No abstract

A study was conducted of 300 patients with chronic sensorineural hearing loss (SNHL) in four age groups, allocated according to the age classification of the World Health Organization (WHO). For patients of the older age group, a high comorbidity index is noted, while among concomitant diseases, chronic non-infectious diseases that are likely to affect hearing (arterial hypertension, cardiovascular disease (CVDs), diabetes mellitus) are more often observed with age. A direct correlation was found between diseases that probably affect the auditory function and quality of life (QoL) of patients. It was noted that the proportion of people with moderate and severe hearing impairment increases with age, while the total QoL indicator correlated with age (inverse correlation in the elderly, direct correlation in senile people and long-livers) and the degree of SNHL (inverse correlation). Self-assessment of QOL level by the physical component in patients of the older age group corresponded to the pre-critical level.

The purpose of the present study was to evaluate the effectiveness of nitrofuranes applied for the treatment of chronic tonsillitis. A total of 92 subjects divided into three cohorts were involved in this study. Cohort 1 included 43 patients presenting with decompensated chronic tonsillitis and having pathogens in palatine tonsil lacunae. Cohort 2 was comprised of 13 patients with compensated chronic tonsillitis having pathogenic microflora of the same localization, while Cohort 3 was composed of 36 patients resembling those of cohort 1 in terms of clinical presentation, pathogen composition, and microbial spectrum. While the patients of cohort 1 and cohort 2 were treated by rinsing their tonsil lacunae with a furasol solution as a single-drug therapeutic procedure, those comprising Cohort 3 underwent treatment with furacilinum for the same purpose. The results of the study give evidence of the important advantages of furasol therapy over other modalities for the conservative treatment of chronic tonsillitis.

Objectives - to analyse the age-related features of chronic sensorineural hearing loss (SNHL) in elderly patients in regards to the course of the disease and treatment. Material and methods. We reviewed the articles on the problem, published in the recent 5 years, presented in the international databases PubMed, Scopus and E-library. Results. Considering the difficulty of decision-making on the diagnosis and rehabilitation of patients with chronic SNHL, the development of automated computer programs combining the relevant information on the personification of diagnostic and treatment algorithms is relevant. According to scientific data, the rehabilitation procedure for chronic SNHL should take into account the patient's comorbid conditions, the use of pharmacological preparations with a possible ototoxic effect.

The article presents the materials of a retrospective analysis of the structure of diseases in the class of «ear and mastoid diseases» (according to the code ICD-10 H60-H95) in the adult population of the Samara region (SR) for the period from 2016 to 2019. The incidence and prevalence of chronic sensorineural hearing loss (SNHL) (code ICD-10 H90.3), mixed form of hearing loss (code ICD-10 H90.6) and conductive hearing loss (code ICD-10 H90.0) are considered. The dynamics of the adult population in the SR generally repeats the trend characteristic of the Volga Federal District in terms of an increase in the proportion of people over working age. Despite the natural decline in the region’s population in recent years, there has been an increase in the proportion of people over working age, which amounted to 10.,01%. The changes were reflected in the prevalence in the class of «ear and mastoid diseases»: in persons of the older age group, the indicator increased by 7,12%, in persons of working age by 0,61%. In the adult population of the region, there is an increase in cases of hearing loss of a mixed and sound-perceiving character, with consistently low rates of conductive hearing loss. In both groups of the adult population of the Samara region in 2016–2019, an increase in the cases of SNHL and hearing loss of a mixed nature was revealed. Moreover, in persons older than working age, the number of SNHL cases during the analyzed period was on average 2,32 times higher, and the number of mixed hearing loss cases was 2.2 times higher. The data of the study must be taken into account for planning the timely detection and examination of adults with hearing loss when they turn to an otorhinolaryngologist-audiologist, as well as to general practitioners and geriatricians, which will maximize their ability to work and social activity.