The cause behind the currently ever increasing number of patients presenting with laryngeal cancer lies not only in the lack of the apprehensive attitude toward oncological diseases among the medical profession but also in the changing conditions of human life and environment. As many as 165 patients suffering from laryngeal cancer of the 490 ones admitted to our clinic had undergone the influence of ionizing radiation before they were allocated to the main study group while the remaining 325 cases made up the control group. The former group included 112 firefighters of the Chernobyl disaster. It was shown that the progression rate of the disease among the patients of the main group was much higher than among those comprising the control one. A similar difference was documented in the occurrence of regional and remote metastases that were not infrequently the earliest manifestations of the disease. All the patients of the main study group were given the surgical treatment. The firefighters died within one year after the onset of the treatment due to multifocal tumours, regional and remote metastases.
The objective of the present work was to describe the poorly known history of the development of the nomenclature of glomus tumours (chemodectomas) of the base of the skull, elucidate etiology and pathogenesis of these neoplasms. The authors present a chronological table illustrating the progress of etiological and pathogenetic studies as well as the surgical treatment of the tumours. The results of analysis and discussion of the controversial issues of the nomenclature are reported.
The aim of the work - to increase the effectiveness of surgical treatment of PVH of giant size by using the improved TAR technique. Materials and methods. An analysis of the surgical treatment of 150 patients with post-operative abdominal hernias of giant size, who underwent posterior techniques of disconnection of the anatomical components of the abdominal wall TAR in combination with alloplasty, was performed in the period from 2016 to 2022. The main group consisted of 74 patients with post-operative ventral hernias of giant size who underwent advanced TAR technique in combination with IPOM alloplasty. The comparison group consisted of 76 patients with giant PVH who underwent the classic posterior technique of component separation TAR in combination with retromuscular alloplasty. Results of the studies and their discussion The results of ICP measurement in patients of the main group showed that after 6-24 hours after the operation in 73 (98.6%) patients, ICP was within 7.1 ± 1.3 mmHg and only 1 (1.4%) patient had IAH of the first degree, which was caused by intestinal paresis. After conservative treatment and elimination of intestinal paresis, after 48 hours ICP was 5.7 mmHg which was normal. In 76 patients of the comparison group who underwent classic TAR with retromuscular alloplasty, IAH of varying degrees of severity was diagnosed in 6 (7.9%) patients. Among them, 3 (3.9%) patients developed IAH of the I degree, 2 (2.6%) had IAH of the II degree and 1 (1.3%) patient had IAH of the III degree.
Журнал «Вестник оториноларингологии» продолжает свою традицию информировать читателей о научно-практических достижениях коллективов высших учебных медицинских учреждений России. Основная часть этого номера посвящена деятельности сотрудников кафедры оториноларингологии Российского университета дружбы народов, которая отметила свой 50-летний юбилей. В 1965 г. под руководством проф. Ю.Б. Преображенского и доктора мед. наук Ю.М. Овчинникова в Университете дружбы народов им. П. Лумумбы был организован курс болезней уха, горла и носа. С первых дней его основания на курсе работали канд. мед. наук В.М. Аксенов и канд. мед. наук Г.П. Наумов. В этот период одной из актуальных проблем оториноларингологии было улучшение слуха у больных, страдающих тугоухостью, обусловленной поражением звукопроводящей системы при хроническом воспалении среднего уха. Комплекс хирургических вмешательств, целью которых является улучшение слуха у больных, страдающих тугоухостью, получил название «тимпанопластика». Среди первых в Советском Союзе, кто начал изучать эту проблему, были Ю.Б. Преображенский и Ю.М. Овчинников, защитившие докторские диссертации по этой теме. Естественно, что на курсе болезней уха, горла и носа УДН продолжалось изучение этой проблемы. Опыт этой работы Ю.Б. Преображенский обобщил в монографии «Тимпанопластика», изданной в 1973 г. Параллельно с хирургическими методами улучшения слуха курс болезней уха, горла и носа проводил большую ра
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