Vol 76, No 1 (1995)

Cover Page

Full Issue

LXX years of the Department of Otorhinolaryngology, Kazan Medical University

Svatko L.G., Galochkin V.I., Alimetov K.A.


The beginning of the development of otorhinolaryngology in Kazan should be considered 1925 - the time of the opening of the otorhinolaryngological department and clinic at the Faculty of Medicine of Kazan University. Its creation was carried out by prof. V.K. Trutnev.

Kazan medical journal. 1995;76(1):1-6
pages 1-6 views

Current methods of treatment infectious inflammatory diseases of ear and upper respiratory tracts

Soldatov I.B., Belikova N.N., Khrappo N.S., Al-Mamari K.A.


The experience of the treatment of acute and chronic purulent otitis media by the meatotympanal injection of medicinal agents, the use of laser energy and ozone is given. The method of the functional diagnosis of chronic tonsillitis — rheoteonsillography, as well as the stages of intensive therapy of acute laryngotracheitis in children are described. The data of the use of laser irradiation in combined treatment of mycoses of the ear and upper respiratory tracts are given.

Kazan medical journal. 1995;76(1):7-11
pages 7-11 views

Immunologic investigations of perilymph in patients with otosclerosis

Svatko L.G., Reshetnikov N.N.


The investigation of the dynamics of the content of IgA, IgM, IgG and antibodies to DNA in blood serum and perilymph of 30 patients with otosclerosis, in 20-th active stage and in 10-th nonactive one, shows the plausible increase of the levels of IgG and antobodies to DNT, more pronounced in the active stage of the disease relative to the nonactive stage. The inverse correlation between immunologic characteristics and ear levels is found: namely, the decrease of IgG levels and antibodies to DNA in perilymph of patients with otosclerosis and hence, the decrease of the process activity is accompanied by the auditory function suppression in the form of the increase of perception theresholds of osteoconductive sounds on vocal and high rates.

Kazan medical journal. 1995;76(1):11-14
pages 11-14 views

Audiologic classification of neurosensory hypoacusis

Palchun V.T., Sagalovich B.M.


The true and quasineurosensory hypoacusis is well-founded, the possibilities to distinguish the neurosensory hypoacusis with the presence of vestibular pathology and without it are considered. The basic regulations of differentiation of the sudden and acute neurosensory hypoacusis are given.

Kazan medical journal. 1995;76(1):14-18
pages 14-18 views

Distribution of histocompatibility antigens among patients with otosclerosis

Ismagilov S.M.


HLA-A-B-C phenotypes in 105 patients with otosclerosis, verificated during operation and correlated with the results of histoiden- tification of 113 healthy persons are determined. It is suggested that the ethnic sign does not influence the formation of the peculiarities of HLA polymorphism. The patients were devided into two groups: with familial predisposition to otosclerosis (33) and without it (72). A2, В12, Bx, Cx antigens are more frequent among them and A28, В18, B27, B40 and Cwl are less common. The associations, intending among the patients, are absent in patients with familial agrégation. The conclusions are made of the absence of the HLA-association of familial forms of otosclerosis and the existence of the gene, determinating the stability to the development of otosclerosis (HLA-B40). It is not inconceivable that genes exist, predisposing to the development of infamilial form of the disease (B12).

Kazan medical journal. 1995;76(1):19-22
pages 19-22 views

Medical tactics in chronic otitis media

Nursaitova R.M., Guryanov O.A.


It is advisable to perform cautious radical operations at the same time with plasty elements. The early surgicai sanation of the middle ear is recommended allowing to preserve its elements, to increase the possibilities of reconstruction and consequently, to decrease a potential danger for acoustic function of a patient as well as for his life as a whole.

Kazan medical journal. 1995;76(1):23-25
pages 23-25 views

Current methods of the diagnosis and treatment of intracranial otogenic and rhinogenic complications

Serebryakova S.N., Petushkov E.V., Dovgalyuk A.Y., Firsov P.D., Klyushkin I.V., Ibatullin M.M.


On the basis of the archival material of the Kazan otolaryngologic clinic, the comparative analysis of intracra-nial rhinogenic and otogenic pathology is performed by stages. In the presence of a general decrease of the intracranial complications rate during the last 20 years in this pathology structure the combined lesions prevail, which determines the high level of lethality. Computer tomography and particularly MRT-tomography allow to reveal the infection focus in the skull cavity and to define the adequate surgical tactics.

