[The original splint-electrode for endonasal electrophoresis].

The objective of the present study was to improve the effectiveness of the treatment of the patients presenting with deflection of the nasal septum and vasomotor rhinitis by developing a method for endonasal electrophoresis in the postoperative period. The study involved 102 patients allocated to three groups. All of them underwent septoplasty including splinting of the nasal septum and submucous laser vaporization of the inferior turbinate bones. The patients of group 3 were treated with the use of an original septal stent with the integrated electrode that allowed to reduce the injurious effect of the procedure of nasal electrophoresis and thereby to decrease the duration of the rehabilitation period following the intranasal surgical intervention; moreover, this approach enhanced the effectiveness of surgery.

[The use of endonasal electrophoresis for the conservative rehabilitation of the patients presenting with septal perforation].

The treatment of perforation of the nasal septum (PNS) is one of the challenging problems currently facing otorhinolaryngology. The enhancement of the effectiveness of the conservative treatment of PNS was achieved through the three-stage development of the methodology including septal fixation in combination with targeted long-term drug application to the affected tissues. At the first stage of the study, characteristic features of the septal defects in patients with PNS were studied. At the second stage, we have developed the method for the conservative treatment of PNS based on the stenting of the nasal septum with the use of original heptangular splinters. At the third stage, the comprehensive comparative analysis was undertaken to estimate the effectiveness of the application of the original method of conservative treatment of the patients with PNS and traditional symptomatic therapy. It is concluded that the proposed original method for the treatment of patients with PNS based on the preventive stenting of the nasal septum original heptangular splinters one of which is equipped with a magnetic manipulation channel is an efficacious method for the conservative treatment of septal perforations. The method provides the basis for the new algorithm of management for the management of the patients suffering from PNS.

[Optimization of the plastic closure of perforations in the nasal septum with the use of vector analysis of CT-anatomy of the nasal cavity].

The objective of the present study was to develop a planar template reflecting the spatial location of mucoperichondrium/mucoperiosteum in the nasal cavity that can be used to shape pedicled flaps for the plastic closure of perforations in the nasal septum. The vector analysis of computed tomograms of the nasal cavity obtained from 73 patients was employed to determine the size of the mucoperichondrium/mucoperiosteum of the septum, floor, and lateral wall of the nasal cavity. The resulting picture (template) has the form of an irregular polygon. Extrapolation of real perforation to such template makes it possible to more rationally plan surgery for the plastic closure of perforations in the nasal septum.

[Application of the physiotherapeutic treatment in endonasal surgery].

The objective of this study was to enhance the effectiveness of the surgical treatment of the patients following septoplasty with the splinting of the nasal septum. An original septal stent with an integrated electron was developed that allows endonasal electrophoresis to be performed in a minimally traumatic manner. Thereby, this procedure permits to reduce the period of patients' rehabilitation after intranasal surgical intervention and to improve its effectiveness.

[The surgical strategy for the treatment of intraoperative ruptures of nasal septal mucosa (part II)].

The objective of the present study was to develop the surgical strategy for the treatment of intraoperative mucosal ruptures on the nasal septum. This paper highlights the problems of etiology and pathogenesis of postoperative perforations in the nasal septum. The intraoperative mucoperichondrial ruptures are considered to be the principal risk factors of septal perforations. A total of 188 patients suffering unilateral linear mucosal ruptures in the nasal septum following septoplasty were available for observation during the period spanning from 2009 to 2011. It was shown that postoperative defects in septal mucosa eventually lead to the long-term persistent collapse of mucociliary activity. A surgical strategy for the management of interoperative mucosal ruptures of the nasal cavity has been developed taking into account the character and the length of the ruptures. An original method is proposed for the fixation of mucoperichondrial flaps used for the plastic closure of intraoperative defects in septal mucosa. The data obtained provided a basis for the development of recommendations to be used by otorhinolaryngologists for the purpose of both septoplasty and plastic closure of perforations in the nasal septum.

[The surgical strategy for the treatment of intraoperative ruptures of nasal septal mucosa (part 1)].

The objective of the present study was to develop the surgical strategy for the management of intraoperative ruptures of nasal septal mucosa. The paper highlights etiology and pathogenesis of postoperative perforations of the nasal septum. The intraoperative ruptures of nasal septal mucosa were shown to be the major factors responsible for the enhanced risk of nasal septum perforation. A total of 188 patients presenting with unilateral linear intraoperative ruptures of nasal septal mucosa that occurred in the course of the septoplastic intervention were available for the observation during a period from 2009 to 2011. The study has demonstrated that the defects in intranasal mucosa developing in the late postoperative period cause a sustained collapse of the mucociliary activity. The up-to-date techniques were used to develop the surgical strategy for the treatment of intraoperative ruptures of nasal septal mucosa depending on their length and character. An original method is proposed for fixing mucoperichondrial flaps for the plastic closure of the intraoperative defects of nasal septal mucosa. The results of the study provided a basis for the development of practical recommendations to be used by otorhinolaryngologists for the purposes of both septoplasty and plastic closure of perforations in the nasal septum.

[Surgical intervention on the middle and upper segments of the bone portion of the nasal septum].

The vector analysis of computed tomograms of the nose and paranasal sinuses of 102 patients was carried out to study the spatial relationship between lamina cribrosa and the area of surgical intervention at the perpendicular plate of the ethmoid bone. Simultaneously, specific syntopic features of the middle and upper zones of the bony portion of the nasal septum were determined. The data obtained were used to develop the method for the sparing surgical intervention on the middle and upper levels of the bony portion of the nasal septum.