Condition of hearing sense and tinnitus before and after the treatment of otosclerosis

Introduction. Otosclerosis is an osteodystrophy disease of the bony labyrinth of the ear which leads to stapes fixation and to bradyecoia of a conductive type. The microsurgical treatment by the use of a stapes prosthesis provides hearing improvement and a reduction or disappearing of tinnitus. The aim of our study was to determine the hearing condition and tinnitus before and after the treatment of otosclerosis. Material and methods. A hundred patients with otosclerosis, aged 20 to 70, were surgically treated at the Otorhinolaryngology Clinic and the Functional Diagnostics, Military Medical Academy, Belgrade. After the treatment, the audiometric examinations were performed in order to assess the hearing condition and tinnitus was assessed by a questionnaire. The subjective assessment of tinnitus was ranged as present, reduced or absent. Results. Before the treatment, hearing impairment was present in all the patients, while tinnitus was found in 91% of them. One year following the surgical treatment hearing improvement was found in 96% of the patients, and tinnitus cessation in 89% of them. Conclusion. The surgical treatment can result in hearing improvement and cessation or reduction of tinnitus.

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The comparative analysis of clinical symptomatology before and after the operation of otosclerosis

Medicinski pregled ◽

10.2298/mpns0906258t ◽

2009 ◽

Vol 62 (5-6) ◽

pp. 258-262

Author(s):

Negra Terzic ◽

Ljubica Zivic

Keyword(s):

Surgical Treatment ◽

Postoperative Period ◽

Surgical Intervention ◽

Partial Recovery ◽

Progressive Hearing Loss ◽

Clinical Symptomatology ◽

Military Medical Academy ◽

Medical Academy ◽

Hearing Recovery ◽

Before And After

Introduction Otosclerosis is a progressive osteodystrophic disease of the osseous capsule of the labyrinth which leads to the fixation of the stapes and partial deafness. The progressive hearing loss followed by ear tingling - tinitus and vertigo is of great importance for this disease. The aim of the work was to determine the changes of clinical symptomatology before and after the operative treatment of otosceloris. Material and methods The study included 32 subjects between 25 and 60 years of age affected by otosclerosis who had undergone surgical treatment at the VMA (Military Medical Academy) Clinic, Department of Otolaryngology in Belgrade. Besides the clinical examination and detailed case history, audiometry and tympanometry examinations were performed. During the postoperative period the clinical symptomatology was evaluated and audiometry examinations were performed in order to determine the effect of the surgical intervention. Results Of the total number of 32 subjects, partial deafness was present in all of them before the operation, whereas tinitus, vertiginous disturbances and otalgia were found in a certain number of the subjects. During the postoperative period a partial recovery was found in a larger number of the subjects in relation to the total hearing recovery. During the postoperative period tinitus of lower intensity was found in a greater number of the subjects, whereas the number of those without tinitus was smaller. The problem of vertiginous disturbances as well as otalgia were not found during the postoperative period. Conclusion By following the changes of the clinical symptomatology we came to the conclusion that surgical treatment of otosclerosis results in the reduction and disappearance of subjective disturbances, tinitus, vertigo and otalgia and leads to the partial or complete hearing recovery.

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Outcomes of ophtalmologic surgical procedures of esotropia in children and adolescents

Vojnosanitetski pregled ◽

10.2298/vsp0808627k ◽

2008 ◽

Vol 65 (8) ◽

pp. 627-631

Author(s):

Tamara Kljakovic-Avramovic ◽

Miroslav Vukosavljevic ◽

Sinisa Avramovic

Keyword(s):

