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1.
Vestn Otorinolaringol ; 88(6): 61-66, 2023.
Article in Russian | MEDLINE | ID: mdl-38153895

ABSTRACT

The presented systematic review contains basic information about the frequency, characteristic features of the course and pathogenesis of olfactory, gustatory and auditory disorders that occur with COVID-19, with which an otorhinolaryngologist meets in his practice. These disorders are often the first, and sometimes the only, manifestations of the underlying disease, which determines their role in early diagnosis and timely detection of the underlying disease. The article includes original articles, clinical case reports and literary reviews.


Subject(s)
COVID-19 , Olfaction Disorders , Humans , COVID-19/complications , SARS-CoV-2 , Olfaction Disorders/diagnosis , Olfaction Disorders/etiology , Smell , Early Diagnosis
2.
Vestn Otorinolaringol ; 88(1): 71-76, 2023.
Article in Russian | MEDLINE | ID: mdl-36867147

ABSTRACT

The article presents a systematic review of publications on the methods of piriform aperture (PA) surgery in the treatment of nasal obstruction. Various surgical techniques are reviewed critically in terms of topographic anatomy and the effectiveness of the method. The contradictory opinions about the access to the piriform aperture and the methods of its correction are revealed. The topic of surgery of the PA as an area of the internal nasal valve in the treatment of nasal obstruction is equally interesting for ENT and plastic surgeons. The analysis of the literature showed the effectiveness and safety of operations to expand the PA. None of the authors in the studied works notes any changes in the appearance of the nose during observation in the postoperative period. The biggest challenge in understanding PA surgery, which has yet to be understood, is determining the indications for a particular method of surgery, which justifies the continuation of the search, taking into account the clinical features of the patient and the topographic level of the disorder. In the future, we need studies with objective measurements, control and long-term careful observation to better study the effect of the expansion of the piriform aperture on the relief of nasal obstruction.


Subject(s)
Nasal Obstruction , Humans , Nose , Anatomy, Regional , Catheters , Postoperative Period
3.
Vestn Otorinolaringol ; 87(5): 81-85, 2022.
Article in Russian | MEDLINE | ID: mdl-36404696

ABSTRACT

The piriform aperture (PA) is anatomically an opening in the central part of the facial skull. To date, the piriform aperture, as an element of the static component of the internal nasal valve (INV) and as a possible cause of its dysfunction, has not received proper surgical attention. If PA is considered as a possible cause of nasal obstruction, then the main parameter is its width, which has a direct effect on the volume of the INV area. This parameter is the focus of the presented work. Despite the absence of generally accepted normative indicators for PA, we currently know the shape and size of the piriform aperture in different ethnic groups of the population, described in the article. As a result of the analysis of the presented research results, it was revealed that the width of the PA is influenced by the gender, age and ethnicity of the individual. The anthropometric data of the piriform aperture require further study, since they are of important reference value not only in the theory of medical research, but also in practical otorhinolaryngology, maxillofacial and plastic surgery, pulmonology.


Subject(s)
Nasal Obstruction , Humans , Nasal Cavity/surgery , Nasal Obstruction/diagnosis , Nasal Obstruction/etiology , Nasal Obstruction/surgery , Nose , Reference Values , Skull
4.
Vestn Otorinolaringol ; 87(2): 51-56, 2022.
Article in Russian | MEDLINE | ID: mdl-35605272

ABSTRACT

The septal tubercle is considered to be a thickened area of the nasal septum, which is located above the lower nasal concha and in front of the middle nasal concha. Taking into account its histological structure and location in the distal segment of the internal nasal valve, it is located and structured for secretory function and vasoactive regulation of the respiratory air flow. These histologically rich tissues with glandular elements are well adapted to the possible dryness that occurs under the influence of intense air flow during breathing, and the existence of a certain number of venous sinusoids of the blood confirms the connection with part of the extensive vascular tissues in the nasal cavity. It is believed that the tubercle of the nasal septum is more pronounced in patients with chronic inflammation of the sinonasal region, for example, with chronic allergic rhinitis or chronic rhinosinusitis. There is currently no consensus on the issue of surgery of the nasal septum body. Due to the lack of consensus among practitioners, many surgeons do not routinely perform operations on this structure and consider the surgical intervention too aggressive, and the effect on nasal obstruction is insignificant. However, according to the presented studies, the results of surgical reduction of soft tissues of the enlarged septal tubercle in the treatment of nasal obstruction using radiofrequency ablation, coblation or microdebrider seem promising, which requires additional study of this issue during long-term follow-up.


Subject(s)
Nasal Obstruction , Rhinitis , Humans , Nasal Cavity , Nasal Obstruction/diagnosis , Nasal Obstruction/etiology , Nasal Obstruction/surgery , Nasal Septum/pathology , Nasal Septum/surgery , Tomography, X-Ray Computed , Turbinates/pathology
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