For a long time for otolaryngologists, the issues of identifying and treating such a formidable disease as chronic suppurative otitis media (CSOM) have been topical. This disease still haunts many specialists, as it leads to acquired hearing loss in people of working age. Only in the last ten years, the number of children of younger age groups with already manifested acquired hearing loss has increased. Along with the correct and timely diagnosis, it is very important to cure this disease once and for all, since exacerbations often disrupt not only the performance, but also the quality of life of the patient. The gold standard for the treatment of patients with CHSO is surgical – tympanoplasty. In the process of studying the pathological process in chronic suppurative otitis media and methods of its more effective surgical treatment, the results of tympanoplasty were analyzed. An illustrative clinical example has been chosen, with the help of which it is possible to trace all the stages of surgical intervention in chronic suppurative otitis media. An otoscopic examination was carried out at several stages of observation of this patient, as well as the determination of auditory function. The presented clinical case shows step by step the effectiveness of the scheme of surgical treatment and postoperative management. Thus, these steps are applicable to any myringoplasty with tympanic membrane defects of any size. It is tympanoplasty and control in the postoperative period that makes it possible to completely close the defect of the tympanic membrane and prevent chronic otitis media from recurring.
Relevance.Cavernous sinus thrombosis is a dangerous, life-threatening condition developing as a result of a blockage of the cavernous sinus by a blood clot. This pathology occurs extremely rarely, but carries a serious danger to life at any age. The information about cases of death from cavernous sinus thrombosis is few and sketchy in the special forensic medical literature. The purpose of the study was examination and differential diagnosis of the cause of the 35-year-old womans death. The materials for this study were based on the results of the forensic medical examination of the 35-year-old womans corpse. The results of the study were presented with an indication of all stages of treatment and observation of the patient. The development and progression of the disease, which eventually led to a fatal outcome, were described in stages. Conclusion. Based on the conducted research and the above material, it can be concluded about the cause of the death. Cavernous sinus thrombosis, as well as other cerebral sinus thrombosis, being a complication of the main, timely undiagnosed and untreated disease is a significant problem even in modern multidisciplinary medical institutions and often causes deaths in clinical practice.
A radicular cyst is the most common odontogenic cyst. It gets its development from the periapical focus of infection that arose against the background of a complicated course of dental caries. In clinical practice, odontogenic cysts must be differentiated from other neoplasms of the maxillofacial region. One of the radiological signs of an odontogenic cyst is the presence of a bone shell with radiolucent contents. As a rule, the clinical manifestations of a radicular cyst are scanty, and the diagnosis is made on the basis of an X-ray examination, being an accidental finding. The article presents a clinical case of a radicular cyst of the upper jaw that grows into the maxillary sinus and pushes the lower wall of the sinus without violating its integrity. The cyst turned out to be an accidental finding during examination by an otorhinolaryngologist. The patient complained about the discharge of their nasal cavity, difficult nasal breathing. After performing computed tomography and joint examination of the patient by an otorhinolaryngologist and a maxillofacial surgeon, the diagnosis was formulated: curvature of the nasal septum, vasomotor rhinitis, radicular cyst of the right maxillary sinus from the 26th tooth. After the diagnosis and comprehensive assessment of the oral cavity and paranasal sinuses, surgical treatment was performed jointly by an otorhinolaryngologist and a maxillofacial surgeon with a satisfactory result. This case is of particular clinical interest in the practice of an otorhinolaryngologist and a maxillofacial surgeon preparing for dental implantological treatment of the oral cavity.
Traumatism has always been one of the most important medical and social problems of the present-day world. Scientific and technical progress inevitably resulted in more frequent occurrence and more severe character of the traumas suffered by the population both in everyday life and at production site and during armed conflicts. In this article the emphasis is put on the contingent of patients with the combined craniofacial trauma (CT) who have been provided artificial pulmonary ventilation (APV) for a long time, which in turn results in disorder of perirhinal sinuses aeration, has harmful effect on mucociliary transportation system, and the subsequent development of stagnation in sinuses. The article presents functional changes of mucous membrane in such patients depending on the damage severity and APV duration. Based on the experience the authors elaborated an algorithm of treatment of victims using of the method of artificial nose ventilation.
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