Перегляд за Автор "Rudnytska, Kh. I."
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Документ A clinical case of cluster headache in a patient with recurrent rhinosinusitis(Полтавський державний медичний університет, 2023) Moskalyk, O. Ye.; Bilash, S. M.; Pronina, O. M.; Rudnytska, Kh. I.; Dats, I. V.; Haba, M. Ye.; Москалик, О. Є.; Білаш, Сергій Михайлович; Проніна, Олена Миколаївна; Рудницька, Х. І.; Дац, І. В.; Габа, М. Є.Given the polygamy of symptoms of rhinosinusitis, including pain in the frontal part of the head, it is sometimes difficult to differentiate the cause of the latter. Therefore, patients with rhinosinusitis, in whom the nature of the pain is not typical, does not correspond to the severity of inflammation of the mucous membrane of the nasal cavity and paranasal sinuses, and is not amenable to treatment, need consultation with related specialists to determine further treatment tactics.Документ A clinical case of cluster headache in a patient with recurrent rhinosinusitis(Полтавський державний медичний університет, 2023-08-28) Moskalyk, O. Ye.; Bilash, S. M.; Pronina, O. M.; Rudnytska, Kh. I.; Dats, I. V.; Haba, M. Ye.; Москалик, О. Є.; Білаш, Сергій Михайлович; Проніна, Олена Миколаївна; Рудницька, Х. І.; Дац, І. В.; Габа, М. Є.Rhinosinusitis is a widespread disease in most countries of the world, has an annual prevalence of 6-15% and is usually a consequence of Acute Respiratory Viral Infection. The purpose of our work was to study the clinical case of a patient with cluster headaches on the background of recurrent rhinosinusitis. The article presents a clinical case of cluster headache in a patient with recurrent rhinosinusitis, who, according to the treatment protocol, was prescribed an antibiotic, nasal rinsing with saline solutions, complex herbal preparations with decongestant, anti-inflammatory and secretolytic effects, analgesics and intranasal glucocorticoids. On the background of the prescribed treatment, inflammation of the mucous membrane of the nasal cavity and paranasal sinuses began to regress; however, the headache intensity did not change. Improvement in the patient’s general condition and clinical recovery was achieved only after consultation and treatment correction by a neurologist. This clinical case indicates that patients with rhinosinusitis, in which the nature of the pain is atypical, does not correspond to the severity of inflammation of the nasal mucosa and paranasal sinuses, and is not treatable, should consult related healthcare specialists to determine further treatment tactics.The analysis of clinical cases of patients with sinus pathology and the study of their structural features, innervation and blood supply significantly complement the teaching of human anatomical variability in age, gender and constitutional aspects.Документ Frequency analysis of isolated and combined lesions of the maxillary and frontal sinuses according to X-ray data(Полтавський державний медичний університет, 2023) Rudnytska, Kh. I.; Moskalyk, O. E.; Pronina, O. M.; Bilash, S. M.; Chelpanova, I. V.; Chaly, I.-V. T.; Diskovska, Yu. B.; Рудницька, Х. І.; Москалик, О. Є.; Проніна, Олена Миколаївна; Білаш, Сергій Михайлович; Челпанова, І. В.; Чалий, І.-В. Т.; Дісковська, Ю. Б.One of the actual problems of modern otorhinolaryngology is a significant increase in the incidence of paranasal sinuses, in particular acute and chronic sinusitis, which, according to the literature, is 1.5-2% per year. The purpose of our research was to study and compare the frequency of isolated and combined sinusitis of the maxillary and frontal sinuses according to radiographic examination data. 100 anonymized radiographs of persons of mature age (50 men and 50 women) who were examined by referral for inflammatory lesions of the paranasal sinuses were analyzed. All images were taken in the occipito-mental projection according to Waters, which allowed visualization of the maxillary and frontal sinuses. Different variants of isolated or combined inflammatory lesions of the maxillary and frontal sinuses were found in the studied sample. Signs of one- or two-sided catarrhal or exudative sinusitis were observed in all processed Xrays. In 84% of the examined persons, a lesion of only the maxillary sinuses was diagnosed, in 16% of the examined, a combined lesion of the maxillary and frontal sinuses was detected. Not a single case of isolated frontitis was found in the studied sample. According to radiographic examination, inflammatory processes in the maxillary sinuses are observed 6 times more often than in the frontal sinuses. Isolated lesions of the maxillary sinuses are found 5 times more often than combined lesions of the maxillary and frontal sinuses.