1
|
Rusetsky YY, Latysheva EN, Kalugina MS, Spiranskaya OA, Malyavina US, Averbukh VM, Dzhafarova MZ. [Features of sleependoscopy in children]. Vestn Otorinolaringol 2021; 86:58-62. [PMID: 34783475 DOI: 10.17116/otorino20218605158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
OBJECTIVE To describe the technique and determine the indications for sleep endoscopy in children. MATERIAL AND METHODS This study included 35 children, the average age of 5 years 1 month ± 3 years 4 months (from 1 year 6 months to 14 years 5 months). All children underwent standard polysomnography and sleep endoscopy. RESULTS According to polysomnography, severe obstructive sleep apnea (OSA) was diagnosed in 21 children, moderate - in 8 children and mild - in 6 children. Sleep endoscopy revealed that in most cases in unoperated children (about 70%), adenoids and palatine tonsils were the cause of obstruction. In the group of children, who previously underwent surgery for OSA, the causes of residual apnea more often were soft palate and palatine tonsils. In 5 of 8 children, tonsils pharyngoscopy size did not exceed the 1st degree. In 1 child after adenotonsillectomy, the hypertrophic tori tubarii were the cause of obstruction. Another rare cause of upper airway obstruction, lingual tonsil hypertrophy, was found in 2 primary patients. CONCLUSION Sleep endoscopy is a safe and useful method that makes it possible to determine the level of obstruction in children and to plan the optimal amount of surgical treatment.
Collapse
Affiliation(s)
- Yu Yu Rusetsky
- National Medical Research Center for Children's Health, Moscow, Russia
| | - E N Latysheva
- National Medical Research Center for Children's Health, Moscow, Russia
| | - M S Kalugina
- National Medical Research Center for Children's Health, Moscow, Russia
| | - O A Spiranskaya
- National Medical Research Center for Children's Health, Moscow, Russia
| | - U S Malyavina
- National Medical Research Center for Children's Health, Moscow, Russia
| | - V M Averbukh
- National Medical Research Center for Otorhinolaryngology of the Federal Medical and Biological Agency of Russia, Moscow, Russia
| | - M Z Dzhafarova
- National Medical Research Center for Otorhinolaryngology of the Federal Medical and Biological Agency of Russia, Moscow, Russia
| |
Collapse
|
2
|
Gorbunov SA, Rusetsky YY, Kudryashov SE, Malyavina US. [The evolution of methods of active irrigation of paranasal sinuses in rhinosinusitis. Part 2]. Vestn Otorinolaringol 2021; 86:99-105. [PMID: 34499456 DOI: 10.17116/otorino20218604199] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Inflammation of the paranasal sinuses significantly reduces the quality of life of people and causes marked economic damage to society. The striking clinical picture of sinusitis has always forced doctors to study the disease, as evidenced by the first records of the anatomy and diseases of the paranasal sinuses by doctors in ancient Egypt more than 3.000 years BC. Sinusitis has been treated in different ways in different historical periods. Effective medication treatment appeared relatively recently and began to steadily replace the older instrumental methods, to which many people had a preconceived notion of invasiveness. However, many studies are showing the positive effect of active drainage methods and, moreover, there is data showing that the discomfort during such procedures is slightly higher than during dental treatment under local anesthesia. This article presents a review of the available scientific literature on the use of different treatments for bacterial rhinosinusitis at different historical stages, ranging from the first publications on puncture techniques to balloon dilatation and the modern approach to conservative treatment.