Surgical Treatment ◽

Prospective Study ◽

Children And Adolescents ◽

Deviation Angle ◽

Group Iii ◽

Military Medical Academy ◽

Group I ◽

Medical Academy ◽

Group Ii ◽

Common Manifestation

Background/Aim. Esotropia is the most common manifestation form of strabism accompanied by refraction deviations and amblyopia. The aim of this prospective study was to present the outcomes of surgical treatment of esotropia in children and adolescents. Methods. Within the period from January 1st 2006 to February 1st 2007 at the Clinic for Ophtalmology, Military Medical Academy, Belgrade a total of 25 patients with esotropia (34 eyes) and previously corrected refraction anomaly and treated amblyopia were operated on. The patients were 4-19-year of age. All of the patients were submitted to a complete ophtalmologic and orthoptic examination prior to the surgery, and a month, three months and six months after the surgery. The surgery was performed under general anesthesia. Out of the total number of the patients nine were operated on both eyes, while 16 patients on one eye with amblyopia or frequent esodeviation. Nine patients were submitted to retroposition of the inner straight muscle, two to myectomy of the outer straight muscle, while in 14 of the patients a combination of retroposition and myectomy was performed. The patients were divided into three groups according to the preoperative angle at the distance and followed-up accordingly after the surgery. Deviation angle at the distance in the group I was 18-25 DP, in the group II 26-35 PD, while in the group III it was 36-60 PD. Results. The most numerous, group I (12 patients; 48%), a month following the surgery showed angle reduction by 55.58%, after three months 63.25%, and after six months 63.92%. The group II consisted of 8 patients (32%) showed angle reduction by 70.75% a month following the surgery, by 76% after three months, and by 79.12% after six months. The group III (5 patients; 20%) showed angle reduction by 72.20% a month following the surgery, 79.20 after three months, and 80.12% after six months following the surgery. Conclusion. The best postoperative outcomes after a month, three and six months were obtained in the group of patients with the highest esodeviation angle at the distance solved by the surgery on both eyes. Timely surgical treatment befell into major precondition for developing and maintaining the elements of binocular vision in the operated on patients. .

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Result of using a minimally invasive method of surgical treatment of purulent-necrotic complications in a patient with diabetic foot syndrome

Russian Military Medical Academy Reports ◽

10.17816/rmmar64986 ◽

2020 ◽

Vol 39 (3) ◽

pp. 60-64

Author(s):

Sergey Y. Ivanusa ◽

Boris V. Risman ◽

Andrey V. Yanishevskiy

Keyword(s):

Surgical Treatment ◽

Minimally Invasive ◽

Diabetic Foot ◽

Pain Syndrome ◽

Diabetic Foot Syndrome ◽

Military Medical Academy ◽

Results Of Treatment ◽

Medical Academy ◽

Invasive Method ◽

Short Time

The article presents an analysis of the results of treatment of a patient with purulent-necrotic complications of diabetic foot syndrome, who, in the framework of surgical treatment, used a minimally invasive method of treatment of purulent-necrotic complications of diabetic foot syndrome, developed at the departments of general surgery and normal anatomy of the S.M. Kirov Military Medical Academy. The effectiveness of the developed method has been demonstrated, which makes it possible to sanitize the purulent cavity in a short time, stop pain syndrome and restore the support ability of the foot (4 figs, 1 table, bibliography: 7 refs).

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Subjective Assessment of Head and Facial Appearance in Children with Craniosynostoses after Surgical Treatment

Healthcare ◽

10.3390/healthcare6040127 ◽

2018 ◽

Vol 6 (4) ◽

pp. 127

Author(s):

Dawid Larysz ◽

Elżbieta Nieroba

Keyword(s):

