[The multidisciplinary approach to diagnostics and treatment of hypervascular masses in ENTstructures].

The objective of the present work was to improve the quality of diagnostics and treatment of hypervascular masses in ENT structures based on the multidisciplinary approach. The study involved 51 patients presenting with hypervascular masses in ENT structures. All of them underwent comprehensive medical examination including fibrolaringoscopy, multispiral computed tomography, magnetic resonance tomography, ultrasound dopplerography, selective carotid angiography, and/or various combinations of these techniques. The patients were given surgical, endovascular, and combined treatments. The study has demonstrated the advantages of application of the multidisciplinary approach to combined diagnostics and treatment of hypervascular masses in ENT structures as exemplified by neck hemangioma.

[Clinical and morphological aspects of diagnostics and treatment of exudative frontitis].

The present work is based on the examination of 37 sagittal sawcut sections through the heads of human corpses of either gender. Evacuation paths for the contents of frontal sinuses were studied experimentally in different types of fronto-nasal communication. Two variants of infundibular fronto-nasal communication are described, lateral and medial, formed by the bony septum between uncinate process and bulla ethmoidalis uncinata. It was shown that the direction of evacuation of the contents of a frontal sinusis and the possibility of their rhinoscopic identification are directly dependent on the type of the naso-frontal communication. Cannulas have been developed that optimally match the shape of the naso-frontal communication. An approach is proposed to the choice of the most adequate instrument for endonasal probing frontal sinuses.

[Specific features of surgical anatomy of the subhyoid region with special reference to tracheostomy].

Peculiarities of thyroid gland linear dimensions, volume, shape, and topographical features were investigated using the morphological material obtained from 426 human corpses of either gender with a view to using this information for planning and performing tracheostomy in residents of the Central Chernozem region, Russia. The study yielded new data on surgical anatomy of additional muscles of the subhyoid region, thyroid isthmus and pyramidal lobe. Rare and previously unknown variants of anatomical structure of the anterior cervical area are described that may play the role of risk factors of postoperative complications of tracheostomy. Relevant recommendations are provided for practicing otorhinolaryngologists.