Collapse
Affiliation(s)
- S A Gorbunov
- Central State Medical Academy of Department of Presidential Affairs, Moscow, Russia
| | - Yu Yu Rusetsky
- Central State Medical Academy of Department of Presidential Affairs, Moscow, Russia.,National Medical Research Center for Children's Health, Moscow, Russia
| | - S E Kudryashov
- Central State Medical Academy of Department of Presidential Affairs, Moscow, Russia
| | - U S Malyavina
- National Medical Research Center for Children's Health, Moscow, Russia
| |
Collapse
|
3
|
Gorbunov SA, Rusetsky YY, Kudryashov SE, Malyavina US. [The evolution of methods of active irrigation of paranasal sinuses in rhinosinusitis. Part 1]. Vestn Otorinolaringol 2021; 86:110-117. [PMID: 34269034 DOI: 10.17116/otorino202186031110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Inflammation of the paranasal sinuses significantly reduces the quality of life of people and causes marked economic damage to society. The striking clinical picture of sinusitis has always forced doctors to study the disease, as evidenced by the first records of the anatomy and diseases of the paranasal sinuses by doctors in ancient Egypt more than 3.000 years BC. Sinusitis has been treated in different ways in different historical periods. Effective medication treatment appeared relatively recently and began to steadily replace the older instrumental methods, to which many people had a preconceived notion of invasiveness. However, many studies are showing the positive effect of active drainage methods and, moreover, there is data showing that the discomfort during such procedures is slightly higher than during dental treatment under local anesthesia. This article presents a review of the available scientific literature on the use of different treatments for bacterial rhinosinusitis at different historical stages, ranging from the first publications on puncture techniques to balloon dilatation and the modern approach to conservative treatment.
Collapse
Affiliation(s)
- S A Gorbunov
- Central State Medical Academy of Administrative Directorate of the President of the Russian Federation, Moscow, Russia
| | - Yu Yu Rusetsky
- Central State Medical Academy of Administrative Directorate of the President of the Russian Federation, Moscow, Russia.,National Medical Research Center for Children's Health, Moscow, Russia
| | - S E Kudryashov
- Central State Medical Academy of Administrative Directorate of the President of the Russian Federation, Moscow, Russia
| | - U S Malyavina
- National Medical Research Center for Children's Health, Moscow, Russia
| |
Collapse
|
4
|
Rusetsky YY, Mokoyan ZT, Malyavina US, Meytel IY, Panasenko EI, Klimenko KE. [A case of isolated sphenoid osteoma with suppurative sinusitis in a 15-year-old child]. Vestn Otorinolaringol 2021; 86:68-71. [PMID: 33720655 DOI: 10.17116/otorino20218601168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Isolated sphenoid osteomas are very rare even in adults. There are extremely few publications on pediatric cases of sphenoid osteomas. This paper presents a case of isolated sphenoid osteoma combined with suppurative sphenoiditis in a 15-year-old patient. The child presented with persistent headache resistant to medical treatment. Endoscopic sphenotomy allowed both to remove osteoma and to relieve the symptoms of sinusitis. The presented case can be considered as the third detailed description of the sphenoid osteoma in children and the first demonstration of the effectiveness of the endoscopic approach for its removal.
Collapse
Affiliation(s)
- Yu Yu Rusetsky
- National Medical Research Center for Children's Health, Moscow, Russia
- Central State Medical Academy, Moscow, Russia
| | - Zh T Mokoyan
- Sechenov First Moscow State Medical University, Moscow, Russia
| | - U S Malyavina
- National Medical Research Center for Children's Health, Moscow, Russia
| | - I Yu Meytel
- National Medical Research Center for Children's Health, Moscow, Russia
| | | | | |
Collapse
|
5
|
Rusetsky YY, Malyavina US, Meytel IY, Spiranskaya OA. [Features and effectiveness of endoscopic sinus surgery in children]. Vestn Otorinolaringol 2020; 85:97-101. [PMID: 32241999 DOI: 10.17116/otorino20208501197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The concept of modern functional endonasal sinus surgery in the pediatric population is based on sparing, minimally invasive interventions within the middle nasal passage, mainly the ostiomeatal complex, performed taking into account modern knowledge of the physiology of the nasal cavity and paranasal sinuses, as a result of which normal can be restored as soon as possible aerodynamics in the nasal cavity; respiratory and other functions of the nasal cavity and paranasal sinus are restored. The article presents the history, modern principles and indications for pediatric sinus surgery. The features of preparation, management of the postoperative period and the effectiveness of sinus surgery in the age aspect are described.