Kazan medical journal. 1995;76(1):25-28
pages 25-28 views

Lasertherapy and a new surgical method of the treatment or vasomotor rhinitis

Mitin Y.V., Mikhailovsky D.O.


In unsuccessful conservative therapy it is advisable touse the original method of surgical intervention: a cryoprobe point is brought into the submucous space of the inferior turbinated bone and after preliminary process of freezing it is removed with freezing soft tissue block. Positive results are obtained in 90% of the patients.

Kazan medical journal. 1995;76(1):28-31
pages 28-31 views

On the diagnosis and treatment of orbital complications of sinusitis

Firsov P.D., Dogalyuk A.Y., Sabirov A.I.


It is necessary to use the current possibilities of the diagnosis, namely, the computer tomography and endoscopic methods of the surgical treatment in providing service to patients with orbital complications of sinusitis.

Kazan medical journal. 1995;76(1):31-33
pages 31-33 views

Experience of the endoscopic surgery of chronic sinusitises

Krasnozhen V.N., Batyrshin R.U., Latypov R.V.


The endoscopic interventions into the nose cavity and on the accessory nasal sinuses with high functional effect are used for the treatment of 182 patients. Particular attention has been given to the postoperative follow-up of such patients in connection with the danger of cicatricial obliteration of the median nasal passage in early and remote postoperative periods.

Kazan medical journal. 1995;76(1):34-36
pages 34-36 views

Specific immunotherapy in patients with infectious -and-allergic rhinitis

Fattakhova F.A.


The improvement and normalization of the characteristics of humoral and cellular immunity and nonspecific organism protection correspond to the good and excellent results of immunotherapy, whereas in unsatisfactory and satisfactory results the pathologic ships in immune system are conserved,, ov the insignificant positive dynamics of immunologic characteristics is observed. The presence ot immune disorders after the immunotherapy course by bacterial allergens is an indication for the following extension without regard to the clinical results obtained up to, the normalisation and improvehent of immunologic characteristics.

Kazan medical journal. 1995;76(1):36-37
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Importance of anatomo-topographic peculiarities for endoscopic diagnosis and treatment of Sphenoiditis

Mikhailov M.K., Svatko L.G., Krasnozhen V.N., Mosikhin S.B.


The results of anatomo-topographic investigation of 100 clinoid sinuses obtained in autopsy of 50 dead persons are given. The relations of clinoid sinuses with posterior cells of ethmoidal labyrinth are found, the location of natural anastomoses of sinuses on the anterior wall is defined. The case record of the patient with sphenoiditis after endoscopic surgical intervention is given. The role of endoscopic method for diagnosis and treatment of sphenoiditis is shown.

Kazan medical journal. 1995;76(1):38-40
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Efficacy of the local application of dimephosphone in the treatment of exudation maxillary sinusitis in children

Studentsova I.A., Krasnozhen V.I.


As many as 159 children aged 9 to 14 are examined for the clinical assessment of theefficacy of local application of 15% water solution of dimephosphone in acute and chronic purulent maxillary sinusitis. The normalization of the rhinoscopic picture in acute maxillary sinusitis in patients of the basic group is observed in 5—7 days, in chronic — in 7—8 days, in the conrol group treated with 1% solution — in 11 —12 and 12—14 days, respectively. The terms of normalization of the roentgenologic picture are approximately the same as the rhinoscopic one. The comparison of results of the effect of dimephosphone on the course of maxillary sinusitis with results of the treatment with dioxidine reveals more pronounced local antiinflammatory action of dimephosphone on the mucosa of maxillary sinuses and nose cavity.

Kazan medical journal. 1995;76(1):40-42
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State of locomotor system of the larynx in functional dysphonias

Alimetov H.A.


As many as 295 patients with various forms of functional dysphonias are examined. The decrease of the thyrohyoid distance, indurations in the thyrohyoid muscle are revealed in hypofunctional form, and the total tension of the upper group of muscles electromyograp- hically is two times as great as the tension of the lower group of muscles. The vocal folds are weak and do not close up. In hyperfunctional form the cricoid and thyroid distance decreases, painful enlargements are revealed in sternothyroid muscle, the tension of the lower group of muscles is two times as great as the tension of the upper group. The vocal folds are stressed. The crossed asymmetry of sides is revealed in the combined form. The vocal folds vacillate asynchronously.

Kazan medical journal. 1995;76(1):42-43
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Vocal fold nodes and functional dysphonias

Alimetov H.A., Zagidullina R.A., Raupov M.G.


