Diagnosis, treatment and prevention of complications in permanent cannula wearers

The number of permanent cannula wearers - has increased recently [1, 9]. Etiological factors contributing to an increase in the number of patients with tracheostomas are concomitant injuries to hollow neck organs, postintubation tracheal or laryngeal stenosis, surgical interventions on the neck, cancer of the upper respiratory tract, severe somatic diseases deteriorating the vital functions - breathing and food passage, which require repair surgery on the respiratory and digestive tracts. Despite successes in laryngotracheal surgery, failed or inefficient restorative surgical treatment requires a significant number of patients to wear a cannula on permanent basis [4-6]. Tracheostoma is a risk for the patient, while failure to provide adequate medical care and monitoring by the doctor can be life-threatening [8, 10, 11]

Obstructive sleep apnea syndrome: age aspects

Medical histories and results of examinations of 165 patients with obstructive sleep apnea syndrome were analyzed. The role of sleep deprivation, innervation of the pharynx and rapid weight gain in different age groups in the genesis of the syndrome was demonstrated. The details of 165 case histories of the patients with obstructive sleep apnea syndrome and results of their cardiorespiratory examinations are analyzed. Role of chronic sleep deprivation, pharyngeal innervation disturbances and fast body mass growth in syndrome genesis in different age groups is discussed

The efficacy of "protected" penicillins in patients with laryngeal paralysis after laryngoplasty

Laryngeal paralysis is one of the causes of stenosis of the upper respiratory tract characterized by unilateral or bilateral motor damage in the larynx reflected in a dysfunction of vocal cords or their complete inability to move as a result of pathologic innervation of relevant muscles, ankylosis of cricoarytenoid joints and inflammation [1, 3]. Depending on the level of damage, paralysis is divided into central and peripheral, unilateral and bilateral