Ultrasonic therapy for certain diseases is discussed. Success is reported in the treatment of chronic tonsilitis, sinusitis, and Meniere's disease

Soldatov, I. V.

English

NASA Technical Reports Server

  
 
 
N O T I C E 
 
THIS DOCUMENT HAS BEEN REPRODUCED FROM 
MICROFICHE. ALTHOUGH IT IS RECOGNIZED THAT 
CERTAIN PORTIONS ARE ILLEGIBLE, IT IS BEING RELEASED 
IN THE INTEREST OF MAKING AVAILABLE AS MUCH 
INFORMATION AS POSSIBLE 
https://ntrs.nasa.gov/search.jsp?R=19800023569 2020-03-21T15:47:21+00:00Z
• - 
T.,f - ' - ­ -17"94
IjLV I I-.^4 j)F t OuK-ULTHASOUND	 N80-32076(L4A:iA-TM-7UJ49)	 1	 13	 1
IN UTUiiiiINOLARYNGOLOGY (N&Liorial AerotiautiCs8 j 11C A02/MF A01
aflj SPdC'Q Adadni^itUd L i011 )	 UnclasC3CL OUE
t;J/52 28690
	
NASA TECHNICAL MEMORANDUM	 NASA	 TM-76349
REVIEW OF BOOK "ULTRASOUND IN OTORHINOLARYNGOLOGY"
Academician of the USSR Academy of Medical. Sciences
I. V. Soldatov
Translation of review of "Ul'trazvuk v otorinolarin-
gologii," Zhurnal ushrtykh, nosovykh i gorlovykh bolezney,
No, 3 (May-Jun), 1979, pp. 86-87.
J 0 7
NATIONAL AERONAUTICS AND SPACE ADMINISTRATION
WASHINGTON D.C. 20546	 AUGUST 1980
^^ ARC
i
i
3
I
I	
a	
,•
i
y•
t
4
. ,•.•.
STANDARD TITLE PAGE
1.	 Roporl No. 2. Government Accession No. 2.	 Recipient's Catalog No.
NAL'A TM-76349
A.	 Title end Svb ► itle, S.	 Reports Dote
REVIEW OF,BOOK - ULTRASOUND IN 'OTORHINOLARYN- AUGUST 1980
6.	 Performing Organisa t ion CodeGOLOGY
7.	 Author(s) S.	 Porforming Organisation Report No.
I. V. Soldstav
10.	 Work Unit No.
9.	 Performing orgonisohon Nome end Address 11.	 Contract or Grant No,
.SCITRAN NASW-3198
19. Typo of Report end Period CoveredBox 5456
Santa Barbara, CA 93108 Translation
12.	 Sponsoring Agency Name and Address' 	 •.
National Aeronautics and Space Administration 14. Sponsoring Agency Cede
Washington, J.C.	 20546
16.	 Supplementary Notes
Translation of .review of "U1'trazvuk v otorinol,aringologii", Zhurnal-
ushnykh, nosowkh i gorlovykh bolezney,, No. 3 (May-Jun.), 1979,
pp • 86-87
16.	 Absrnct	 ,•
Thislis a book review.
The development of medicine at the current stage is closely linked to
the achievments	 of physics, electronics and cybernetics.' .The use in
medicine, and in parti.cular, ••in,otorhinolaryiigology.of ultrasound is
very promising.
The-monograph consists of eight chapters,concl.usion and bibliographic
index..-The material is presented-on 190 pages, 71 figures and 9 tables
are given.
	 ,•
The work is well illustrated with original photographs'; figures,
schemes and'graphs. 	 However the monograph does have certain shortcomings
.Thus, the authorshave not held to the new, generally accepted Int.erna-
tional Anatomical Nomenclaurq TNA, using incorrect terms in naming
certain structures of the ORL organs, for-example; "round window" instead
M
17. Kay Words (selected by Author(.)) Is. Distribytion Statement%f,S COPYRIGHTED SOVIET WORk IS REPRO-
DUCED AND SOLD BY NTIS UNDER LICENSE
FROM VA AP, THE SOVTFT COPYRIGHT AGENCY
NO FURTHER COPYING IS PERMITTED WITH-
OUT PERMISSION 'a<ROM VAAF.
19.	 Security Clos0f. (of this teperi), 20.	 Security Ciaosif. (of this pogo) 210 No. of Pages 22.
8
Unclassified Unclassified 1
• • V fs"^
UDC 616.1:615.837.3
M1	 8
REVIEW OF POOK ULTRASOUND IN OTOPI-iINOLARYNGOLOGY
By Academician of the USSR Academy of Medical Sciences I. B. Soldatov
A. I. Tsyganov, A. F. Fedotov, N. P. Feygin, V. L. Isakov, D. F. Batyuk,
	 /86*
V. A. Novikova, A. K. Pokot.ilenko, Ul'trazvuk v otorinolaringolo^ gii ["Ultra-
sound in Otorhinolaryngology"], general editor A. I. Tsyganova, Kiev, Naukova
dtunka, 1978.
^',`ne development of medicine at the current stage is closely linked to the
achievements of physics, electronics and cybernetics. The use in medicine, and
in particular, in otorhinolaryngology of ultrasound is very prcmising. At the
same time whereas its use for diagnostic purposes has been covered by a consider-
able number of studies, the material concerning the possible use of ultrasonic
therapy in ORL-diseases, is very incomplete, and the data on this question are
fairly contradictory. Therefore the publication of the monograph Ultrasound in
Otorhinolaryngology, that systematizes and generalizes results of clinical and
experimental studies of domestic and foreign authors is urgent and timely.
Of especial value in the book is the new information (the results of many
years of joint activity of physicians and engineering-technical workers of the
Numbers in margin indicate pagination in original foreign text
1
rKiev Scientific Research Institute of Otolaryngology) on the use of ultrasound
in experiment and clinical practice.
The monograph consists of eight chapters, conclus.on and bibliographic
index. The m:.terial is presented on 190 pages, 71 figures and 9 tables are
