[The main steps in treatment of the children with otitis media with effusion]. / Osnovy okazaniya meditsinskoi pomoshchi pri ekssudativnom srednem otite.

MATERIAL AND METHODS: 361 children at age from 11 months to 18 years with otitis media with effusion (OME) were inspected after tympanostomy during 2013-2018 years. Treatment was carried out in accordance with the stages of OME: secretory, mucous, fibrous. The main diagnostic methods were: otoscopy, tympanometry, endoscopy, computed tomography. Surgical treatment may be required already at the secretory stage of the disease, as well as in all cases with mucous and fibrous stages of OME. RESULTS: In children with recurrences of OME and in patients with congenital cleft lip and palate, it is preferable to use long-wearing ventilation tubes and balloning of the auditory tubes. The effectiveness of surgical treatment of OME was 97.6%. CONCLUSION: The authors recommend dispensary observation of patients with OME for 12-24 months.

[The main steps in treatment of the children with otitis media with effusion]. / Osnovy okazaniya meditsinskoi pomoshchi pri ekssudativnom srednem otite.

THE AIM: Of the investigation was to establish the standard and improve the treatment of otitis media with effusion (OME) in children. 361 children at age from 11 months to 18 years were inspected after tympanostomy during 2013-2018 years. The main diagnostic methods were: otoscopy, tympanometry, endoscopy, CT. MATERIAL AND METHODS: Treatment takes into consideration the reveal of OME: surgical initially. The tympanostomy preferable place is anterior-inferior quadrant. RESULTS: In cases with cleft palate or reccurence OME long-term tubes and balloonisation of ET are preferable. CONCLUSION: Authors received normalization of the hearing thresholds in 97.6% cases, but after surgery the patients have to be followed-up during 12-24 months.

[Cardiac rhythm disturbances in the children with hearing pathology]. / Narusheniya serdechnogo ritma u detei s patologiei slukha.

The aim of the study was to identify cardiac arrhythmias in children presenting with hearing impairments. Hearing loss in the children can occur concurrently with the disturbances of the cardiac rhythms. The detection of this pathology at the diagnostic stage is as important as it is at the stage of rehabilitation including surgical one. PATIENTS AND METHODS: A retrospective analysis of 100 patients (55 boys and 45 girls of the mean age of 4.8 years) operated in 2013 was made. RESULTS: Cardiac arrhythmias and conduction were recorded on the electrocardiograms obtained from 10 patients (4 boys and 6 girls) of the 100 examined ones, which amounted to 10%. The hereditary long QT syndrome (including Jervell-Lange-Nielsen syndrome) has not been identified. CONCLUSION: The timely diagnostics of congenital arrhythmias in the children with hearing impairment makes it possible to significantly reduce the risk of the sudden cardiac death (for example, in the patients presenting with the Jervell-Lange-Nielsen syndrome) and facilitates the choice of the anesthesiological support for the surgical treatment (including cochlear implantation) taking into consideration possible cardiac rhythm disturbances.