The connection between the formation of vocal fold nodes and change of normal tonus of external larynx muscles is found. In dys- phonias the true vocal folds mucosa is traumatized in friction of tightened folds (hypertonus dysphonia) as well as weakened folds (hypotonus dysphonia) resulting in the formation of vocal fold nodes.

Kazan medical journal. 1995;76(1):44-45
pages 44-45 views

Estimation of functional state of faucial tonsils in chronic tonsillitis by prednisolone test

Chernysh A.V., Hoffman V.R., Kostin G.V.


The prednisolone test with the following morphometry of tonsils structural components is recommended for the estimation of the functional state of faucial tonsils in patients with chronic tonsillitis and accompanying neurocirculating dystonia.

Kazan medical journal. 1995;76(1):45-47
pages 45-47 views

Vegetative nervous system state in patients after medium-grave craniocerebral injury

Komissarova N.V.


The vegetative characteristic are studied in 45 patients after craniocerebral injury of medium gravity. The peculiarities of the vegetative nervous system functioning in the remote period are the different background characteristics in cardiovascular system, the decreased vegetative reactivity, the complex nature of provision of physical and mental activity. The effect of sex and age of patients, traumatic substrate lateralization and social adaptation nature on the nature of vegetative disorders is shown.

Kazan medical journal. 1995;76(1):47-50
pages 47-50 views

Urticaria and chronic infection foci

Burnasheva R.H., Rakhmatullina N.M., Gumerova A.M.


The results of long-term observations of patients with various forms of urticaria are generalized. The analysis of the attendant pathology considered as chronic infection foci is given. The description of various forms of the treatment of urticaria is of interest to physicions.

Kazan medical journal. 1995;76(1):50-52
pages 50-52 views

Microcirculation state in patients with deforming coxarthrosis

Puchinyan D.M., Sissakian M.S.


The microcirculation state in 48 patients with unilateral and bilateral deforming coxarthrosis of I—III stages and in 34 healthy persons aged 26 to 63 is studied using biomicroscopy method of bulbar conjunctiva vessels. It is established that the pronounced microcirculating disorders depend on the disease gravity and pathologic process occurrence. The most constant signs of microhemo- circulation disorder are intravescular and vascular changes.

Kazan medical journal. 1995;76(1):52-54
pages 52-54 views

Lesions of the hepatobiliary system in patients with gout

Nenasheva T.M.


As many as 447 patients with primary gout are examined. Biochemical investigations show the disorders of ferrçiental, lipid, carbohydrate, protein metabolism in patients with gout. The decrease of the absorptiondischarge function of parenchymatous cells of the liver is revealed in dynamic scintigraphy. The increase of the liver size, focal hypo- and hyperechogenic formations at the expense of cysts and calcificators are found. Cholelithiasis is revealed in 57 patients.

Kazan medical journal. 1995;76(1):55-56
pages 55-56 views

Otosclerosis: problems of pathogenesis and conservative treatment

Kiselev A.S.


Thanks to advances in cofosurgery, a significant number of patients with otosclerotic hearing loss have improved hearing. Nevertheless, many problems of this disease continue to remain relevant at the present time. Among them, the pathogenesis of otosclerosis, as well as the mechanism of inhibition of the activity of the otosclerotic process, should be distinguished, especially in those cases when the otosclerotic rearrangement captures the cochlear region of the ear labyrinth.

Kazan medical journal. 1995;76(1):57-58
pages 57-58 views

Modern methods of conservative treatment of patients with otosclerosis

Galochkin V.I.


Hearing loss as a result of the otosclerotic process in the labyrinth capsule is diagnosed in 0.1 - 1% of the total population, thus being an important medical and social problem. To date, many methods have been developed for surgical correction of otosclerotic hearing loss and pathogenetic drug action on the otosclerotic focus in the labyrinth capsule [10]. Of the various hearing-improving interventions, stapedectomy and stapedoplasty are the most widespread. Less commonly, such methods of operations as monocrural transposition, stapediolysis, interposition technique, etc. are used. Due to the existing variety of methods, the otosurgeon has the opportunity to choose a surgical intervention that is rational for the patient, taking into account the individual options for the structure of the middle ear and visual assessment of the developmental features of the otosclerotic process. To date, the technique of hearing-improving surgery is approaching, it can be considered, to the ideal level and provides maximum functional efficiency and social rehabilitation of patients in 80 - 95% of cases [10 12].

