The purpose of this research is to improve the safety surgery for patients with a pathology middle and inner ear by preventing damage facial nerve conducting intraoperative monitoring needle electromyography continuous stimulation burr.The clinical part prospective study was carried out on 48 that were diagnosed suppurative otitis media. After monitoring, an intact bone wall stimulated electrically in potentially dangerous places damage. Minimum (threshold) (mA) threshold event 100 μV used...

Acute rhinosinusitis is one of the most common human diseases, and this problem becomes more important every year. Generally disease develops against background a respiratory viral infection. Although pronounced clinical picture acute sinusitis almost always associated with fact that it contains bacterial invasion paranasal sinuses.

The present article reports the clinical cases of surgical intervention on 20 patients presenting with petrous bone cholesteatoma. We have identified several variants cholesteatoma based results multispiral computed tomography (MSCT) temporal bones and categorized them into following types in accordance classification proposed by Moffat-Smith an M. Sanna for this pathological condition: supralabyrinthine (n=8), supralabyrinthine-apical (n=2), infralabyrinthine (n=3), infralabyrinthine-apical...

The aim of this article is to demonstrate ENT specialists, neurologists and general practitioners how examine treat patients with acute vertiginous complaints. Traditional otoneurologic testing that carried out for accurate topic diagnostics vestibular dysfunction described as available «Vestibular passport». Clinical diagnosis can be achieved after thorough assessment patient’s complaints well history the present illness. Gaze tests posture control trials are demonstrated in details....

This article provides a brief literature review on congenital cholesteatoma of the temporal bone. Existing theories describing development this pathology are analysed. The diagnostic criteria presented, along with comparative analysis characteristics various instrumental research methods used in verification disease. Issues involved surgical management such patients considered. A conclusion is made that, due to rare occurrence bone, diverse its etiology, lack clear for diagnostics, requires...

The article presents the case report of infralabyrinthine petrous bone cholesteatoma. We have analyzed preoperative examination patient for identification method surgical treatment with preservation facial nerve and reducing cholesteatoma risk, perioperative findings end result treatment.В статье представлен клинический случай инфралабиринтной холестеатомы пирамиды височной кости. Нами проанализированы предоперационные данные пациентки для определения тактики хирургического лечения с...

Objective. This study was conducted to increase effectiveness of anti-relapse therapy chronic rhinosinusitis with polyps create a stable long-term remission in the postoperative period. Patients and research methods . 60 patients total spread polyposis process nasal cavity paranasal sinuses were examined. All underwent endoscopic polysinusotomy 3 weeks after surgery, basic PRS form Of nasonex intranasal spray 400 mcg/day for 6 months combination irrigation isotonic salt solutions prescribed....

One of the current trends in otology is prevention and treatment chronic purulent otitis media (HCSO). The disease leads to decreased social activity, deterioration patients’ quality life, often causes severe intracranial complications, reduced perception sounds at different frequencies with hearing impairment. significance consists a violation working capacity persons most mature age – 25–50 years, connection which, certain economic damage state. In modern otorhinolaryngology, new...

Inflammatory diseases of the paranasal sinuses are among most common human diseases, and this problem is becoming more urgent every year. Patients with rhinosinusitis undergo complex therapy, including use systemic antibacterial drugs, to which resistance develops in pathogenic opportunistic bacteria over time. At same time, choice prescription as a rule, empirical nature based on information about typical pathogens their presumed sensitivity antibiotics. In addition, drugs have detrimental...

This review aims to describe the materials most commonly used for middle ear packing during tympanoplasty. These promote local hemostasis, limit wound surfaces, and fill volume of tympanic cavity. The usage these is aimed at reducing probability developing cicatricial adhesive changes in ear, stabilizing ossicular prostheses desired position, maintaining membrane graft. Main attention paid description characteristics results their application experimental clinical studies. pros cons,...

A retrospective analysis of the results surgical treatment 436 patients (332 adults and 104 children under age 15 years) with acquired middle ear cholesteatoma was performed to identify possible predictors relapse process a prospective assessment treatment. It revealed that leading factors in development residual pathology were: presence area destruction bone wall canal facial nerve, hypothympanum, place posterior cranial fossa. The key reasons for formation recurrent years age, closed...

