Vol. 2 No. 07 (2022): Volume02 Issue07

Purpose of the study. Modification of the technique of the combined operation of endonasal endoscopic dacryocystorhinostomy (EEDCR) with simultaneous correction of intranasal structures..

Material and methods. 13 patients (18 eyes) with chronic dacryocystitis in combination with various pathologies of the nasal cavity and paranasal sinuses were examined. The age of patients ranged from 31 to 65 years, mean age 48±2.5. Concomitant pathology of the nasal cavity and paranasal sinuses: deviated septum - 4, hypertrophy of the middle turbinates - 4, combination of deviated septum with hypertrophy of the middle turbinate - 5.

Results. All patients with deformity of the nasal septum and hypertrophy of the turbinates were started with their elimination in the form of septoplasty, conchotomy, or lateroposition of the middle turbinates. Intervention on the lacrimal ducts was started after preliminary anemization with 0.1% adrenaline under the control of a KarlStors 0 and 30° endoscope. The operation was performed according to the methodology proposed by the authors of the study. In order to prevent the development of synechia of the nasal septum from the lateral wall on both sides, silicone splints were introduced into the nasal cavity and fixed with through sutures on the septum for up to 10 days. In the area of the formed dacryocystorhinostomy, in combination with tubular plasty, a silicone tube was brought into the nasal cavity, into which loose ointment swabs were additionally inserted for 1-2 days.

In the postoperative period, systemic antibiotic therapy was prescribed for 5-7 days and corticosteroids with daily toilet of the nasal cavity for 7-10 days. Splints were removed after 10 days, silicone tubes after 3-6 months. In 2 patients, a granuloma was noted, which caused episodic epiphora.

Conclusion. Careful preoperative preparation, combined operations that prevent the development of synechia using modern technologies, and good postoperative care are the main factors in the effectiveness of the treatment of this pathology.

The paper describes the etiological factors of iatrogenic nature that contribute to the occurrence of maxillary sinusitis, its pathogenesis, features of the clinical course and modern diagnostics. A comparison of surgical techniques that are used for surgical treatment is given, and the tactics of managing patients in the rehabilitation period are described. The necessity of developing new methods of complex treatment and methods of rehabilitation of patients with maxillary sinusitis is substantiated.

This article describes the global pandemic of coronavirus infection (COVID-19), the clinical course of the disease, comparative monitoring of incidence in the Republic of Uzbekistan, preventive measures and measures taken against the spread of coronavirus infection in the army during the pandemic. , development of proposals for further improvement of its effectiveness.

Targets: This review study analyzes the distinctions of the fibrocystic phase of Pathology with idiopathic interstitial fibrosis utilizing High-goal Processed Tomography , imaging elements and evaluation of the seriousness and degree of the infection.

Strategies: 81 patients with biopsy analyzed aspiratory sarcoidos is and 81 patients with Steady interstitial pneumonia  were incorporated. All went through HRCT filter. Discoveries were assessed per lung curve. The seriousness of illness was measured per component and generally speaking with the Gay - Watters score.

Conclusion: The miniature nodular example exceptionally shows Pathology, while honeycombing and ground glass with footing bronchiectasis are related with UIP. These highlights can help on separation, when sickness gives itself Fibrocystic HRCT qualities at analysis.