Surgical Treatment ◽

Interpersonal Relationship ◽

Subjective Assessment ◽

Congenital Defects ◽

Facial Appearance ◽

Chi Square ◽

Subjective Assessments ◽

Before And After ◽

Detailed Statistical Analysis ◽

Relationship Of

Background: Craniosynostoses are congenital defects in the construction of the skull involving premature fusion of one or more cranial sutures. Premature fusion of sutures causes characteristic skull deformation(s). This affect the structure and thus the appearance of the entire head and face. The aim of this study was to analyze parents’ subjective assessments of head and facial appearance in children with craniosynostoses before and after surgery. Parents also assessed the interpersonal relationship of their children with peers and adults (after surgery). Methods: This study was conducted among parents of 230 children treated in Poland, in two multidisciplinary centers. Detailed statistical analysis was conducted among children who had undergone surgery. Independent variables were age (at survey) of the child (three years and less, four years, and five years and more) and type of craniosynostosis (isolated and syndromic). A chi-square independence test was used. Data was collected using surveys. Results: In the opinion of most parents, the appearance of their child’s head and face after surgery did not differ or differed only slightly from that of their peers. The results of subjective assessment of appearance of children’s face and head after reconstructive treatment remains comparable in three subgroups of patients according to the age. It seems that specific head shape according to the type of craniosynostosis does not have an impact on relations with peers and adults. Conclusion: Surgical treatment of children with craniosynostoses improves the appearance of their head and face. This improvement seems not to depend on the type of isolated craniosynostosis, and is constant over time.

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Splenic artery pseudoaneurysm as a complication of pancreatic pseudocyst

Vojnosanitetski pregled ◽

10.2298/vsp1107602m ◽

2011 ◽

Vol 68 (7) ◽

pp. 602-606 ◽

Cited By ~ 5

Author(s):

Sasa Mickovic ◽

Miroslav Mitrovic ◽

Nebojsa Stankovic ◽

Mihailo Bezmarevic ◽

Milan Jovanovic ◽

...

Keyword(s):

Chronic Pancreatitis ◽

Splenic Artery ◽

Pancreatic Pseudocyst ◽

Laboratory Assessment ◽

Artery Pseudoaneurysm ◽

Military Medical Academy ◽

Medical Academy ◽

One Year ◽

The Military

Introduction. Pancreatic pseudocyst presented as pseudoaneurysm of the splenic artery is a potential serious complication in patients with chronic pancreatitis. Case report. A 42-year-old male patient with a long-standing evolution of chronic pancreatitis and 8-year long evolution of pancreas pseudocyst was referred to the Military Medical Academy, Belgrade due to worsening of the general condition. At admission, the patient was cachectic, febrile, and had the increased values of amylases in urine and sedimentation (SE). After clinical and diagnostic examination: laboratory assessment, esophagogastroduodenoscopy (EGDS), ultrasonography (US), endoscopic ultrasonography (EUS), multislice computed scanner (MSCT) angiography, pseudoaneurysm was found caused by the conversion of pseudocyst on the basis of chronic pancreatitis. The patient was operated on after founding pancreatic pseudocyst, which caused erosion of the splenic artery and their mutual communication. Postoperative course was duly preceded without complications with one year follow-up. Conclusion. Angiography is the most reliable and the safest method for diagnosing hemorrhagic pseudocysts when they clinically present as pseudoaneurysms. A potentially dangerous complication in the presented case was treated surgically with excellent postoperative results.

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Early clinical results of surgical treatment of patients with femoroacetabular impingement

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1406325m ◽

2014 ◽

Vol 142 (5-6) ◽

pp. 325-329 ◽

Cited By ~ 5

Author(s):

Desimir Mladenovic ◽

Zoran Andjelkovic ◽

Zoran Vukasinovic ◽

Milorad Mitkovic ◽

Sasa Milenkovic ◽

...

Keyword(s):

Surgical Treatment ◽

Femoroacetabular Impingement ◽

Hip Osteoarthritis ◽

Womac Score ◽

Clinical Results ◽

Results Of Treatment ◽

Surgical Dislocation ◽

Early Results ◽

Before And After ◽

One Year

Introduction. Surgical treatment is the treatment of choice in patients with symptoms and radiological signs of femoroacetabular impingement. Objective. Our experience and early results of surgical treatment of patients with signs of femoroacetabular impingement and early hip osteoarthritis are reported. Methods. The results of treatment of 21 patients aged 23-54 years with different types of femoroacetabular impingement are presented. Safe open surgical dislocation of the hip was performed in all patients. Before and after surgery, the WOMAC score was performed, clinical and radiographic data of the operated hips were evaluated and t-tests were used for statistical analyzes of data. Results. The WOMAC score improved from 70.5 points ( range 56.3 to 89.8 points) to 90.3 points (range 70.3 to 100 points) at one year of follow-up (p<0.0001), anterior impingement test was negative in all operated cases, average hip internal rotation improved significantly, no complications were found, except trochanteric nonunion at the site of osteotomy, which was reaffixed. Conclusion. Postoperative results have shown that the surgical approach to treating patients with femoroacetabular impingement is the method of choice. Three operated patients, with advanced osteoarthritis of the hip, had to be converted to total hip replacement.