given.
The first two chapters state the current conclusions on the physical grounds
for ultrasonic oscillations and biophysical properties of ultrasound. The tech-
nical parameters and schemes for the effect of ultrasound that are graphically
presented in the tables broaden the idea of the readers, in particular medical
workers, on the physical essence of the effect of an ultrasonic wave and the
outlook for its use in medicine.
Chapter 3 covers the therapeutic effect of ultrasound. It gives an anal-
ysis of the literature on technique and efficiency of ultrasonic therapy for
different diseases of the organism.
Of considerable interest is Chapter 4 of the monograph, which gives the
eTerimental substantiation for the use of ultrasonic therapy for certain dis-
eases of the ORL organs. As a result of conducting a number of experiments on
animals, the authors have worked out certain optimal conditions for the effect
of ultrasonic oscillations that serve as a foundation for the use of ultrasound
in treating chronic maxillary sinsitis and Meniere's disease.
The monograph presents a comprehensive analysis of the authors' material
and published data on the functional morphology and immunological activity
(specific and nonspecific) of the tonsil during the effect of ultrasound in
4
2
experiments on experimental animals, and in clinical practice on patients with
chronic tonsilitis. The results of studies are based on the use of a set of
modern morphochemical, neurohistological, histophotcmetric and immunological
methods that make it possible to determine the condition of cellular and non-
cellular structures of the tonsils. The authors presented their awn, fairly
proven viewpoint on the mechanism for the therapeutic effect of ultrasonic oscil-
lations on the tonsils. It has been proven, that ultrasound stimulates the
processes of biological oxidation of cellular components in the parenchyma and
strcrra of the tonsils, endothelium of capillaries and cells of the epithelium,
aW, also activates the oxidation-reduction processes in the cellular components
of the macrophage systems of the tonsils, and intensifies their phagocytic func-
tion. with an increase in the activity of enzymes of the oxidation-reduction cycle,
metabolic processes and migration of different metabolites through the vascular
barrier under the influence of ultrasound are activated in the vascular system.
Thus, the authors explain the positive effect of ultrasonic therapy in
treating chronic tonsilitis by local nonspecific stimulating effect of ultra-
sonic oscillations, that result in temporary normalization of the morphofunctional,
and correspondingly, defense-adaptive properties of the tonsils, which is ex-
pressed in a stopping of relapses of angina in a certain contingent of patients.
of clinical value are the results of studies that indicate the end of the
therapeutic effect of ultrasonic oscillations within 4-6 months, and the need
for repetition of the treatment course ion the average two tines a year). The
phenomena of exacerbation in the disease that were noted in a number of patients
in the first days of use of ultrasonic therapy are explained by the authors by
the still great reduction in synthesis of the macroglobulins that is usually 	 /87
3
	h'	
_
normalized after ten treatment sessions.
The experimental data given in the work on the effect of ultrasound on the
mucous membrane of the nasal cavity and detemnination of the average statistical
coefficient for absorption of ultrasonic energy by the bone tissues in the maxil-
lary sinus substantiate the use of ultrasonic therapy to treat vasomotor rhin-
itis and maxillary sinusitis. The technique of ultrasonic effect in experiments
on the posterior region of the otic labyrinth in order to disengage it for treat-
spent of Meniere's disease is treated in detail.
Chapter 5 contains information on therapeutic ultrasonic apparatus that
can be employed in otorhinolaryngology. Table 4 is very graphic; it acquaints
the readers with the main technical characteristics of different apparatus. De-
signs and plans of ultrasonic generators, irradiators, transformers and other
ccmponent parts of the instruments are presurted.
Of definite importance is the ultrasonic apparatus type M for treatment
of Meniere's disease that has been updated by the authors. For this purpose
the Kiev Scientific Research Institute of Otolaryngology has developed special
ultrasonic emitters, which can be used for making microoperations on the ear
with the help of optical apparatus. They direct an ultrasonic beam precisely
to the assigned object, without damaging the adjacent ear structures.
The result of experimental studies has been confirmed in clinical obser-
	
