[Prevention of acute respiratory viral infections and tonsillitis].
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Biomedical subjects
Publications and source records attributed to M A Shuster.
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The authors describe a method of contact helium-neon laser irradiation of the pterygopalatine node through lateral wall of the nasal cavity. The technique was employed in patients with trigeminal neuralgia, ganglioneuritis of pterygopalatine node, other forms of prosopalgia. Altogether 78 patients were treated. The initial course relieved pain in 56 patients. In 44 patients the remission has been persisting for 2 years.
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Out of 486 patients with basilar skull fracture, 74 developed peripheral paralysis of the facial nerve (28 cases of early and 39 of late posttraumatic paralysis). 19 (67.8%) patients with early paralysis recovered function of the facial nerve, whereas only 9 (32.2%) with late paralysis were cured. Indications to surgical management of relevant paralyses are specified. Cases of one-stage tympanoplasty are described.
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Two rare cases of encapsulated cerebellar abscesses that developed 2-2.5 months after acute otitis media are described. In both patients, otitis media was cured using conservative therapy although it was aggravated by mastoiditis in one case and antritis in the other. Abscesses were removed by means of a neurosurgical trans-occipital approach. Computer tomography detected "volume formations" in the cerebellum but failed to differentiate between an abscess and tumor. It is concluded that in such cases antrotomy (mastoidotomy) is not necessary.
A modified technique of ultrasonic diagnosis of accessory nasal sinus diseases based on an analysis of the profile of echograms has been developed. A correlation between the profile and pathological changes in the Highmore antrum has been found. It has been shown that the cystic fluid has a characteristic difference between the intensity of the start and echo impulses. Echograms of a cyst and its capsule reveal that they are significantly heterogeneous. Pus is characterized by a pronounced ultrasound absorption, fluid pus and thick pus showing different response. Plasma and blood are characterized by a significant ultrasound absorption and sufficient homogeneity. An interpretation of an echogram obtained under clinical conditions is presented.
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Highly sensitive instrumental methods such as rhinopneumography, rhinorheography, rheoencephalography and segmented sphygmography were used to measure the efficacy of contact laser therapy of the pterygopalatine ganglion to treat vasomotor rhinitis and trigeminal neuralgia. This method proved efficient in the case of the nervous form of vasomotor rhinitis, Sluder syndrome, and trigeminal neuralgia. Stable remission developed in 60% of patients.
As of today, 238 children with laryngeal papillomas were treated by ultrasonic disintegration in the ENT Department of the Moscow District Research Clinical Institute and in the ENT Department of the Rostov District Clinical Hospital. The children varied from 5 months to 14 years of age. A commercial apparatus LORA-DON was used. Immediate and remote effects of ultrasonic disintegration were quite satisfactory. During the last 8 years none of the treated patients underwent tracheotomy. The number of relapses decreased two times in the Moscow clinic and four times in the Rostov clinic.
Hemangiomas were diagnozed in 11 patients (4.6%) out of 235 children with chronic laryngeal stenoses of various etiology. The most frequent symptom was hoarse voice. The children examined were not older than 5 months. In 5 patients, laryngeal hemangiomas were associated with hemangiomas of other body compartments--most frequently on the skin of the face, neck or upper chest. Out of the 11 laryngeal hemangiomas 6 were located below vocal folds, 4 on gastric and aryepiglottic folds and only 1 on vocal folds. The first line method of treatment was cryosurgery. Local freezing was performed on 6 patients. They all were decannulated within 2 to 4 months after intervention. There children with disseminated hemangiomas of the face, neck and upper chest were exposed to radiotherapy. A year after, two of them were decannulated and the third one developed a postradiation scar below vocal cords. In 2 children when they were 2 or 3 years of age, laryngeal hemangiomas disappeared spontaneously without any treatment.
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