No abstract

The objective of the present study was the comparison of the effectiveness of the application of tonsilgon-N in the combination with the physical methods for sanitization of the palatine tonsil lagunes with that of the standard conservative treatment. A total of 60 patients having the confirmed diagnosis of sub-compensated form of chronic tonsillitis were recruited to participate in the study. All the patients were divided into two groups. Group 1 was comprised of 30 patients to whom tonsilgon-N was prescribed for the oral administration (25 droplets thrice daily for 30 days) in the combination with lagune cleansing with the use of the Tonsillor apparatus during 30 days (a total of 10 procedures). Group 2 consisted of 30 patients to whom only 10 sessions of rinsing the palatine tonsil lagunes were prescribed. The inoculums taken from the tonsils of the patients of group 1 contained no Klebsiella oxytoca, Escherichia coli, Enterobacter cloacae, and Moraxella catarhalis on the 15th day after the initiation of the treatment whereas the presence of the persisting pathogenic bacterial species was documented in 23.3% of the patients of this group. 10% of the patients in group 2 were found to retain Klebsiella oxytoca, Enterobacter cloacae, and Moraxella catarhalis in their tonsils whereas the rate of isolation of the pathogenic biotope amounted to 36,6%.

Importance. Fractures of the orbital walls in structure of craniofacial traumatic injures occupy a special place and occur in more than 40 %. The complexity of the structure, the proximity of the vision organ location causes difficulties in diagnostics and treatment of these patients. Often surgical treatment is carried out with using of standard implants that must be manually and directly modeled during the surgical intervention. Such numerous manipulations with implant develop negative effect on strength, that reduces predictability of the results and causes various postoperative complications in 20 % of cases. The goal — is to conduct a systematic analysis of domestic and foreign literary sources to determine development prospects, improve diagnostic methods and treat orbital fractures. Methodology. A case-control or cohort study was reviewed with a very low risk of mixing effects and average probability of causal relationship. Conclusions. Surgical treatment of fractures of the facial middle zone, the orbital walls is a difficult task for surgeons. The great number of reconstructive materials and implants on the market provide a wide range of choices depending on the preferences of the surgeon and patient, that’s based on the specific clinical situation. However determining the ideal material for reconstructing of orbital walls is still an open question. Results. Digital and additive technologies have great perspectives in diagnostic and treatment of trauma of the face middle zone. However a number of tasks requires to introduce and adapt rapid prototyping technologies in practical healthcare, which will allow significant progress in the diagnostics and treatment of facial skeleton fractures.

Несмотря на внедрение прогрессивных технологий, хирургическое лечение новообразований основания черепа остается чрезвычайно сложной и актуальной проблемой оториноларингологии [1-6]. Наиболее часто в практике оториноларинголога встречается юношеская ангиофиброма основания черепа или ангиофиброма основания черепа (АОЧ), которая является гистологически доброкачественной, но локально агрессивной сосудистой опухолью, возникающей в подавляющем большинстве случаев у мальчиков-подростков (средний возраст больных-16 лет), но может наблюдаться и в более старшем возрасте-до 25 лет [1-3, 7]. Эта патология, по оценкам разных экспертов, составляет лишь 0,5% от всех новообразований головы и шеи, тем