ABSTRACT
The authors review the history of the research on acute neurosensory hypoacusis performed at the chair of ENT diseases of the I. M. Sechenov Moscow Medical Institute in 1916-1995. Etiological, pathogenetic, clinical, therapeutic and prophylactic aspects are considered. The investigators have developed and introduced into practice combined treatment of acute neurosensory hypoacusis the primary components of which are immediate hospitalization, chemotherapy in line with hyperbaric oxygenation and reflex therapy.
Subject(s)
Academies and Institutes/history , Hearing Loss, Sensorineural , Otolaryngology/history , Acute Disease , Ambulatory Care Facilities/history , Hearing Loss, Sensorineural/diagnosis , Hearing Loss, Sensorineural/therapy , History, 20th Century , Humans , Hyperbaric Oxygenation , Moscow , ReflexotherapyABSTRACT
A comprehensive allergological examinations of 92 patients with lesions of the nose and paranasal cavities and 20 essentially healthy subjects was carried out, using skin tests and neutrophil tests. Half of the patients showed sensitization to Staphylococcus aureus and Streptococcus pyogenes allergens, which occurred more frequently in patients with chronic purulent sinusitis. It is recommended to expose such patients to allergological examinations and to prescribe, if indicated, desensitization therapy.
Subject(s)
Rhinitis, Allergic, Perennial/diagnosis , Sinusitis/diagnosis , Staphylococcal Infections/diagnosis , Streptococcal Infections/diagnosis , Adolescent , Adult , Aged , Humans , Intradermal Tests/methods , Middle Aged , Rhinitis, Allergic, Perennial/etiology , Rhinitis, Allergic, Perennial/immunology , Sinusitis/etiology , Sinusitis/immunology , Staphylococcal Infections/etiology , Staphylococcal Infections/immunology , Staphylococcus aureus/immunology , Streptococcal Infections/etiology , Streptococcal Infections/immunology , Streptococcus pyogenes/immunologyABSTRACT
Forty patients with acute neurosensory hypoacusis of vascular genesis were exposed to combined treatment that included hyperbaric oxygenation (HBO) and drug therapy to improve microcirculation, vasodilation and metabolism. In order to control HBO side effects (vasoconstriction), the patients were subdivided into two subgroups of 20 subjects each. Group 1 patients were treated with HBO immediately before drug administration and Group 2 patients were treated with HBO immediately after drug administration. Good effects in Group 2 patients were twice as large. This was achieved by elimination of HBO side effects due to drug administration immediately before hyperbaric exposure.
