[Stepwise therapy of allergic rhinosinusitis].

After examination of 240 patients with allergic rhinosinusitis (ARS) of whom 60 had edematose ARS and 60 edematose ARS associated with bronchial asthma (BA) treated unsuccessfully with topic glucocorticosteroids the patients received intranasal diprospan by an original scheme. Sixty patients with an initial stage of polypous ARS and associated ENT pathology and 60 ARS patients with hypertrophic mucosa of the middle and/or lower nasal cavities and unfavourable variants of intranasal anatomy were operated (functional endonasal interventions). A retrospective analysis of the efficacy of the therapeutic-diagnostic algorithm of treatment policy showed that 92% patients benefited from the above treatment.

[Hearing status in patients with pronounced chronic kidney insufficiency].

Hearing function was assessed in 63 patients with pronounced chronic renal failure (40 males, 23 females aged 20-52 years). Chronic renal failure resulted from chronic glomerulonephritis in 34 patients (16, 10 and 8 cases of nephrotic, hypertensive and mixed form, respectively), chronic pyelonephritis in 29 patients. The acoustic function was evaluated using acumetric methods, tonal threshold and suprathreshold audiometry, ultrasound sensitivity test, speech audiometry.

[Chronic kidney failure and hearing disorders].

Long-term occupational exposure to phosphorus compounds cause cochleovestibular disorders which, at the stage of marked intoxication, manifest with symptoms of cochlear neuritis with signs of vestibular dysfunction. This affection, among other manifestations of chronic occupational phosphorus intoxication, should be taken in consideration by the experts assessing working ability of employees in contact with phosphorus compounds.