postoperative hemorrhage. In the preoperative period, the child received drop intravenous infusion of tranexam at a dose of 15 mg/kg body weight together with hemostatic agents. Hemorrhage during the surgical intervention was stopped by pressing tampons impregnated with tranexamic acid known to exert local and systemic hemostatic and antifibrinolytic action. The patient was discharged from the hospital for the further treatment of the primary disease.
Subject(s)
Anemia, Hypochromic/etiology , Thalassemia , Tonsillectomy , Tonsillitis , Tranexamic Acid/therapeutic use , Adolescent , Anemia, Hypochromic/physiopathology , Antifibrinolytic Agents/therapeutic use , Chemoprevention/methods , Chronic Disease , Female , Hemostatic Techniques , Humans , Postoperative Hemorrhage/prevention & control , Risk Adjustment , Thalassemia/complications , Thalassemia/physiopathology , Tonsillectomy/adverse effects , Tonsillectomy/methods , Tonsillitis/complications , Tonsillitis/physiopathology , Tonsillitis/surgery , Treatment OutcomeSubject(s)
Abscess/pathology , Cavernous Sinus/pathology , Cerebellar Diseases/etiology , Cerebellum/pathology , Mastoid/surgery , Otitis Media, Suppurative/complications , Toxocara/pathogenicity , Toxocariasis/complications , Abscess/blood , Acute Disease , Animals , Cavernous Sinus/surgery , Cerebellum/surgery , Child, Preschool , Humans , Male , Mastoid/pathology , Otitis Media, Suppurative/blood , Otitis Media, Suppurative/surgery , Toxocariasis/bloodSubject(s)
Ethmoid Bone/injuries , Multiple Trauma , Neurosurgical Procedures/methods , Skull Fracture, Basilar/diagnostic imaging , Wounds, Gunshot/diagnostic imaging , Accidents, Home , Child , Ethmoid Bone/diagnostic imaging , Female , Follow-Up Studies , Humans , Skull Fracture, Basilar/etiology , Skull Fracture, Basilar/surgery , Tomography, X-Ray Computed , Trauma Severity Indices , Wounds, Gunshot/complications , Wounds, Gunshot/surgeryABSTRACT
This paper was designed to report the results of the treatment of 86 patients at the age from 18 to 40 years presenting with pyoinflammatory processes in the paranasal sinuses. All of them underwent probing and irrigation of these sinuses through natural pathways under local anesthesia. The pathological process in the paranasal sinuses needed from 5 to 7 lavages to be arrested and eliminated. The comparative analysis of pain severity, sense of discomfort, and unpleasant feelingcarried out with the use of a visual-analogous scale demonstrated that the manifestations of these symptoms were by a factor of two weaker after probing than after the puncture treatment. The duration of therapy by means of drainage and irrigation of the paranasal sinuses was similar to that of the traditional treatment of sinusitis. Its advantages include atraumaticity and good tolerability by the patients.
Subject(s)
Drainage/methods , Paranasal Sinuses , Sinusitis/therapy , Humans , Sinusitis/diagnosis , Therapeutic Irrigation/methods , Treatment OutcomeSubject(s)
Polyps/complications , Rhinitis/complications , Sinusitis/complications , Trichinellosis/complications , Acute Disease , Adult , Animals , Chronic Disease , Diagnosis, Differential , Follow-Up Studies , Humans , Male , Otorhinolaryngologic Surgical Procedures/methods , Polyps/diagnosis , Polyps/surgery , Rhinitis/diagnosis , Rhinitis/surgery , Sinusitis/diagnosis , Sinusitis/surgery , Trichinellosis/diagnosisABSTRACT
Characteristics of the microbial landscape of upper respiratory passage mucosa are presented with special reference to purulent-septic disease of ENT organs. It is shown that acute purulent sinusitis is most frequently associated with the presence of aerobic and facultative anaerobic microorganisms (81%). The main pathogenic agents responsible for the development of acute purulent otitis media are Streptococci (35%), Staphylococci (33%), and Pneumococci (9%). Streptococci and Staphylococci usually occur in patients with paratonsillitis (48-73%).
