Mine blast injury and ENT lesions. An analytical review of modern warfare data



Citar

Texto integral

Resumo

Justification. Due to the changes in the technologies, the power of the weapons used, and the new specifics of their delivery, the use of UAVs, drones, precision-guided UMPK bombs, and missiles; the topic of mine-explosive trauma of ENT organs is once again relevant and needs to be analyzed and compared with the results of the previous military conflicts. The purpose of this work is an analytical overview of domestic and foreign literature on mine-explosive trauma and damage to ENT organs in the context of modern military conflicts and the Special Military Operation, comparing the data we have obtained with that of other researchers on this issue. Results. The percentage of damage to the hearing organ in the Special Military Operation in the structure of combined and complex mine-explosive wounds remains within the limits of the previous military conflicts.  There is a direct dependence of the preservation of hearing and the prevention of complications from mine-explosive ear injuries on the speed of evacuation of the wounded with ENT lesions to the rear hospitals. About 22% of the wounded, who have combined lesions of the ear and other anatomical areas, will need tympanoplasty for traumatic rupture of the eardrums and other hearing-enhancing operations in specialized otology centers of the Ministry of Health of the Russian Federation after demobilization. Tinnitus that occurs after akubarotrauma and detonation effects aggravate the affective trauma and the negative course of combat post-traumatic stress syndrome. Conclusion. Studying the data on the damage to ENT organs and the auditory system, in particular, contributes to the appropriate prognosis of the scope of specialized ENT care at the evacuation stages as well as after demobilization.

Texto integral

Acesso é fechado

Sobre autores

Sergey Filimonov

Academician I.P. Pavlov First St. Petersburg State Medical University, St. Petersburg

Autor responsável pela correspondência
Email: hram-3341586@mail.ru
ORCID ID: 0000-0003-2424-8986

Профессор кафедры оториноларингологии Первого Санкт-Петербургского государственного медицинского университета им. И. П. Павлова

Rússia, 197022, Lva Tolstogo str., 6-8 building 9, Saint-Petersburg, Russia

Maria Yakovleva

The Pavlov First Saint Petersburg State Medical University

Email: mari-ya2001@mail.ru
ORCID ID: 0009-0007-0452-3203

Cand.Sci. (Psy.), Medical Psychologist of the Center for the Treatment of Polytrauma, Assistant of the Department of General and Clinical Psychology