The article presents a method of surgical sanation the protympanum cholesteatoma with simultaneous creation additional aeration pathway middle ear and mastoid process. This involves atticotomy, removal incus head malleus, tenotomy tensor muscle tensing tympanic membrane. After that, falciform crest cog are removed, fold tympani is incised. To increase diameter tympanal ostium auditory tube, membrane its bone canal eliminated canal, as well shelf lateral wall from top to ring, protiniculum....

To conduct a retro- and prospective analysis of the clinical characteristics results surgical treatment patients with congenital temporal bone cholesteatoma.On basis SPb Scientific Research Institute ENT Ministry Health Russia 23 were diagnosed cholesteatoma for period from 2011 to 2018. There 11 men (47.8%), 12 women (52.2%), age - 2 44 years. The M.J. Levenson criteria used verify middle ear cholesteatoma. (1986). According intrasurgery findings, we identified stages according ChOLE...

This article presents a clinical case of surgical treatment for chronic obstruction the pharyngeal orifice Eustachian tube on right and obliteration cartilaginous portion left. The cause this was previously performed intervention in nasal cavity, which led to cicatricial fusion left closure by posterior end concha. condition obviously provoked development an unsatisfactory result after reconstructive hearing-improving surgery ear appearance secretory otitis media retraction tympanic membrane ear.

Choristoma is one of the varieties congenital developmental anomalies, where or another normal tissue body located in an atypical place for itself. The short literary review choristoma middle ear presented article. A rare clinical cases salivary gland (5-year-old girl with left-sided conductive hearing loss III degree) and glial mastoid (19-year-old man signs chronic suppurative otitis media right ear) are described.Хористома — одна из разновидностей врожденных аномалий развития, при которых...

This article presents a technique of surgical debridement temporal bone cholesteatoma in congenital atresia the external auditory canal and description clinical case. In presence with cholesteatoma, treatment posterior transcortical access is most often performed formation large trephined cavity, followed by myringoplasty and, if necessary, ossiculoplasty. We have described case type separate atticoanthromastoidotomy simultaneous rehabilitation cholesteatoma. method allows performing surgery...

Potential recurrence is a key challenge of the surgical interventions for temporal bone cholesteatoma. It manifests with residual or recurrent Open techniques reduce cholesteatoma due to better visualization cavities both intraoperatively and postoperatively also prevent otogenic intracranial complications. However, even despite open-cavity surgeries, recurrences are still common in ENT practice while their asymptomatic course often results late diagnosis. This article describes three case...

The article presents the clinical case of supralabyrinthine petrous bone cholesteatoma. We have analyzed preoperative examination patient for identification method surgical treatment with preservation facial nerve, improvement hearing function and reducing risk recurrent cholesteatoma, perioperative findings end result treatment.Представлен клинический случай супралабиринтной холестеатомы пирамиды височной кости. Нами проанализированы предоперационные данные пациента для определения тактики...

The describes a clinical observation of combination jugulotympanic paraganglioma the left temporal bone with multifocal congenital hemangioma. interest case is that such pathologies extremely rare. A comprehensive study and surgical treatment patient this diagnosis was carried out. In diagnosis, objective otorhinolaryngological studies, otomicroscopy MSCT bones MRI middle ear contrast were used. Surgical intervention performed under multicomponent anesthesia tracheal intubation, transmastoid...

The article presents a debridement method of congenital cholesteatoma the tympanic cavity, typically located in anterior part mesotympanum. In this method, meatotympanic flap is formed by separating skin external auditory canal from 8 to 4 hours. Next, cavity opened, membrane separated handle malleus, starting its short process, top bottom, maintaining contact umbo area. Then, malleus fold dissected with microneedle, anterior-upper bone ring removed burr until fully visualized. After that,...

Aim: to study morphometrics data of the infracochlear tunnel on cadaveric temporal bones, sufficient for its rehabilitation. Patients and Methods: was performed 30 bones. The measurement made using a probe, micrometer ruler, digital caliper. following parameters were studied: distances concerning location facial nerve in relation tunnel; between anatomical structures various sections (from internal carotid artery jugular vein); length (bisector drawn bulb basal whorl cochlea); depth...