[Congenital complete bony unilateral atresia of the left choana in a 30-year-old woman]. / Vrozhdennaya polnaya kostnaya odnostoronnyaya atreziya levoi khoany u zhenshchiny 30 let.

According to literature, the average age of children with unilateral atresia of the choan is six years nine months. Unilateral complete atresia of the choan makes it difficult to diagnose early: the initial diagnosis can be established in the second year of life and later, already at school age. In Russian and foreign literature in recent years, cases of diagnosing congenital atresia of choanomas in older children are known, the maximum age of children is 17-18 years, it is noted that such cases are very rare. The article describes the case of congenital unilateral complete bone atresia of the choan in a woman of 30 years. The patient underwent a complete otorhinolaryngological examination and endoscopic choanotomy with the installation of a silicone stent in the hole formed.

[Prevention and treatment of post-implantation maxillary sinusitis]. / Profilaktika i lechenie postimplantatsionnykh verkhnechelyustnykh sinusitov.

The state of the nasal cavity, especially the region of the osteomyomatic complex, plays a significant role in the development of chronic maxillary sinusitis. Odontogenic maxillary sinusitis, as a complication of dental implantological treatment on the upper jaw, is increasingly common. The aim of the study was to increase the effectiveness of prophylaxis and treatment of odontogenic purulent upper jaw sinusitis during reconstructive operations on the alveolar region of the upper jaw. 3 groups of patients were examined: before dental treatment, after dental treatment in the development of odontogenic maxillary sinusitis and 30 patients were selected and examined, who underwent reconstructive surgeries on the alveolar process of the upper jaw and in whom the postoperative period was without complications. The diagnoses of 1st and 2nd group patients required surgical treatment. FESS allows restoring the physiological aeration of maxillary sinuses as naturally as possible, which is important for correct reparative bone regeneration in the alveolar region of maxilla.

[Improving the methods of diagnosis and treatment of otitis media with effusion]. / Sovershenstvovanie metodov diagnostiki i lecheniia srednikh otitov s vypotom.

The study involved 172 patients with otitis media with effusion. All patients as a method of early diagnosis of otitis media with effusion conducted multislice computer tomography (MSCT). This made it possible to check the effectiveness of conservative treatment and timely perform surgical treatment, including sanitizing intervention on the middle ear with the erased clinical picture of acute mastoiditis, and to avoid complications. With the help of MSCT of the temporal bones with the dynamic observation of patients with high accuracy, you can confirm the full restoration of pneumatization of the middle ear cavities or identify possible recurrences of exudate accumulation. Patients who underwent surgery were randomly divided into 2 groups, depending on the duration of the laser myringotomy: on the 3rd day of hospital treatment (first group) or on the 7th day of hospital treatment (second group). Absence of otorrhea from the tympanic cavity and return of hearing in patients of the first group was significantly in a shorter period (p<0.05). CO2-laser myringotomy for patients with otitis media with effusion without positive dynamic by conservative therapy is most effectively in the early stages of the disease.

[The application of the modern high-energy laser technologies for the surgical treatment of the patients presenting with otosclerosis]. / Sovremennye vysokoénergeticheskie lazernye tekhnologii pri khirurgicheskom lechenii bol'nykh otosklerozom.

The objective of the present study was to determine the optimal parameters of radiation of the CO2 laser during the surgical intervention for the treatment of the patients presenting with otosclerosis. The experimental part of the study was carried out with the use of the isolated temporal bones. Under the clinical conditions, the patients with the tympanic and mixed forms of otosclerosis underwent stapedoplasty with the use of the CO2 laser. It was shown that the use of the CO2 laser at different stages of stapedoplasty considerably reduces the risk of development of the post-operative complications. It is concluded that the proposed stapedoplastic technique makes it possible to decrease the duration of post-surgical rehabilitation of the patients suffering from otosclerosis.

[Comparative analysis of the effectiveness of bypass surgery and laser myringotomy used to treat exudative otitis medium].

The objective of the present study was the comparative analysis of the surgical method employed for the treatment of exudative otitis medium, such as bypass surgery and laser myringotomy. The study included 125 patients suffering from the said pathology. The following two methods were used in cases of poor efficiency of conservative therapy: laser myringotomy with the use of a LUMENISc CO2-laser operated at a wavelength of 10.6 mcm with the SurgiTouch scanner and bypass of the tympanic cavity. Each of these methods was applied to treat 38 patients. It was shown that discharge from the treated tympanic cavity stopped sooner after laser myringotomy than after surgical bypass. The recovery of hearing ability according to the results of tonal threshold audiometry also took less time after laser myringotomy than after surgical bypass. The same is true with respect to the restoration of the drainage function of the Eustachian tubes. The frequency of recurrent exudate formation (in percent) in the patients undergoing laser myringotomy was significantly lower than after surgical bypass.

[The comparative analysis of the effectiveness of various forms of the surgical treatment of the patients presenting with chronic odontogenic maxillary sinusitis].

UNLABELLED: The objective of the present study was to evaluate the clinical effectiveness of various forms of the surgical treatment of the patients presenting with chronic odontogenic maxillary sinusitis (COMS) with special reference to its long-term RESULTS: The secondary objective was to assess the quality of life of such patients during the postoperative period. The study included 107 patients divided into two groups. The patients of group 1 (n=32) underwent radical operation on the maxillary sinuses (MS) as described by Caldwell and Luc. The patients of group 2 (n=75) were treated with the use of endoscopic surgery on maxillary sinuses. The results of the study suggest that endoscopic surgery on maxillary sinuses can be employed for the minimally invasive revision of the maxillary sinuses; it thereby ensures a smoother course of the postoperative period and improves the quality of life of the treated patients.

[Tragus perichondrium and cartilage, temporal fascia in tympanoplasty]. / Opyt primeneniya nadkhryashchnitsy i khryashcha kozelka i fastsii visochnoy myshtsy v timpanoplastike.

Plastic reconstruction of the tympanic membrane was performed with the use of tragus perichondrium and cartilage, temporal fascia in 245 and 141 patients, respectively, Tympanoplastic use of the tragus perichondrium and cartilage provides good morphological and functional results. Such surgery may be a method of choice in filling defects of the tympanic membrane.