Rússia, 197022, Lva Tolstogo str., 6-8 building 9, Saint-Petersburg, Russia

Darya Chuykova

The Pavlov First Saint Petersburg State Medical University

Email: chuykova.ent@yandex.com
ORCID ID: 0009-0006-1941-4870

ординатор кафедры оториноларингологии с клиникой

Rússia, 197022, Lva Tolstogo str., 6-8 building 9, Saint-Petersburg, Russia

Bibliografia

  1. Nechaev EA, Gritsanov AI, Fomin NF, Minnullin IP. Mine Blast Trauma: Experience from the War in Afghanistan. Saint Petersburg: Vreden Research Institute of Traumatology; 1995. 488 p. (In Russ.)
  2. Polushin YS. Blast Injuries (Lecture). Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2022;19(6):6-17. (In Russ.). doi.org/10.21292/2078-5658-2022-19-6-6-17
  3. Mezri S, Sayhi S, Askri H, M'hamed RB, Akkeri K. Ear blust injury in military population: A 12 months follow-up. Otorhinolaryngol Head Neck Surg. 2019 4:1-5. doi: 10.15761/OHNS.1000203.
  4. Jorolemon MR, Lopez RA, Krywko DM. Blast Injuries. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan. 2023 Jul 17. PMID: 28613664.
  5. Национальная медицинская ассоциация оториноларингологов. Клинические рекомендации «Травма уха». ППТ.РУ [Internet] 2024. (In Russ.). Режим доступа: https://pravo.ppt.ru/klinicheskie-rekomendatsii/305773 Дата обращения: 12.04.2025
  6. Barkenkhoeva AB, Raevskaya AI, Karpov AS, Babenko DV, Kaloev AD, Kopylov AV. The impact of mine-blast trauma on the nervous system and the human body. Modern problems of science and education. 2022;(5):142. (In Russ.). doi.org/10.17513/spno.32010
  7. Гофман В. Р., Жилинский А. В., Ивашкин А. Н. Морфологические изменения структур улитки при аку-, баротравме // Материалы научной конференции «Отечественная отоларингология, вклад ученых академии в ее становление». К 100-летию первой кафедры отоларингологии. — Санкт-Петербург: Военно-медицинская академия, 1993. С. 16–17. (In Russ.).
  8. Egorov VI, Kozarenko AV. Diagnosis and treatment of combat ear injuries. Almanac of Clinical Medicine. 2016; 44(7): 841-849. (In Russ.). doi.org/10.18786/2072-0505-2016-44-7-841-849 EDN: WTNNHF
  9. Cave KM, Cornish EM, Chandler DW. Blast Injury of the Ear: Clinical Update from the Global War on Terror. Mil MeD. 2007 Jul;172(7):726-730. doi: 10.7205/milmed.172.7.726
  10. Shah A, Ayala M, Capra G, Fox D, Hoffer M. Otologic assessment of blast and nonblast injury in returning Middle East-deployed service members. The Laryngoscope. 2014 Jan; 124(1):272–277. doi: 10.1002/lary.24169
  11. Taşlı H, Gökgöz MC, Çoban VK, Nagiyev Z, Karakoç Ö. Does tympanic membrane perforation have a protective effect on the inner ear in blast-injured patients? Ulus Travma Acil Cerrahi Derg. 2021 Jan;27(1):79–84. doi: 10.14744/tjtes.2020.87639 EDN: TDQGFL
  12. Dvoryanchikov VV, Mironov VG, Grigorev SG, Chernysh AV, Sergeev AN, Koroleva KY, Sushcheva NA. Description of the Modern Combat Acoustic Trauma. The Military Medical Journal. 2020; June; 341(6): 16–20. (In Russ.). doi: 10.17816/RMMJ82241. EDN: BFEEHW.
  13. Post-traumatic stress disorder. In: World Health Organization. [Internet]. 2024-2025. [cited 2025 May 6]. Available from: https://www.who.int/news-room/fact-sheets/detail/post-traumatic-stress-disorder
  14. Post-traumatic stress disorder (PTSD). In: Royal Collage of Psychiatrists. [Internet]. 2021-2025. [cited 2025 May 6]. Available from: https://www.rcpsych.ac.uk/mental-health/mental-illnesses-and-mental-health-problems/post-traumatic-stress-disorder
  15. Посттравматическое стрессовое расстройство: клинические рекомендации. Общественная организация «Российское общество психиатров». Министерство здравоохранения Российской Федерации. В: MedElement. [Internet] 2023–2025. (In Russ.) Режим доступа: https://diseases.medelement.com/disease/посттравматическое-стрессовое-расстройство-кп-рф-2023/17564 Дата обращения: 06.05.2025
  16. Mironov VG, Grigoriev SG, Evdokimov VI, Gavrilov EK. Analysis of ENT battle injuries in servicemen during the counter-terrorist operation in the North Caucasus (1999–2002). Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2015;(2):61-67. (In Russ.). doi.org/10.25016/2541-7487-2015-0-2-61-67.
  17. Koroleva KY, Savchenko IF, Mironov VG, Lemeshkin RN.Features of Damage to the Organs of Hearing During Mine-Explosive Injury in Military Conflicts. Bulletin of the Russian Military Medical Academy. 2020; 39 (S4):293–296. (In Russ.). EDN: PDEARM.
  18. Ianov IK, Gofman VR, Glaznikov LA, Maksimova TG. Clinical and statistical patterns of the hearing system lesions caused by explosive mine trauma. Voen Med Zh. 2001 Sep; 322(9):32-7, 96. (In Russ.). PMID: 11668787.
  19. Янов Ю. К., Дворянчиков В. В. Боевая травма ЛОР-органов. Контузионные поражения слуховой и вестибулярной систем. // Военно-полевая хирургия. Учебник — 2-е изд, изм. и доп. / Под редакцией Е. К. Гуманенко. — М.: ГЭОЕФЗ-Медиа, 2008. С. 465–466. (In Russ.). [Internet]. Режим доступа: https://djvu.online/file/fOjtZA3oE7Wup. Дата обращения: 20.05.2025.
  20. Mironov VG, Panevin PA, Korovin PA, Antonov MV. The magnitude and the structure of ENT sanitary losses in modern local armed conflicts. Russian Bulletin of Otorhinolaryngology. 2012;77(4):48 50. [cited 2025 May 20]. (In Russ.). Available from: https://www.mediasphera.ru/issues/vestnik-otorinolaringologii/2012/4/030042-46682012414.
  21. Титов А. И. О контузиях с участием ЛОР органов // Воячек В. И. Основы оториноларингологии. Медгиз, 1953. С. 275–278. (In Russ.)
  22. Филимонов В. Н., Косачев И. Д. Контузионная травма лорорганов в условиях горно-пустынной местности и жаркого климата. Кабул: Мед. служба, 1986. 28 c . (In Russ.). EDN: YONSHC.
  23. Syroezhkin FA, Yumakaev DZ, Golovanov AE, Ustinov SR, Kuznetsov MS. Impact of acubarotrauma on hearing in conditions of modern armed conflict. Russian Otorhinolaryngology. 2024;23(2):66–72. (In Russ.). doi.org/10.18692/1810-4800-2024-2-66-72.
  24. Mizutari K. Blast-induced hearing loss. J Zhejiang Univ Sci B. 2019 Feb; 20(2): 111–115. doi: 10.1631 / jzus. B1700051.

Arquivos suplementares

Arquivos suplementares
Ação
1. JATS XML
Baixar

Declaração de direitos autorais © Eco-Vector,