The objective of the present work was to evaluate the effectiveness of the application of the inducer of endogenous interferon synthesis in the course of the combined treatment of the adult patients presenting with laryngeal papillomatosis. A total of 50 patients with this pathology were admitted and examined at the ENT Clinics of I.M. Sechenov First Moscow State Medical University and M.F. Vladimirsky Moscow Regional Research Clinical Institute during 24 months. The patients comprising group 1 (n=25) were treated with the use of cold plasma surgery and the inducer of endogenous interferon synthesis while those included in group 2 (n=25) received only surgical treatment. It was shown that the combined treatment including the surgical step (cold plasma surgery) followed by the treatment with the inducer of endogenous interferon synthesis to prevent relapses makes it possible to reduce the number of secondary surgical interventions, increase the duration of the intervals between relapses, and decrease the content of types 6 and 11 human papilloma virus in the saliva.
The problem of chronic dacryocystitis remains relevant up to now due to a significant number of such patients, the need for comprehensive examination and treatment usually involving an ophthalmologist and otolaryngologist. The objective of the work is to optimize of surgical treatment of patients with chronic distal obstruction of lacrimal passages using the method of radiofrequency surgery with a wavelength of 4 MHz. 19 patients with chronic dacryocystitis underwent surgery using the proposed method. The wireless lowtraumatic effect makes it possible to quickly and accurately carry out a surgical incision, providing good and rapid healing without the formation of granulation tissue. A silicone stent installation facilitates postoperative management of post-surgery period and generates stable dacryocystostoma.
The study analyzed the clinical effect of the surgical treatment of 25 patients with Meniere’s disease, 20 of which underwent endolymphatic sac drainage and five of which underwent vestibular neurectomy via translabyrinthine approach. The methods of surgical treatment are described and their advantages and disadvantages. The authors proposed an algorithm for the surgical rehabilitation of patients with Meniere’s disease.
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