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Prognostic significance of tympanosclerotic plaques localization and their morphological and histological characteristics for the outcome of surgical treatment

Vojnosanitetski pregled ◽

10.2298/vsp100815005m ◽

2012 ◽

Vol 69 (2) ◽

pp. 190-194 ◽

Cited By ~ 3

Author(s):

Milanko Milojevic ◽

Dragoslava Djeric ◽

Dusan Bijelic

Keyword(s):

Surgical Treatment ◽

Middle Ear ◽

Prognostic Significance ◽

Morphological Characteristics ◽

Histological Findings ◽

Surgical Success ◽

Surgery Outcome ◽

Military Medical Academy ◽

Medical Academy ◽

Histological Characteristics

Background/Aim. Tympanosclerosis is a sequela of inflammation of the middle ear usually causing conductive hearing loss. The aim of the study was to determine the significance of tympanosclerotic plaques localization in the middle ear and their morphological and histological characteristics for surgical treatment outcome. Methods. This retrospective study included a total of 73 patients operated on for tympanosclerosis in the Clinic for Otorhinolaryngology, Military Medical Academy (MMA) in a period 1996-2010. The results of surgical treatment as well as the last audiometry findings were analyzed. considering follow-up periods of 6 months to 8 years. The patients were divided into 4 groups according to tympanosclerotic plaques localization in the middle ear and the classification suggested by Wieling and Kerr. The patients were also divided based on intraoperatively noticed morphological characteristics of tympanosclerotic plaques, while the third division was done as per histological findings. Surgical success was assessed using the suggestions of the Japan Otological Society. Results. The analyzed results showed the surgical success especially in the group II according to Wieling and Kerr, while histological findings had no impact on the outcome of the surgery. Conclusion. Surgical treatment has good results especially in patients with the mobile stapes. Results are satisfactory in other localizations, while various morphological and histological characteristics do not have impact on the surgery outcome.

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Experience in treatment of diaphragm hernias

Russian Military Medical Academy Reports ◽

10.17816/rmmar64955 ◽

2020 ◽

Vol 39 (3) ◽

pp. 32-39

Author(s):

Petr N. Zubarev ◽

Aleksey V. Khokhlov ◽

Igor E. Onnitsev ◽

Vladislav M. Trofimov ◽

Valeriy L. Belevich ◽

...

Keyword(s):

Surgical Treatment ◽

General Surgery ◽

Clinical Manifestations ◽

Military Medical Academy ◽

Medical Academy ◽

Laparoscopic Techniques ◽

The Military ◽

Positive Effect

Hernias of the diaphragm are a common pathology that negatively affects the quality of life of patients and in some cases requires high-quality surgical correction. This pathology has a progressive course, which leads to an increase in the severity of clinical manifestations with the age of the patient. The article presents the experience of surgical treatment of hernias of the diaphragm on the basis of general surgery clinics of the military medical academy. The aim of the study is to determine the effectiveness of surgical treatment of hernias of the diaphragm in different categories of patients. The total number of treated patients was 216. All patients were operated on. Thirty-four patients underwent a sympultal laparoscopic cholecystectomy. The operation used laparoscopic access. The closest excellent and good results of clinical treatment occurred in 92% of cases, satisfactory and unsatisfactory results accounted for 5.4 and 2.7%, respectively. According to the results of the instrumental survey, 40.6 and 54%, respectively, achieved excellent and good results; Satisfactory and unsatisfactory 2.7 and 2.7%. The introduction of laparoscopic techniques in surgery has reduced the number of early and late post-operative complications in the treatment of hernias of the diaphragm. The recommendations of the American Association of Endoscopic Surgeons for the operational treatment of gastroesophageal reflux disease shows the positive effect of laparoscopic fundoplications in 8593% of patients whose medicinal therapy has proved ineffective. In general, the results of the immediate and long-term outcomes of the surgical treatment of hernias of the diaphragm at the General Surgery Clinic of Military Medical Academy showed similar results (8 figs, bibliography: 16 refs).

