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Biomedical subjects

Iu P Tolstov

Publications and source records attributed to Iu P Tolstov.

At least 19 recordsLinked to original sources

[Vestibular function after a reconstructive surgery improving hearing in patients after radical operation on the middle ear].

The study included 62 patients who had undergone radical surgery (RS) on the middle ear. The patients were later operated to improve hearing according to the original reconstructive technique. Before the reconstructive surgery and 1-2, 3-6, 12 and 36 months after it combined vestibulometric examination, otomicroscopy, audiometry assessed the treatment efficiency. Perception of live speech was also investigated. Vestibular dysfunction occurred in 87.1% of the examinees with the history of RS. One of the main causes of the dysfunction was micropathological foci in the trepanation cavity located primarily on the medial wall. Surgical reconstruction creates a closed ventilated neotympanic cavity lined with mucosa. This promotes correction of vestibular dysfunction. Vestibular dysfunction late after radical surgery on the middle ear should be, along with hypoacusis, an indication for reconstructive hearing-improving surgery because the latter relieves or eradicates subjective and objective manifestations of the vestibular dysfunction in many previously operated patients.

Adult↗

[On the clinical significance of the trephined cavity status in patients with radical surgery of the middle ear].

303 ears were examined otomicroscopically in 267 patients who had undergone radical operation on the middle ear (RO). Local and general symptoms in patients after RO were defined as "the operated ear disease". Otomicroscopic picture of pathomorphological changes in the trepanation cavity is provided. It is necessary to account for these changes in planning reconstructive surgery.

Ear, Middle↗

[Barofunction of auditory tube in patients with central perforation of tympanic membrane].

Patients with otitis media chronica with central tympanic perforation underwent glue myringoplasty or radical operation. In 52.2 and 33.3% of them an original technique developed by the authors, has discovered defect of barofunction of the auditory tube named inflation effect of the auditory tube. High intratympanic pressure observed in this effect should be taken into consideration in tympanoplasty as it underlies rupture or dislocation of the transplant in myringoplasty or dislocation of the neotympanic membrane in reconstructive surgery on the middle ear.

Adolescent↗

[Metastases of cancer of the vestibule of the larynx to the regional lymph nodes of the neck and their treatment].

Clinical data about cancer metastases of the vestibule of larynx to neck regional lymph nodes are presented. Indications for Crile's operation and fascial excision of neck mucosa and lymph nodes during combined therapy are described. A modification of the excision based on a temporary section of m. sternocleidomastoideus at the sternum is proposed. Remote results of therapy of cancer metastases of the vestibule of larynx to neck regional lymph nodes are discussed.

Head and Neck Neoplasms↗