[The clinico-anatomical basis for sectioning the vidian nerve]. / Kliniko-anatomicheskoe obosnovanie peresecheniia vidieva nerva.

Regional anatomic study of the pterygopalatine fossa on 101 cadavers, 86 angiographies, 114 x-ray tomography pictures provided evidence in support of the advantages of the Nomure transantral subperiosteal approach to the vidian nerve. To prevent postoperative complications, the nerve destruction was carried out by laser. The power and exposure were tested on 15 white rats. Seventy surgical interventions were performed in the clinic of ENT diseases of the Leningrad Medical College. Their results were assessed with specially devised techniques. The authors thought the cut of the vidian nerve an effective procedure in chronic polypous rhinosinusitis as it brought about a persistent response and improved the condition of the nasal mucosa.

[Diagnostic significance of the study of lacrimal secretion in otorhinolaryngology]. / Diagnosticheskoe znachenie issledovanii sleznoi sekretsii v otorinolaringologii.

As shown by Schirmer's test of lacrimal secretion in 110 patients with peripheral paralysis of the facial nerve and in 35 patients with chronic polypous sinusitis subjected to vidiotomy, lacrimal secretion in both groups patients underwent marked changes. After dissection of the Vidian nerve a persistent decline in lacrimal secretion was universal, though preoperative tests in the peripheral paralysis patients displayed hyposecretion in 28 and hypersecretion in the rest cases. Nasolacrimal reflex investigation is recommended in obscure results of the Schirmer's test.

[Variation pulsometry during surgery of Vidian nerve]. / Variatsionnaia pul'sometria pri peresechenii Vidieva nerva.

This paper describes a method for assessing the efficacy of Wilde's incision based on mathematical analysis of cardiac rhythms. In patients with chronic polypous rhinosinusitis, the parasympathetic nervous system tonicity is found to be predominant. After Wilde's incision through a transmaxillary subperiosteal approach cardiac rhythms change, suggesting the predominance of sympathetic innervation.

[Tomography of the pterygoid canals]. / K voprosu o tomografii krylovidnykh kanalov.

This paper presents an X-ray scheme for calculating the depth of pterygoid canals required for accurate tomography. The scheme includes three lines: line A corresponds to the physiological horizontal line, line B is drawn, normally to line A through the tip of the nose, and line C is the perpendicular from line B to the upper third of the posterior wall of the pterygopalatine fossa. The length of line B plus 1 cm (thickness of external nose soft tissues) is the value to be determined. Twenty-six patients underwent X-ray examinations by an EDK-750B unit (70 kV, 150 mA, 1.65 s). In all cases 1-3 images were sufficient to obtain good visualization of the pterygoid canals.

[X-ray study of the canal of the vidian nerve]. / Rentgenologicheskoe issledovanie kanala vidieva nerva.

Examination of macerated skulls has shown that optimal tomographic images of the Vidian nerve are obtained when the physiological horizontal plane is normal to the table plane and the X-ray beam is as narrow as possible. The section depth varies from 6.0 to 6.5 cm in brachycephalic and from 7.0 to 7.5 cm in dolichocephalic individuals. This positioning has been verified in 25 patients.