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Contribution of the staff of the Military medical academy to the development of peripheral nerve surgery

Vestnik of Russian military medical Academy ◽

10.17816/brmma26000 ◽

2020 ◽

Vol 22 (1) ◽

pp. 238-241

Author(s):

A I Gaivoronsky ◽

N G Gubochkin ◽

L I Churikov ◽

D M Isaev ◽

D E Alekseev ◽

...

Keyword(s):

Surgical Treatment ◽

Peripheral Nerve ◽

Rapid Development ◽

Peripheral Nerve Surgery ◽

Peripheral Nerve Damage ◽

Military Medical Academy ◽

Medical Academy ◽

Combat Injuries ◽

Nerve Surgery ◽

The Military

The formation of the neurosurgical service in our country, as well as the development of peripheral nerve surgery, is inextricably linked with prominent figures - employees of the S. M. Kirov Military Medical Academy: L.M. Puseppa, V.N. Shamova, V.I. Grebenyuk, B.A. Samotokina, A.N. Solomina, E.I. Usanova, E.D. Alekseeva, F.S. Govenko, B.V. Martynova, A.E Belousova, etc. Already from the beginning of the 20th century, Ludwig Martynovich Pusepp has been actively engaged in the diagnosis and surgical treatment of peripheral nerve damage at the Imperial Military Medical Academy. In the second half of the XX century. peripheral nerve surgery undergoes an important stage: the transition to microsurgery. This stage is marked by the rapid development and implementation of microsurgical techniques in the treatment of patients suffering from traumatic lesions of limbs and nerves. The Academy is actively developing revascularization and reinnervation techniques for injuries to the limbs. Based on the analysis of the data of the Great Patriotic War and the war in Afghanistan, the Academy staff published works on the organization of medical care and surgical treatment of combat injuries of peripheral nerves. Thanks to the active scientific and practical work of A.E. Belousova, N.G. Gubochkina, E.D. Alekseeva, F.S. Govenko, B.V. Martynova at the beginning of the XXI century. Clinic of Neurosurgery of the S. M. Kirov Military Medical Academy becomes a leading institution in Russia, where they provide assistance to patients suffering from injuries and diseases of the peripheral nervous system.

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Reaffirmation of Electroconvulsive Therapy in Clinic for Psychiatry Banja Luka

European Psychiatry ◽

10.1016/s0924-9338(09)71005-3 ◽

2009 ◽

Vol 24 (S1) ◽

pp. 1-1

Author(s):

M. Miskovic ◽

T. Maglov ◽

N. Zivlak-Radulovic ◽

D. Zoric ◽

V. Popovic ◽

...

Keyword(s):

Side Effects ◽

Electroconvulsive Therapy ◽

Modern Technology ◽

Modern Psychiatry ◽

Military Medical Academy ◽

Medical Academy ◽

Long Time ◽

One Year ◽

Banja Luka ◽

Electroshock Therapy

Electroshock therapy is in fashion again, but modern psychiatry for this kind of treating is using up to date instruments and methods. Half a century ago this procedure was used for healing serious depression, but was substituted with pharmacotherapy due to side effects like short or long time lost of memory.Today we have modern technology (ECT with pulse electricity), so side effects are milder, and effects of therapy are better.With this work we want to present the latest concepts in use of ECT therapy and to present our modest, one year long experience in this area.We also started prophylactic ECT therapy (in imitation on Military medical academy Belgrade), since we was forced to accept already started treatment some of our patients in above mentioned institution.

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