Kazan medical journal. 1995;76(1):59-61
pages 59-61 views

Dependence of the effectiveness of antiglaucomatous operations on the method of forming the conjunctival flap

Khasanova N.H., Kamalov Z.G., Amirova F.S., Akhmetshin R.F.


The influence of two methods of forming a conjunctival flap on the hypotensive efficiency of operations and the outflow of intraocular fluid in the long-term follow-up was studied. Operated on 2 groups of patients - 150 people (150 eyes). In group 1 (76 patients), operations were performed with an incision of the conjunctiva at the site of its attachment along the limbus for 5 - 6 mm, followed by its separation by 3 - 4 mm upward.

Kazan medical journal. 1995;76(1):61-61
pages 61-61 views

Exacerbation of the chronic inflammatory process of the ear and maxillary sinus against the background of viral meningoencephalitis

Mudretsova S.K., Timashov V.T., Rafailov V.V.


In recent years, cases of serous meningitis with influenza have become more frequent. Here is our observation. Sh., 12 years old, was admitted to the clinic on November 22, 1993 with purulent discharge from the right ear for a long time and discharge with an unpleasant odor and itching in the left ear. The child has a history of frequent pneumonia, acute respiratory viral infections, goimoritis and purulent otitis media. In Î98é he underwent adenotomy. In February 1990, a radical operation was performed on the right ear for otogenic meningitis.

Kazan medical journal. 1995;76(1):61-62
pages 61-62 views

Allergic rhinitis as a manifestation of the "atopic phenotype"

Tsibulkina V.N., Khasanova M.I., Cherepnev G.V.


96 patients with allergic rhinitis aged from 24 to 40 years were under our supervision at the Republican Center of Clinical Immunology. Patients (40 men and 56 women) were followed regularly for 5 years. The duration of the disease did not exceed 10 years. The diagnostic program aimed to establish the signs of "atopic phenotype" and specific hypersensitivity in patients with allergic rhinitis. It included an allergic history, skin testing, provocative nasal tests, test of inhibition of natural emigration of leukocytes (TTEL) with histamine, determination of the number of eosinophils in peripheral blood, assessment of humoral and cellular immunity, HLÂ-typing.

Kazan medical journal. 1995;76(1):62-63
pages 62-63 views

Modification of a semi-surgical method for the treatment of chronic tonsillitis

Alimetov H.A., Kislova V.M.


It is known that in chronic tonsillitis caseous plugs are formed mainly in the lacunae of the first order, in their wide part, closer to the exit. The reason for the formation of stagnant pathological secretions and plugs in the lacunae is the difficulty of evacuation from them due to the narrowness of the mouth or its deformation after repeated inflammatory processes.

Kazan medical journal. 1995;76(1):63-63
pages 63-63 views

The effect of conservative therapy on the microflora of the palatine tonsils in patients with chronic tonsillitis with cardiac pathology

Budnik I.M., Fedorov R.V., Batyrshin R.U.


To assess the effectiveness of conservative treatment of patients with chronic tonsillitis, a group of children from 4 to 14 years old (50 people) was selected, registered in the children's cardiac dispensary. Before and after treatment, the microflora of the mucous membrane of the palatine tonsils was determined.

Kazan medical journal. 1995;76(1):63-64
pages 63-64 views

Herbal medicine in the complex treatment of patients with chronic tonsillitis

Guseva L.N.


A clinical assessment of the combination of inhalation therapy with phytopreparations and agents affecting the immune system was carried out. The study included 60 patients with chronic tonsillitis aged 15 to 45 years with a disease duration of 2 to 20 years. Patients, in addition to clinical examination, underwent sowing of flora from the depths of the lacunae to detect microbes or fungi, followed by determination of sensitivity to antibiotics, and skin allergological tests with microbial allergens were performed.

Kazan medical journal. 1995;76(1):64-65
pages 64-65 views

Complex phonopedic correction for functional dysphonia

Ziatdinova L.A.


This work presents the results of treatment of patients with functional diseases of the larynx by phonopedic voice correction using various methods. From 1991 to 1993 we treated 2421 patients

Kazan medical journal. 1995;76(1):65-66
pages 65-66 views

Dissolution of gallstones in vitro

Zulkarneev R.A., Polovnik V.K., Chugunov A.N.


With the help of ultrasound and NMR tomography, the diagnosis of stones in the biliary tract has improved significantly. In this regard, the number of patients who want to get rid of stones, the existence of which they did not even suspect before the examination, is growing significantly. The low trauma of laparoscopic cholecystectomy (LCE) is captivating, and there is a danger of expanding the indications for this, already quite common operation. But the removal of the organ necessary for digestion excludes the possibility of new painful disorders.