Collapse
Affiliation(s)
- Yu Yu Rusetsky
- National Medical Research Center for Children's Health of the Ministry of Health of Russia, Moscow, Russia, 119991
| | - U S Malyavina
- National Medical Research Center for Children's Health of the Ministry of Health of Russia, Moscow, Russia, 119991
| | - I Yu Meytel
- National Medical Research Center for Children's Health of the Ministry of Health of Russia, Moscow, Russia, 119991
| | - O A Spiranskaya
- National Medical Research Center for Children's Health of the Ministry of Health of Russia, Moscow, Russia, 119991
| |
Collapse
|
6
|
Rusetsky YY, MeYtel IY, Babayan AR, Malyavina US. [Otorhinolaryngological aspects of the disease course in children infected with SARS-CoV-2 virus]. Vestn Otorinolaringol 2020; 85:63-66. [PMID: 32476394 DOI: 10.17116/otorino20208502163] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Recently, almost all over the world attention of doctors and scientists is focused on a new coronavirus infection, the source of which was the causative agent SARS-CoV-2. In this regard, early diagnosis, including on the basis of symptoms from ENT organs, is crucial. A brief analysis of the available literature on the peculiarities of ENT organs manifestations in patients with SARS-CoV-2 is given. It was found out that to date there is very little data on the state of loro organs in patients with SARS-CoV-2 and no data on anosmia in the pediatric population. However, it is in children in the epidemic aspect that early diagnosis of infection and understanding of its key symptoms is of utmost importance.
Collapse
Affiliation(s)
- Yu Yu Rusetsky
- National Medical Research Center for Children's Health of the Ministry of Health of Russia, Moscow, Russia
| | - I Yu MeYtel
- National Medical Research Center for Children's Health of the Ministry of Health of Russia, Moscow, Russia
| | - A R Babayan
- National Medical Research Center for Children's Health of the Ministry of Health of Russia, Moscow, Russia
| | - U S Malyavina
- National Medical Research Center for Children's Health of the Ministry of Health of Russia, Moscow, Russia
| |
Collapse
|
7
|
Abstract
Active progress in otosurgery opens up new opportunities for minimally invasive surgeries and significantly improves the results of treatment, but a number of problems remain unsolved, including in children. Despite the general positive trend of using the endoscope in otosurgery, in pediatric practice the data are insufficient and extremely contradictory. Literary sources show that, with certain advantages, the existing techniques of endoscopic tympanoplasty are far from perfect and inferior in effectiveness to classical microscopic techniques, which also necessitates further research in this field.
Collapse
Affiliation(s)
- Yu Yu Rusetsky
- National medical research center for children's health of the Ministry of health of Russia, Moscow, Russia, 119991
| | - I Yu Meitel
- National medical research center for children's health of the Ministry of health of Russia, Moscow, Russia, 119991
| | - L S Sotnikova
- National medical research center for children's health of the Ministry of health of Russia, Moscow, Russia, 119991
| | - U S Malyavina
- National medical research center for children's health of the Ministry of health of Russia, Moscow, Russia, 119991
| | - M S Kalugina
- National medical research center for children's health of the Ministry of health of Russia, Moscow, Russia, 119991
| |
Collapse
|
8
|
Abstract
The objective of the present review article was the analysis of the potential risks and negative consequences associated with the surgical treatment of adenoids and the comparison of the potential harm to health and effectiveness of adenoidectomy for the children. It is concluded, based on the currently available information, that adenoidectomy provides an efficient surgical method for the management of the problems associated with adenoid pathology. The application of this technique based on the proper medical indications has no adverse effects on the children's health conditions and the mechanisms of immune protection. Moreover, it contributes to the improvement of the quality of life of the patients, fosters their physical and mental development.
Collapse
Affiliation(s)
- Yu Yu Rusetskii
- National Research and Practical Centre of Children's Health, Ministry of Health of the Russian Federation, Moscow, Russia, 119991
| | - E N Latysheva
- National Research and Practical Centre of Children's Health, Ministry of Health of the Russian Federation, Moscow, Russia, 119991
| | - O A Spiranskaya
- National Research and Practical Centre of Children's Health, Ministry of Health of the Russian Federation, Moscow, Russia, 119991
| | - A E Pashkova
- National Research and Practical Centre of Children's Health, Ministry of Health of the Russian Federation, Moscow, Russia, 119991
| | - U S Malyavina
- National Research and Practical Centre of Children's Health, Ministry of Health of the Russian Federation, Moscow, Russia, 119991
| |
Collapse
|
9
|
Rusetsky YY, Simonova OI, Polunina TA, Malyavina US, Latysheva EN. Current views on chronic rhinosinusitis in patients with cystic fibrosis. ACTA ACUST UNITED AC 2016. [DOI: 10.17116/rosrino201624447-54] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
|