Vol 13, No 2 (2014)

We report the development of a combined method for the application of the medicinal hydrogel depo-system “Kolteks” in combination with low-frequency magnetic therapy following the surgical interventions for the treatment of pyo-obstructive processes affecting ENT. A total of 145 patients were available for the observation after endoscopic surgery on frontal or maxillary sinuses and anthromastoidectomy. The patients were divided into two groups. The study group was comprised of 100 patients who had undergone the surgical intervention including the intraoperative application of the medicinal hydrogel depo-systems “Kolteks” in the form of the gels of different consistency, matrices, and disks. During the postoperative period, the sinuses were rinsed with the Kolteks-ADL and Kolteks-AKL gels diluted 1:7. Magnetic therapy targeted at the postoperative wound was initiated as soon as 5-7 hours after surgery. The control group consisted of 45 patients who had undergone the surgical intervention and the postoperative treatment with the use of standard therapeutic modalities. Dynamic observations showed that the consecutive application of the hydrogel depo-systems “Kolteks” in combination with magnetic therapy following the surgical intervention makes it possible to reduce the requirement for parenteral application of pharmaceutical products by means of lowering the doses of medications by approximately 1.5 times. As a result, the risk of allergic impacts on the organism decreases along with the frequency of toxic effect of medicamental therapy. In the postoperative period, the patients reported marked relief of pain while the amount of rhinogenic microflora and microbial associations decreased by 2-3 times. The study has demonstrated that the application of medicinal hydrogel depo-systems “Kolteks” in the combination with low-frequency magnetic therapy following the surgical interventions for the management of otorhinolaringological problems promotes regression of inflammation-induced changes revealed by cytological investigations, such as the formation of many-layer granulation tissue within 3 days after surgery, which confirms the acceleration of the wound healing process and the decrease in the intensity of hyperemia and oedema. The formation of granulation tissue in the patients of the control group occurred 4-5 days later. It is concluded that the application of the medicinal hydrogel depo-systems “Kolteks” for the local treatment of postoperative wounds and sinuses ensures the maintenance of medicinal preparations in them in the therapeutically significant concentrations during 24-72 hours.

The present study included a total of 43 patients presenting with mandible fractures concomitant with the sensori-paresthetic disorders diagnosed by clinical and neurophysioloical methods. The results of the study confirm the important role of neurotrophic factors in the development of mandibular osteomyelitis. We used the “Miovolna” apparatus for electrical neurostimulation in combination with laser therapy, besides the traditional treatment for the management of the participants of the study. Taken together, the two therapeutic modalities made it possible to decrease the severity of pain syndrome, promoted normalization of the neurologic symptoms, accelerated regeneration of the tooth socket and bone wound, and reduced the probability of the development of complications of mandibular fractures.

The study included 75 patients with mild arterial hypertension (AP=<160/100 mmHg) selected for non-medicamental correction of AP by the traveling magnetic field (TMF) applied to cervical sympathetic ganglia (CSG) with the help a magnetik simpatokor (Russia). The results were compared with those obtained by the standard cervicocollar method and in the placebo group. AD was measured at single time-points or by 24 hour monitoring. The state of the vegetative nervous system was evaluated by rhythmocardiography. Vascular wall rigidity served as a predictor of risk of AH and cardiovascular pathology. It was shown that magnetic sympathocorrection in AH allows AP to be normalized in 75.8% of the patients and reduces the number of patients with hypersympathicotony by 2.5 times with simultaneous decrease of vascular wall rigidity to the normal values. It is concluded that magnetic sympathocorrection can be recommended for the treatment of mild AH and prevention of serious cardiovascular diseases.

Chronic venous insufficiency (CVI) is a serious socio-economic problem facing many developed countries including Russia. The causes underlying the development of this condition include varicose veins, post-phlebitic syndrome, and congenital arteriovenous anastomoses. The programs of rehabilitative treatment of chronic venous insufficiency include balneotherapy and instrumental physiotherapy, therapeutic exercises, medicamental therapy, compression therapy, the adequate dietary, physical activity, and rest regimens, compliance with the personal hygiene procedures. The key role is played by physiotherapy. The following principal physical factors are used to support the rehabilitation program: magnetic therapy, laser therapy, intermittent pneumatic compression, darsonvalization, galvanization, drug electrophoresis, UHF electric field, ultraviolet irradiation, and electrostimulation with the use of a “LYMPHAVISION-Expert” apparatus.

The present work is devoted to the problem of enhancement of the effectiveness of the management of the children presenting with secondary immune deficiency and concomitant progressive myopia in the context of the clinical and experimental substantiation of the transcranial application of a pulsed low-frequency electromagnetic field (PLFEMF) for the combined treatment. It was shown based on the observations of experimental secondary immune deficiency that PLFEMF exerts the anti-inflammatory action. The introduction of this technique into the combined program for the prevention of relapses of acute respiratory viral infection in the patients of the present group makes it possible to reduce the frequency of clinical manifestations of infectious syndrome, achieve stabilization of progressive myopia in 56.3 - 60% of the patient, and decrease the annual gradient of progression of myopia.