No 2S (2017)

A comparative analysis of the clinical efficacy of the drugs used for local therapy in patients with acute external otitis was performed. The results of the clinical study and dynamic microbiological examination confirmed the high efficacy, safety and tolerability of the combination drug Candibiotic in patients with external otitis.

Chronic laryngitis is multifactorial disease. At the moment, there is no common view on the treatment of this disease among otolaryngologists. The use of antibacterial agents in case of protracted course of disease or frequent relapses is not in doubt. In recent years, proton pump inhibitors and antacids are increasingly used for the treatment, and it should be considered that the ineffectiveness of these drugs can not eliminate the influence of the gastrointestinal pathology on the course of the disease. Case report presented in the article indicates the need to introduce 24 hour pH-metry in the practice of examination of patients with chronic laryngitis for the differential diagnosis of gastroesophageal reflux disease and correction of therapy.

Sore throat is one of the most common patient’s complaints. The etiology and pathogenesis of sore throat may be different, and, therefore, the treatment of a particular disease may vary fundamentally. Topical therapy takes the one of the leading places in the treatment of patients with sore throat. This article presents the characteristics of a combined drug, composed of benzydamine+cetylpyridinium chloride used in ENT practice to relief of inflammation in the throat and eliminate the pain.

Endocrine ophthalmopathy is a complex pathology in endocrinology and ophthalmology. This is multidisciplinary problem of endocrinology and ophthalmology. In October 2009, in Amsterdam, international experts on Graves’ ophthalmopathy adopted a document entitled «The Amsterdam Declaration on the need to improve health care delivery to patients with Graves’ ophthalmopathy». Currently, the treatment of endocrine ophthalmopathy includes not many surgical approaches which differ in their effectiveness and safety. One of the most popular methods is transethmoidal endoscopic approach with the removal of the medial and bottom walls of the orbit. In addition, it can be said unequivocally that this method slows down the progression of the disease, thereby improving visual acuity and quality of life. The article describes own authors’ experience of surgical treatment of patient with a diagnosis of «I degree diffuse toxic goiter, moderate thyrotoxicosis, medically induced subcompensation. Endocrine ophthalmopathy OU. Toxic rapidly progressive leftsided exophthalmos, left-sided keratopathy. Left-sided optic neuropathy. Deflected nose septum». After repeated ineffective courses of conservative treatment, transethmoidal orbital decompression was carried out. In the postoperative period, there were no significant oculomotor disorders and strabismus. As a result of the treatment, a significant reduction in the degree of exophthalmos was observed already at the first day after surgery.