Видання зареєстровані авторами шляхом самоархівування
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Item Algorithm of adenoiditis treatment in adults, depending on the pharyngeal tonsil hypertrophy stage(ALUNA, 2018) Сміянов, Євген Владиславович; Смиянов, Евгений Владиславович; Smiianov, Yevhen Vladyslavovych; Сміянов, Владислав Анатолійович; Смиянов, Владислав Анатольевич; Smiianov, Vladyslav Anatoliiovych; Sniehirova, I.O.; Сміянова, Ольга Іванівна; Смиянова, Ольга Ивановна; Smiianova, Olha IvanivnaIntroduction: Implementation of the endoscopic technologies while the upper airways diseases gave opportunity to diagnose the adenoid vegetation in adults. The aim: Тo offer effective algorithm of curing adults for adenoiditis, depending on the degree of pharyngeal tonsil hypertrophy. Materials and methods: 43 patients aged 18-55 with hypertrophy of pharyngeal tonsil were examined. Depending on the degree of hypertrophy three clinical groups of patients was created: the first one receiving only conservative treatment, the second one receiving conservative therapy and radiowaveradiation coagulation with the apparatus “SURGITRON” and the third one receiving the endoscopic shave adenotomy. Statistical processing of the received data was made in the programs «Exсel» and «STATISTICA 6.0». Data rows were checked for the normality with the help of Shapiro-Wilk statistical criteria (small sample) and Kolmohorov-Smirnov (large sample). Checking of the dispersion uniformity was done by Leneva criteria. During the comparison of the rows criteria of Student and Wilkokson for the non-paired, Kolmogorov-Smirnov were used. Results: During the re-examination of patients who received only conservative therapy treatment in a month endoscopic signs adenoiditis were distinguished and a year later percentage of relapse was higher than in patients with complex treatment. After shave adenotomy adenoiditis recurrence was not observed. Conclusions: While treatment of the patients with the pharyngeal tonsil hypertrophy of the 1 and 2 degree conservative therapy is possible. Addition into the scheme of conservative treatment RWCAV actually reduces quantity of adenoiditis recurrence and allows fast recovery. Treatment of patients with the pharyngeal tonsil hypertrophy of 3 degree, in context of contraindication absence requires surgical treatment (adenotomy) in 100% of cases.Item Results of the ultramicroscopic research of adenoid vegetations accompanied by the pathologies of nasal cavity and paranasal sinuses in adults(ALUNA, 2020) Плахтієнко, Інна Олександрівна; Плахтиенко, Инна Александровна; Plakhtiienko, Inna Oleksandrivna; Сміянов, Євген Владиславович; Смиянов, Евгений Владиславович; Smiianov, Yevhen Vladyslavovych; Сміянов, Владислав Анатолійович; Смиянов, Владислав Анатольевич; Smiianov, Vladyslav Anatoliiovych; Savchenko, V.The aim: Grounding on the electronic microscopy of PT make conclusions about the tonsil activity in adults depending on the accompanied pathology of nose and PS. Materials and methods: Ultramicroscopic examination of 111patients with PT hypertrophy aged 18–55 was done. Depending on the nose and PS pathology (inflammatory, non-inflammatory) patients’ PS biopsic materials were distributed into 2 groups: 58 cases on inflammatory and 53 on non-inflammatory background. The control group consisted of 24 patients aged 18 without nose and PS pathology. The images of ultrathin PT sections were received with help of transmission electronic microscope PEM–125 with digital camera (SELMI, Sumy). Results: Great variations in PT cell condition, depending on the pathology were distinguished. Features of the adenoiditis in inflamma tory and non-inflammatory diseases of nose and PS were proved. Conclusions: 1. PT ultra-microscopy in control group shows great activity of lymphocytes and high energy exchange of cells, with prevailing B-lymphocyte population. 2. The complex of PT ultra structural changes while nose and PS inflammatory diseases shows the activation of immune reaction in competent cells with T-lymphocyte increase in patients older than 25, which witnesses chronic inflammation. 3. In group with nose and PT non-inflammatory diseases, activity of PTB-lymphocytes is unchanged accompanied by the T-lymphocytes growth, which is also characteristic for chronic inflammationItem Аденоїдит, як причина синдрома постназального затікання(Сумський державний університет, 2013) Сміянов, Євген Владиславович; Смиянов, Евгений Владиславович; Smiianov, Yevhen VladyslavovychДо лікарів різних спеціальностей постійно звертаються пацієнти із скаргами на відчуття зтікання слизу по задній стінці глотки. В англомовній літературі для визначення даного стану використовують термін "postnasal drip". У вітчизняній практиці досі не існує загальноприйнятого аналога такого терміну, застосовують буквальний переклад з англійської - "синдром постназального затікання (СПЗ)", "ретроназальних виділень", що не зовсім вірно. При цитуванні документа, використовуйте посилання http://essuir.sumdu.edu.ua/handle/123456789/32577