Functional state of the larynx in patients with concomitant diseases of the upper respiratory tract in a seasonal smoke in the Far East
Abstract
The article provides the analysis of changes in the larynx in the patient with chronic polyposis rhinosinusitis. The authors elobarated the marked changing in the vocal fold and present the way of optimization of preoperative and post operative care for the patient with polyposis rhinosinusitis. There has been conducted the study of the effectiveness of fluticasone propionate in the postoperative period in patients with clinical and functional changes of the larynx (121 patients): in the season of relative environmental safety (January-April) 58 patients were underwent surgical treatment, they were divided into 2 groups: 30 patients - I main group and 28 - II control group; during a seasonal smoke in the Far East (May-November) 63 patients were operated: 33 patients - III main group, 30 - IV control group. The most marked clinical efficacy in the treatment with fluticasone propionate was noted in the patients of the group I: in the postoperative period on 3-4 day a significant improvement of endolaryngoskopic picture and voice- maximum phonation time (before surgical treatment - 12.78, after surgical treatment - 17.91, p=0,000003) was noted, tonal range increased from 229.16 to 284.71 Hz (р=0,04).It was found that the increased aerogenic load on the upper airways in a seasonal smoke leads to a longer period of hospitalization of patients ( 2 days on an average) and delayed recovery of vocal function.
References
2. Василенко Ю.С. Голос: фониатрические аспекты. – М.: Энергоиздат, 2002. – 146 с.
3. Добрых В.А., Захарычева Т.А. Дым лесных пожаров и здоровье. – Хабаровск: ГОУ ВПО ДВГМУ, 2009. – 201 с.
4. Ермолаев В.Г., Морозов В.П., Лебедева Н.Ф. Руководство по фониатрии. – Л.: Медицина, 1970. – 270 с.
5. Иванченко Г.Ф. Функциональная микрохирургия у больных с нарушением голоса при параличах и рубцовых деформациях гортани: автореф. дис. … д-ра мед. наук. – М., 1992. – 26 с.
6. Рябова М.Е., Немых О.В. Хронический ларингит. Принципы патогенетического лечения. – СПб.: Диалог, 2010. – 140 с.
7. Хабаровский край в цифрах 2014: Краткий статистический сборник. / Хабаровскстат. – Хабаровск, 2015. – 136 с.
8. Шиленкова В.В. Влияние санации ЛОР-органов на восстановление певческого голоса // Российская оториноларингология. – 2002. – №1. – С. 62-63.
9. Krouse J.H., Altman K.W. Rhinogenic laryngitis, cough and the unified airway.// Otolaryngol Clin North Am. – 2010. – Vol. 43 (1). – Р. 111–121
10. Morice A.H., Faruqi S., Wright C.E., et al. Cough Hypersensitivity Syndrome. // A Distinct Clinical Entity Journal. Lung. – 2011. – Vol. 189. No. 1. – P. 73-79.
11. Tatar M., Plevkova J., Brozmanova M., et al. Mechanisms of the cough associated with rhinosinusitis. // Pulm Pharmacol Ther. – 2009. – Vol. 22. – Р. 121-126.
REFERENCES
1. Anikeeva Z.I., Anikeyev F.M., Pleshkou I.V. The symptoms and treatment of voice disorders among vocalists. – Moscow, 1995. – 189 p. (in Russian)
2. Vasilenko Y.V. Voice: Foniatrics aspects. – Moscow: Energoizdat, 2002. – 146 p. (in Russian)
3. Dobrikh V.A., Zakharova T.A. The smoke of forest fires, and health. – Khabarovsk: FESMU, 2009. – 201 p. (in Russian)
4. Ermolaev V.G., Morozov V.P., Lebedeva N.F. Guide phoniatrics. – Leningrad: Meditsina, 1970. – 270 p. (in Russian)
5. Ivanchenko G.F. Functional microsurgery in patients with impaired voice in paralysis and scar deformities of the larynx: Thesis DSc in Medicine. –Moscow, 1992. – 26 p. (in Russian)
6. Ryabova M.E., Nemyikh O.V. Chronic laryngitis. Principles of pathogenetic treatment. – St. Petersburg: Dialog, 2010. – 140 p. (in Russian)
7. Khabarovsk region in figures-2014: Short Statistical Book / Khabarovskstat. – Khabarovsk, 2015. – 136 p. (in Russian)
8. Shilenkova V.V. Influence of rehabilitation ENT to restore singing voice // Rossiyskaja otorinolaringologiya. – 2002. - №1. – P. 62-63. (in Russian)
9. Krouse J.H., Altman K.W. Rhinogenic laryngitis, cough and the unified airway.// Otolaryngol Clin North Am. – 2010. – Vol. 43 (1). – Р. 111–121
10. Morice A.H., Faruqi S., Wright C.E., et al. Cough Hypersensitivity Syndrome. // A Distinct Clinical Entity Journal. Lung . – 2011. – Vol. 189. No. 1. – P. 73-79.
11. Tatar M., Plevkova J., Brozmanova M., et al. Mechanisms of the cough associated with rhinosinusitis. // Pulm Pharmacol Ther. – 2009. – Vol. 22. – Р. 121-126.
