Objectives. To determine the prevalence of exudative otitis media (OME) in children according to data from the pediatric otolaryngology department of state budgetary health care institution “Regional Clinical Hospital № 2”. Tyumen city. Materials and methods. A retrospective analysis of 20,000 medical records of children hospitalized in the pediatric otorhinolaryngology service for 12 years was conducted. Results and Discussion. The article presents a clinical and statistical analysis of the epidemiology of exudative otitis media in children. The number of children with otitis media was 33% (6509/20000), of which OME occupies a third of the ear pathology 33.02% (2149/6509), which represents 11% of all diseases treated in children (2149/20000), the children with the most prevalence of the disease are the youngest categories of children and those of preschool age constitute the main risk group (84.83%) for the development of OME. Conclusions. The practical equivalence of the quantitative distribution of the SSE by seasons of the year bears witness to the current problem that occurs throughout the year.

Among the spontaneous bleeding of various localizations, nasal hemorrhages (epistaxis) take a leading position. According to various authors, the proportion of patients with nosebleeds admitted to both the therapeutic and specialized otorhinolaryngological departments is increasing from year to year. Recurrent and profuse nosebleeds can often pose a real threat to the patient’s life, which requires urgent measures. Nosebleeds are often a symptom of a number of pathological conditions, developing, among other things, against the background of drug therapy of the underlying disease. In recent years, antithrombotic drugs have been widely used, prescribed both for therapeutic and prophylactic purposes. The use of this group of drugs is associated with certain risks of developing hemorrhagic complications, including nosebleeds, which significantly complicates the tactics of managing such patients, transferring epistaxis from a highly specialized problem to a general clinical one, requiring an interdisciplinary approach in each specific case. The article presents an analysis of the etiological factors in the development of nasal hemorrhages, the role of antithrombotic drugs in the development of these complications is studied (according to the data of the otorhinolaryngological department of the Tyumen Regional Clinical Hospital No. 2).

Introduction. Peritonsillar abscess (PTA) is a suppuration of the peritonsillar fiber, which is more often a complication of acute tonsillitis, requires urgent medical care. Issues of diagnosis and treatment of PTA are one of the urgent problems of pediatric otorhinolaryngology. The main peak of the incidence occurs in adolescence, which is associated with a change in the immunobiological properties of the body at this age. In children under 3 years of age, the disease is extremely rare, but the increase in the number of PTA in children from 4.2 to 12.1% and the development of peritonsillitis in children under 3 years of age are alarming about the severity of post-streptococcal complications. Timely diagnosis, treatment and prevention of PTA are essential to prevent potential serious complications.Aim. To study the prevalence of PTA in children, to analyze the results of prevention with a herbal preparation.Materials and methods. A sample of medical histories of 19,017 people hospitalized in the children’s ENT department of Regional Clinical Hospital No. 2 (Tyumen) was carried out, the prevalence of PTA and other diseases of the pharynx was studied. The duration of prospective observation of patients was 10 years (2009–2019). Clinical data such as sore throat, enlargement of the cervical and submandibular lymph nodes, fever, dysphagia, nasality of the voice, trismus of the masticatory muscles were analyzed. Gender, age characteristics, data on relapse were evaluated. All patients with PTA were opened and drained of the purulent cavity with the appointment of antibacterial therapy and the herbal preparation in the postoperative period.Results. The highest incidence of PTA is observed in children of middle and high school age, more often girls are sick – 52% of cases. A more rapid relief of the main symptoms and relapses of PTA was recorded in the group of children who received the herbal preparation as a prophylaxis.Conclusions. The prevalence of PTA in childhood does not tend to decrease. Prophylactic use of the herbal preparation in the postoperative period contributes to a more rapid relief of the main symptoms of PTA and prevention of recurrence of the disease.

Currently, the increase of frequency of otorhinogenous intracranial complications in children has been widely observed. It is related to the increase of microflora virulence, activation of conditionally pathogenic microorganisms as well as to the increase in their resistance to the starting antibiotic therapy. The authors studied microbial “landscape” in otorhinogenous complications in children, sensitivity to antibiotics of isolated microorganisms, the nature of the provided antimicrobial therapy in this pathology based on the data of the Children’s ENT-Department of Tyumen Oblast Clinical Hospital N 2. The leading agents in otorhinogenous intracranial complications were coagulazonegative staphylococci highly sensitive to vancomycin only. Enterococci with high sensitivity to vancomycin and Staphylococcus aureus occupied the second position. Pneumococci with sensitivity to B-lactam antibiotics ranked third. Acinetobacter lwoffii with the resistance to reserve cephalosporins, amikacin and ciprofloxacin and Candida fungi were inoculated in single cases. Empirical therapy started with protected aminopenicillins or combinations of the 3rd generation cefalosoporines with metronidazole. Antibiotic therapy correction, i.e. shift for the reserve preparations (carbapenems, 4th generation cephalosporins, inhibitor-protected cephalosporin, vancomycin) was required in more than half of the cases.

Objectves. To study the prevalence of acuta otitis media and mastoiditis in children according to data from the pediatric otolaryngology department of state budgetary health care institution “Regional Clinical Hospital No 2”. Tyumen city. Materials and methods. A retrospective analysis of the case histories of children who were hospitalized in the period from 2009 to 2017, the prevalence of various forms of otitis media and mastoiditis was studied. Results and discussion. The article analyzes the prevalence of clinical forms of otitis and mastoiditis in children. The number of children with otitis was 33% (4984 /15,087), of wich 68% with nonperforated form, 32% with perforated form, 6% complicated forms. Boys are more often sick, the younger and preschool age groups of children is the main risk group (85%) for the development of otitis media and mastoiditis. Conclusions. The high prevalence of otitis media and mastoiditis, their steady growth testifies to the urgency of the problem in pediatric practice.