Наукові праці. Кафедра оториноларингології
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Item Варіанти пошуку альтернативної допомоги хворим з синдромом обструктивного апное сну у дорослих(2023) Шушляпіна, Н.О. ; Лупир, А.В. ; Аврунін, О.Г. ; Носова, Я.В.Item The influence of treatment tactics on the level of quality of life and the condition of the nasal cavity in patients with chronic atrophic rhinitis provoked by harmful production conditions(2024) Lupyr, Andrii; Poliakov, OleksiiIntroduction. Various types of occupational hazards can cause the development of occupational atrophic rhinitis (AR). Researches determine the high prevalence of professional AR among workers in various fields of production. Drug treatment of RA is an important issue. The effectiveness of the use of autologous platelet- enriched plasma is determined. Determining the possibilities of increasing the effectiveness of treatment of professional AR with platelet- enriched plasma is a very relevant issue of modern medicine. The aim. To evaluate the use of autologous platelet-rich plasma in occupational chronic AR compared to standard treatment (irrigation with oil solutions). Materials and methods. 141 patients were examined: I group (32.6 %) received irrigation with oil solutions, II (39.7 %) – injections of platelet-rich plasma, and III (27.7 %) – injections of platelet-rich plasma and irrigation with oil solutions. Results. Significant (p < 0.001) chances of improvement in quality of life levels were found in groups I and II compared to III one month after treatment, based on decreases in the values of the NOSE scale (respectively by 0.946 points and by 5.285 points) and increases values in the SF-36 questionnaire (RE scale and RR by 13.899 points; p = 0.004 and by 15.914 points only with combined treatment; MH scale – by 4.028 points and by 17.880 points; VT scale – by 5.136 points; p = 0.005 and by 24.158 points). Significant (p < 0.001) chances of an increase in nasocytogram indicators were determined in groups I and II compared to III: respectively, the pH of mucus (by 1.029 and by 1.333), the quantitative composition of neutrophils (by 18.958 % and by 21.078 %) and eosinophils (by 3.540 %) combined treatment only) and saccharin test indicators (at 0.3 min; p = 0.005 and at 1.696 min). Conclusions. An improvement in the quality of life and parameters of the nasocytogram and saccharin test was determined when injections of platelet-rich plasma were used (both separately and in combination with irrigation with oil solutions) in patients with occupational chronic AR. Reliable chances of a decrease in NOSE scale values and an increase in SF-36 questionnaire indicators and chances of an increase in nasocytogram and saccharin test indicators were established.Item Оцінка ефективності різних методів остеотомії при виконанні закритої ринопластики(2023-10) Лупир, Андрій Вікторович; Карчинський, Олександр Олександрович; Калашник, Михайло Васильович; Калашник-Вакуленко, Юлія МихайлівнаItem Особливості надання спеціалізованної отоларингологічної допомоги під час війни(2023) Калашник, М.В.; Калашник-Вакуленко, Ю.М.; Юревич, Н.О.; Лупир, А.В.; Григоров, С.М.; Крилова, І.В.; Анохіна, О.О.; Карчинський, О.О.; Чернякова, О.Є.; Прокопенко, М.С.; Сокольцов, А.О.Item Тактика ведення хворих з онкопатологією голови та шиї після трахеостомії(2023) Лупир, Андрій Вікторович; Юревич, Надія Олександрівна; Бур'ян, Олександр Васильович; Алєксєєва, Вікторія Вікторівна; Змєєв, Володимир ОлександровичItem Аналіз інфекційних ускладнень трахеостомії у хворих з онкопатологією голови та шиї(2023) Лупир, Андрій Вікторович; Юревич, Надія Олександрівна; Бур'ян, Олександр Васильович; Алєксєєва, Вікторія Вікторівна; Калашник-Вакуленко, Юлія МихайлівнаItem Mechanisms of action of different groups of drugs in meniere’s disease(2023) Radchenko, Pavlo; Abramenko, Valeriia; Dzyza, AllaItem Можливості симуляційного навчання у формуванні професійної компетенції лікаря(2023) Лупир, Андрій Вікторович; Ященко, Марина Іванівна; Шушляпіна, Наталія Олегівна; Юревич, Надія Олександрівна; Калашник-Вакуленко, Юлія Михайлівна; Алєксєєва, Вікторія Вікторівна; Дзиза, Алла Василівна; Карчинський, О.ОItem Pedagogical Aspects of the Impact of Smoking on the Human Body Based on Radiographic Density Indicators of Maxillary Sinus Bone Walls(Agency of Medical Information of the Georgian Association of Business Press, 2023-11) Shiyan, Denis; Trach, Olga; Sosonna, Liliia; Yurevych, Nadiia; Chekhovska, Ganna; Malieieva, Oksana; Alekseeva, Victoriia; Gargin, VitaliyThe most effective process of quitting smoking can be achieved through precise and complete identification of the adverse effects on the human body. The aim was to examine the influence of smoking on the density of the walls of the paranasal sinuses. Material and Methods. 80 individuals of the young age and both genders were included into the research.Depending on the presence of pathological changes in the sinuses and smoking habits, all participants were divided into four groups. Results. It was found that in the group of smokers without any paranasal sinus pathology, the density is 2.66% lower than the intact group. This figure is significantly higher in patients suffering from rhinosinusitis but not smoking, where it is 45.18%. The maximum difference from the control group is observed in individuals suffering from chronic rhinosinusitis and being smokers, with a difference of 81.03%. Conclusions.Pedagogical aspects of the impact of smoking on the human body based on radiographic density indicators of maxillary sinus bone walls were detected. It has been observed that smoking can exacerbate the negative impact of inflammatory processes in the paranasal sinuses.Item Peculiarities of сraniometric indicators of the facial skull of a mature person according to computer tomography data(2023) Sosonna, L.; Ostapchuk, K.; Yurevych, N.; Babiy, L.; Sazonova, O.; Trach, O.; Alekseeva, V.The presented results of the study were conducted to determine the features of the cranio-metric indicators of the facial skull in mature individuals based on computer tomography data. A total of 40 participants, comprising 20 men and 20 women aged between 44 and 60 years, were includ-ed in the study. CT scans were performed on these individuals, and the following cranio-metric parameters were examined: cranial index, upper facial index, width of the upper jaw, and maximum width of the fore-head. During the study, it was found that the average cranial index was 77.3±1.85%. The upper facial index showed values of 53.37±3.57%, while the average width of the forehead was 13.75±0.5x10-2 m. Among the female participants, the majority exhibited a mesocranial type of skull (95% of individuals), with only 5% having a dolichocranial type. The average cranial index for these women was 78.1%. The mean cranial index for the entire sample remained consistent at 77.3±1.85%. Additionally, the mean upper facial index was 53.37±3.57%. The upper facial index is indicative of the ratio of the width of the upper face to its length and serves as a valuable tool for analyzing facial profiles. The average forehead width measured 13.75±0.5 x 10-2 m. These facial skull structure indicators can prove valuable in the planning of surgical interventions within the facial skull region, enabling a more precise analysis of individual patient characteristics and the determi-nation of optimal surgical approaches.