Keros type I was found in 11.25% of the patients, type II in 68.05% and type III in 20.7%. Significant asymmetry of the olfactory fossa was identified in nine patients (8.1%). The width of the olfactory cleft varied from 0 to 3.25 mm. No relation between Keros type and a particular onset of the uncinate process to orbit, skull base or middle turbinate could be detected.

Clinical analysis of the nasolabial complex in patients suffering of the unilateral cleft lip and palate deformity after cheilorhinoplasty is presented in the article. Functional disorders such as nasal breathe impairment and it's relation to the nasolabial muscle dystonia in the dependency of primary cheilorhinoplasty type are analyzed. The plan of surgical treatment as well as the postoperative rehabilitation using the botulotoxin injections is offered.

This review deals with the structure and function of the vomeronasal system and evaluation of its influence on the sexual sphere of humans and animals. Special attention is given to the role of pheromones in the regulation of the sexual behaviour. The data concerning the function of the vomeronasal organ following surgical interventions in the nasal cavity are discussed.

The authors present the clinical observation of the nasolabial cyst together with the concise overview of the relevant literature and terminology, etiology and pathogenesis of this condition.

Cholesterol granuloma is a cyst-like benign neoplasm containing cholesterol crystals usually surrounded by a fibrous capsule. Cholesterol crystals surrounded by giant multinucleated cells and lymphoid-histiocytic cellular infiltrates, which is a morphological manifestation of the body’s immune response. Therefore, cholesterol granuloma may be regarded as a favorable course of the inflammatory process, which previously could have a more active carious-granulation course. Most often, cholesterol granuloma affects the temporal bone and the middle ear cavity, the inner ear region, sella turcica of the sphenoid bone (Royer M. C., Pensak M. L.,2007). Clinical manifestations of cholesterol granuloma largely depend on its location. This pathology belongs to rare metabolic disorders with relatively few references to it in world literature. Currently, the diagnosis of apex petrosus cholesterol granulomas has been simplified by the new imaging techniques, such as Magnetic Resonance Imaging (MRI) and Computer Tomography (CT), which help us to save time for diagnostic and the percentage of errors in the diagnosis is reduced.

The objective of the present study was to analyze the frequency of the silent sinus syndrome (SSS) based on the results of computed tomography of the paranasal sinuses (PNS) in the patients presenting with the uncinate process (UP) apposed to the orbital wall. The study included 35 patients with the uncinate process apposed to the orbital wall who had been operated in the Clinic of ENT Diseases of I.M. Sechenov First Moscow State Medical University. The examination of the nasal cavity with the use of computed tomography and PNS endoscopy revealed the silent sinus syndrome in 14 patients. Ten of them had endoscopically confirmed type 2 hypoplasia of maxillary sinuses (MS). This finding suggests the necessity of computed tomography of paranasal sinuses in the patients with this condition in order to exclude the diagnosis of silent sinus syndrome even in the absence of exophthalmos. All the patients included in the present study underwent endoscopic surgery on maxillary sinuses that resulted in the adequate widening of the ostium and comprehensive sanation of the sinuses.

The article highlights the problem of using phytotherapy in the treatment of the most topical inflammatory diseases of the ENT organs, namely acute and chronic rhinosinusitis. Phytotherapy of ENT diseases has always attracted both doctors and patients. However, from the standpoint of evidence-based medicine there were a lot of questions about most herbal remedies due to the small number of reliable, well-controlled studies. This article presents the data of evidence-based studies on phytotherapy of acute and chronic rhinosinusitis. They allow us to speak about secretolytic, secretomotor, anti-inflammatory, anti-edema, moderate antibacterial and antiviral effects of phytopreparations. A common pharmacological property of plants included in phytopreparations is the ability to block the phase of exudation and reduce the permeability of the vascular wall. Phytotherapy is a good alternative method of treatment of patients with chronic rhinosinusitis (CRS). Data on the complex therapy of rhinosinusitis are given. Nevertheless, the safety and efficacy of phytotherapy for the treatment of patients with CRS are currently uncertain. The clinical guidelines of the Russian Ministry of Health 2021 on the treatment of acute rhinosinusitis (ARS) note the following: any patient with ARS can be prescribed herbal remedies with proven anti-inflammatory and mucolytic effects in the absence of contraindications to accelerate resolution of the disease symptoms. The results of works devoted to the use of preparations of plant origin for the treatment of patients with acute and chronic sinusitis allow to estimate them as rather effective in the complex treatment of this group of patients. However, further controlled studies are required to obtain additional data on the effectiveness of phytotherapy.

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