Kazan medical journal. 1995;76(1):66-66
pages 66-66 views

Thirty-year experience of the work of the inter-republican ear-improving centre

Svatko L.G., Chekaev G.M., Galochkin V.I., Prikhodko O.P., Polikarpova Z.F., Nugumanov A.Y.


The experience of the work of the interrepublican ear-improving centre giving medical and consulting service to patients with ear diseases for a period of 30 years is presented. The structure and directions of the polyclinic department of the ear-improving centre are given, and the clinical examination using monitoring observation of the ear and vestibular function state of patients after surgical rehabilitation should be given consideration.

Kazan medical journal. 1995;76(1):66-70
pages 66-70 views

Organization of the work of the inter-republican phoniatric centre

Alimetov H.A., Dovgalyuk A.Y., Raupov A.I., Ziatdinova L.A.


The structure, equipment and staff of the phoniatric centre are presented. The experience of the work from 1988 to 1993 is generalized. The quantitative characteristics of the work of polyclinic department of the centre and hospital, pointing to the significant, nearly 3 times, increase of the patients number taking phoniatric help in the dynamics are given. The combined treatment (microsurgical correction of structural elements of the larynx, phoniatric, logopedic, psychotherapeutic effect methods) allows to achieve positive results.

Kazan medical journal. 1995;76(1):70-71
pages 70-71 views

State of audition organ and upper respiratory tracts in workers of tyre production

Tikhonova A.G.


The lesions of upper respiratory tracts are diagnosed in 37,6% of the examined persons depending on the age and length of work. The direct dependence of professional hypoacu- sis on the length of work is stated in 31% of the workers.

Kazan medical journal. 1995;76(1):72-73
pages 72-73 views

Current issues of middle ear microsurgery

Patyakina O.K.


Ear microsurgery, which has more than 40 years of history, is associated with the name of S. Rosen (1952). To improve hearing in patients with otosclerosis, he proposed an operation to mobilize the stirrup, which led to the rapid development of stapedoplasty. Currently, microsurgical techniques are widely used for atresia, trauma and benign tumors of the external auditory canal, for congenital anomalies, trauma and benign tumors of the middle ear, in addition to otosclerosis and inflammatory pathology, for traumatic fistulas of the labyrinth windows, Meniere's disease, peripheral paralysis of the facial nerve, noise, otogenic liquorrhea, with cochlear implantation, etc.

Kazan medical journal. 1995;76(1):74-75
pages 74-75 views

Professor Nikolay Nikolaevich Lozanov


In August 1994, it was 90 years since the birth of the Honored Scientist of the RSFSR, Professor Nikolai Nikolaevich Lozanov. Nikolai Nikolaevich was born in 1904 in Saratov. After graduating from the Saratov Medical Institute in 1927, N. N. Lozanov was accepted as a junior researcher at the Saratov Research Institute of Physiology of the Upper Respiratory Tract, where from 1930 to 1932 he was engaged in graduate school. Over the years, his fulfillment of a number of original works on embryohistology of the pharyngeal lymphadenoid ring, as well as on professional traumatization of the ear under conditions of noisy production, was the basis for his approval in 1932 as an associate professor of the clinic of social health (department of ear, nose and throat) at the Leningrad Institute physical culture them. Lesgaft. Working fruitfully, he summarized here his scientific research on the physiology of the vestibular analyzer and in 1936 successfully defended his doctoral dissertation.

Kazan medical journal. 1995;76(1):75-76
pages 75-76 views

Interregional scientific-practical conference “prevention and treatment of complications in endosurgery. Problems of the development of endosurgery in Russia "

Ibatullin I.A.


The organizers of this conference were the heads of the Tatarstan Endosurgery Association located in Kazan - Cand. honey. Sciences V.V. Odintsov, A.N. Chugunov, I.V. Fedorov and technical leader A.E. Moroshek. Professors Yu. I. Galinger, A. D. Timoshin, K-V. Lapkin, S. G. Shapovalyants, A. A. Gulyaev, Cand. honey. Sciences A. S. Balykin, A. Ya. Andreev, S. V. Shtyrov, surgeons of Kazan clinics.

Kazan medical journal. 1995;76(1):76-78
pages 76-78 views

Professor Lyudmila Georgievna Svatko

Kazan medical journal. 1995;76(1):78-79
pages 78-79 views

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