diagnosTic possiBiliTies of ulTrasound scanning and color doppler of larYnX in children WiTh dYsphonia subbotina m. V. 1, 2 , prikhodko T. d. 3 1 irkutsk state medical university, russian federation 2 city ivano-matreninskaya children's clinical hospital, irkutsk, russian federation 3 state regional children's clinical hospital, irkutsk, russian federation
The article presents the results of a clinical study on the efficacy and tolerability of the Anantavati® Kids dietary supplement (Ananta Medicare, UK) in children with speech, cognitive and sleep disorders as a result of perinatal lesions of the central nervous system (CNS). The peculiarities of the effect of Bacopa Monier and Vitania sleeping pills on functional changes in the brain in the main group of children receiving Anantavati® Kids and the comparison group are shown. During the study of the results of the use of the phytocomplex Anantavati® Kids (a fixed combination of Bacopa Monier - 150 mg and Vitania sleeping pills - 300 mg), 38 children aged 4 to 12 years were examined who received Anantavati® Kids in addition to rehabilitation psychological and speech therapy measures. For comparison, 20 children were examined who had similar syndromes and received only rehabilitation psychological and speech therapy measures, the groups were comparable in terms of gender and age. The efficacy, tolerability and safety of the dietary supplement "Anantavati® Kids" for behavioral disorders, impaired speech cognitive development and sleep disturbances due to perinatal CNS damage in children were assessed using neurophysiological methods and neuropsychological indicators, statistical methods. Children of the main group received Anantavati® Kids syrup for 30 days, and underwent two clinical-neurological, neuropsychological, speech therapy and neurophysiological examinations: immediately before the start of the course and 1 month after taking Anantavati® Kids. A positive effect, according to an individual assessment of the clinical state in dynamics after 1 month of using Anantavati® Kids, was registered in most children. In the main group, the prevalence of complaints of sleep disorders decreased by 71%, speech impairment – by 47.37%, hyperactivity – by 55.26%, memory impairment - by 42.11%, attention impairment - by 65.79%, emotional disorders spheres by 63.16%. Positive dynamics of speech therapy indicators, in the form of an increase and active use of vocabulary, an increase in the structure of the word and the volume of coherent speech, was observed in 18 (47.37%) children. After the end of the course Anantavati® Kids in 28 (73.68%) children of the main group, a pronounced positive dynamics of EEG indicators was determined. A good safety profile was noted with the use of Anantavati® Kids, which is manifested by good tolerance during the study. Thus, the analysis of the data obtained after the use of Anantavati® Kids in children with the consequences of perinatal CNS lesions demonstrate the profound effect of the Anantavati® Kids phytocomplex on sleep disturbances, symptoms of cognitive and speech and psychoemotional disorders against the background of a course intake.
The purpose of our work was to the express diagnosis of laryngeal diseases by ultrasound scanning on children and adolescents during preventive examinations. Patients and methods: As part of a routine medical examination, 392 preschoolers and 622 senior pupils were examined in the children’s city polyclinic No. 3 in Irkutsk. All children underwent examination of ENT organs and ultrasound scanning (USS) of the larynx in the transverse direction on a portable Aloka SSD-500 apparatus with a 5 MHz sensor. We evaluated the echogenicity of the laryngeal lumen, the mobility of the vocal folds, and measured the vocal fold length from the anterior commissure to the echogenic arytenoid cartilages. Results: Dysphonia was detected in 35 (9%) preschoolers and 20 (3,2 %) high school students. With USS, all the subjects with dysphonia, except one, the larynx lumen remained echo negative, as in normal, and the mobility of the folds was symmetrical, which made it possible to exclude laryngeal tumors and laryngeal paresis. Later, during laryngoscopy, preschoolers with voice impairment were diagnosed with functional dysphonia in 23 cases and nodules of the vocal folds in 12 cases, in 15 high school students – a voice mutation, in 4 – hypotonic dysphonia. USS of the larynx made it possible to diagnose paralysis of the left half of the larynx in 2 twin girls of 6 years old without dysphonia, who had a history of heart surgery, and a volumetric formation of the left vocal fold (recurrent laryngeal papillomatosis) in a 15-year-old teenage girl. The length of the vocal folds in adolescents with a voice mutation was more than 2 cm, which corresponded to the size of the adult larynx. Conclusion: Dysphonia was detected in 9% of preschoolers and 3,2% of senior pupils. Ultrasound scanning can be used as a rapid diagnostic method of the larynx during preventive examinations. It allows detection of impaired mobility of the vocal folds and laryngeal tumors.
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