The objective of the present study was to characterize the effectiveness of the audiological and radiological diagnostic techniques as well as the results of the surgical treatment of the patients presenting with otosclerosis based at the hospital clinic of the Pacific State Medical University. The analysis included 49 surgical interventions for stapedoplasty carried out on 42 patients during the period from 2015 to 2017. The tympanic form of the disorder was diagnosed in 51.02% of the cases, the mixed form I in 16.28%, and the mixed form II in 32.7%. The excellent results within two months after surgery were obtained in 87.2% of the treated patients, the good and satisfactory results in 8.72% and 4.08% of them respectively.
Chronic obstructive pulmonary disease (COPD) is a disease holding a stable position in morbidity and mortality structure in patients aged over 40 years.The aim of the study was to evaluate the condition of otorhinolaryngological (ENT) organs in patients with the COPD at different disease periods with subsequent analysis of COPD exacerbation rate based on the results of therapy regimen change according to the established comorbidity.Materials and Methods. Examination of ENT organs was performed in patients with COPD (n = 99) Patients from group 1 (n = 50) were treated at Pulmonary Department of the Regional State Budgetary Health Institution "Vladivostok Clinical Hospital No.1" for disease exacerbation; outpatients from group 2 (n = 49) had stable COPD course. Control group (n = 50) included patients without history of smoking and without respiratory and hearing disorders. All patients were matched by age and sex. Repeated examination was conducted in patients (n = 72) with stable COPD after 6 months.Results. It was observed that patients from groups 1 and 2 had different severity of disease symptoms, but equally high (> 2) risk of COPD exacerbation within 1 year. 50.0 and 42.9% of patients actively complained about the ENT organ-related conditions during the periods of COPD exacerbation and stable course, respectively. Among ENT organ diseases the most frequent were laryngeal diseases reported in 84.0 and 73.5% of patients with COPD exacerbation and stable course, respectively. The chronic catarrhal rhinitis and pharyngitis were revealed in 26 and 30% of patients with COPD exacerbation (p < 0.01). According to the data of 6-month study, the number of COPD exacerbations in high-risk patients with COPD using personal treatment plan for ENT-organ diseases was reduced by half, which had a positive effect on the condition of ENT-organs.Conclusion. The study showed that patients with COPD often ENT-organ-related complaints – in the exacerbation period about 50% of patients, and at stable course – 43%. Patients most often complain on glottic incompetence with the most pronounced symptoms at COPD exacerbation. Decreased number of COPD exacerbations by 2 times in patients with high risk of their occurrence and improvement of ENT organ condition were noted if ENT diseases were timely treated. ENT specialist consultation should be provided at dispensary observation organization for patients with COPD in order to personalize the treatment plan depending on the clinical situation.
An analysis was made of the incidence of polypous rhinosinusitis (PRS) in patients hospitalized in the department of Otorhinolaryngology of Vladivostok Clinical Hospital No. 1 for the period 2015–2019. The data obtained indicate that PRS is 1.1–1.6% of hospitalized persons. The largest number of treated patients are males 63% (n = 104), and females account for 37% (n = 61); the average age for men was 57.4±1.52, and for women, 57.37±1.76, while there is a trend toward an increase in the number of patients of working age whose onset of the disease falls from 18–46 years. Seasonality indicators do not have significant fluctuations. Three histological variants of polyps were distinguished. We divided the data of the histological conclusion of removed polyps into 3 types (edematous n = 60, allergic n = 63, fibrous n = 42) according to the morphological classification. The most common type of PRS in men is the edematous type of polyps 28% (n = 46), in women, allergic 18% (n = 30). Relapse of the disease is the most common problem in the postoperative period. The solution to this problem lies in dynamic observation, control of symptoms, and drug therapy. A number of patients require an interdisciplinary approach with the combined efforts of doctors of related specialties: otorhinolaryngologist, pulmonologist, allergist-immunologist, therapist, general family practitioner.
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