I 
vations of the authors (Chapters 6r 7 and 8) that concern the therapeutic effect
of ultrasound during chronic tonsilitis,, vasomotor rhinitis and chronic MXil-
lacy sinusitis, as well as Meniere's disease. Observations in dynartdcs (for a
period up to 4 years) of 8,800 patients with chronic tonsilitis (Chapter 6)
4
aindicate the therapeutic effect obtained in 79.7% of the patients after the use
of ultrasonic therapy, which was expressed in the stopping or reduction in fre-
quency of relapses of angina, improvement in the pharyngoscopic pattern and
increase in reactivity of the organism, expressed in a rise in the titer of the
ccmplement, and heterophilic agglutinins, as well as lysozyme. Of definite
importance are the research resu?tw ; T, Tsiganov, L. V. Vizirenko, N. P.
Fexgin, 1977) on the effect of ultrasound on reactions of the cellular and
humoral immunity of palatine tonsils during chronic tonsilitis. One should
consider the substantiated recommendation for treatment of chronic tonsilitis
by the method of phonophoresis of interferon, which has proved to be more effect-
ive than the use of only ultrasound to be practically important.
Chapter 7 covers an analysis of the treatment with ultrasound of 3,000
patients with vasamotor rhinitis. A detailed presentation is given of a tech-
nique for examination and treatment of patients, descriptions are made of the
perfections introduced in recent years of a technique of endonasal ultrasonic
therapy and phonophoresis.
Chapter 8 is important; it generalizes the experience of treating Meniere's
disease with ultrasound. The authors have noted, that with the use of the gener-
ally known technique of sonication according to Arslan the approach to the semi-
circular canals is difficult (trepanation of the mastoid process is necessary).
In addition, often deafness occurs. The suggested method for irradiating the
vestibular region of the labyrinth that can be carried out after endaural tym-
panotamy through the window of the cochlea with the help of a generator and
minature emitter of special design, results in the disengagement of the func-
tion of the receptors without damage to the nerve formation of the anterior
5
section of the labyrinth. Prerequisites for the introduction into therapeutic
paractice of this method were results of experimental studies that covered the
effect of ultrasound on the vestibular region of the labyrinth in 163 animals
(Chapter 4).
In analysing the findings, the authors graphically have proved that a pre-
cisely focused thin ultrasonic beam results in the destruction of the neurosen-
sory and secretory epithelium in the peripheral section of the vestibular anal-
yzer /
 without having a significant influence or the function of the cochlear
receptors. Proof of this is both the results of morphochemical and neurohisto-
logical studies, and the indices for recording cochlear biocurrents induced by
sound signals of the same intensity in the frequency range 200-8,000 Hz.
The work is well illustrated with original photographs, figures, schemes
and graphs. However the monograph does have certain shortcomings. Thus, the
authors have not held to the new, generally accepted International Anatomical
Nomenclature TNA, using incorrect terms in naming certain structures of the ORL
organs, for example: "round window" instead of "cochlear window," "sinus of
Highmore" instead of "maxillary," etc. The last names of the domestic authors
are often cited without initials. Chapter 1 should be made more accessible for
a broad circle of readers, since it presents many formulas and schemes that are
primarily designed for engineering-technical personnel and present certain
difficulties for content interpretation by medical workers.
On the whole the book leaves one with a good impression.. It comprehensively
covers one of the important trends in modern otorhinolaryngology.
1r
^^yr^/^^l^•' lr^F`^J^t/+'i^^ US/,,y'yl^k 03^Gcazire /^
^C-7^
fr, .
6


Review of book-Ultrasound in Otorhinolaryngology

Abstract

Similar works

Full text

Available Versions

NASA Technical Reports Server