English learners have heard more than once about the language barrier, which refers to the fear of speaking in a foreign language. However, few people mention that there is also an auditory barrier - poor understanding of speech by ear. What is the cause of this obstacle and how to destroy it? How to learn to understand English by ear? We answer these and other questions in today's article.
Objective – To improve the results of surgical treatment of various defects of the auricle by improving the methods of otoplasty.
Material and Methods - The study included patients with acquired traumatic defects and III degree inborn folded auricle. The work was carried out in the Department of Plastic and Reconstructive Microsurgery of the State Institution " RSSPMCS named after Academician V. Vakhidov" for the period from 1990 to 2020. In general, the comparative analysis of the results included 38 patients in the main group, among them in 13 (34.2%) cases there were defects with extension to the central part of the auricle, 15 (39.5%) patients with III degree deformity of the auricle (folded auricle), as well as in 9 cases - marginal defects of the auricle and in 1 case a patient with a total traumatic defect. The comparison group included 28 patients, 16 (57.1%) - defects with extension to the central part of the auricle and 12 (42.9%) patients with III degree deformity of the auricle. Accordingly, the effectiveness of the proposed otoplasty method for ear defects was assessed according to two categories of pathologies - defects with extension to the central part of the auricle and grade III ear deformity (folded auricle). The average age in the main group was 22.4 ± 1.3 years, in the comparison group 19.4 ± 1.9 years.
Results - Improved methods of reconstruction of an amputated but preserved auricle, with a peripheral defect of the auricle, with a folded auricle, and reconstructive otoplasty with defects with the capture of the central parts of the auricle are proposed. In total, complications developed in 8 (29.6%) patients in the comparison group and 2 (7.1%) in the main group. At the same time, the incidence of surgical complications, which subsequently led to the need for re-reconstruction, was 11.1% in the comparison group. There were no complications in the main group. In total, 6 (22.2%) additional stages of otoplasty were performed in the comparison group. In the main group, an additional stage of surgery was required only in 1 (3.6%) case of the formation of an unnatural skin fold. There was also a statistically significant difference in the number of additional plastic surgery stages performed for the complications noted above (criterion χ2 = 4.305; df = 1; p = 0.039). The average duration of surgery in the comparison group for all stages of reconstructive otoplasty was 220.7 ± 2.7 minutes, and in the main group after 2-stage otoplasty according to the proposed method - 189.5 ± 1.9 minutes (t-criterion = -9 , 60; p <0.05).
Conclusion - The improved method of otoplasty in case of grade III defects or deformities of the auricle made it possible to reduce the overall incidence of complications from 29.6% to 7.1%, and to reduce the need for repeated reconstructive interventions from 22.2% to 3.6%, which, in general, led to a decrease in the period of complete rehabilitation from 4.4 ± 0.1 to 3.7 ± 0.1 months.
Research object: 126 patients: 66 of them suffered from congenital malformation development of car, 36 suffered from squarrosc auricles, 24 suffered form traumatic injury of auricles.
Purpose of research: Improvement of Reconstructive-Plastic Operations Methods at Congenital Malformation Development of Ear and at Traumatic Injury of Auricle.
Research methods: Roentgenography of mammillary processes; computer tomogram; acumctry; audiometry; anthropometric examinations; genetic examinations; examination of psycho-emotional conditions.
Received results and their novelty: A new method of plastic of external acoustic meatus has been developed and implemented into clinic practice with the help of two skin flap on feeder legs, which provides full restoration of its lining and this method eliminates postoperative complications (An acknowledgment of receipt IAP 2003 1011 has been received). Methods of Auricle correction during its squarrosc has been modified, and these methods form relief structure and eliminate wearing of fixed bandages. Methods of restoration of helix and lobule of auricle have been developed. These methods arc used to restore isolated and combined posttraumatic defects, and these methods allow to obtain satisfactory anatomic-aesthetic results (An acknowledgment of receipt IAP 2003 1010 has been received).
Practical significance of works: The developed methods of plastic operation of external acoustic meatus and of auricle provide stable clinical effect, improve cpithclization conditions and prevent from occurring of cicatricial obliterations, and provide good anatomic-functional effect, which is of high aesthetic significance.
Degree of implementation: The results arc implemented at otorhinolaryngologic clinic of Second Tashkent State Medical Institute.
Field of application: Otorhinolaryngology.
Slightly reasoning process has expressive and logical aspects, these makings are indissolubly linked with the perception ofspeech by ear. The instruments of speech insight by ear
are well studied in science. The first instrument, which psychologists call language awareness. Convinced feelings are meant to rouse.
Slightly reasoning process has expressive and logical aspects, these makings are indissolubly linked with the perception of speech by ear. The instruments of speech insight by ear are well studied in science. The first instrument, which psychologists call language awareness. Convinced feelings are meant to rouse.
Age-related changes in auditory function in atherosclerosis are based on morphological changes in the inner ear. The problem of pathology of the inner ear, which occurs against the background of vascular atherosclerosis, has not been sufficiently studied, and therefore it is advisable to conduct further study of the state of cerebral circulation for the diagnosis and treatment of elderly patients. To achieve this goal, we examined 60 people aged 55 to 70 years. Taking into account the data on the state of auditory function, REG, ECG and other studies, patients suffering from sensorineural hearing loss on the background of atherosclerosis and osteochondrosis of the cervical spine were treated. In the presence of osteochondrosis of the cervical spine, patients were recommended physical therapy, massage of the cervical-thoracic spine up to 10-20 sessions (taking into account blood pressure), complamin, calcium pangamate, cerebro-lysine, relanium. After the therapy, all patients showed an improvement in the perception of whispered and spoken speech.
Respiratory allergosis includes diseases in the pathogenesis of which allergies play a decisive role, and in the clinical picture, symptoms of respiratory damage come to the fore. Allergic lesions of the respiratory system are quite common in children, especially early and preschool age. It is believed that allergic diseases of the nose, pharynx and ear account for 50-60% of all cases of diseases of these organs in children [1, 5, 7]. In recent years, the doctrine of the reactivity of the organism has been successfully developed [2, 4]. Allergic reactivity is understood as the development of a specific hypersensitivity of the body to the effects of genetically alien substances - allergens. Determination of the allergic reactivity of the organism of patients is of great practical importance [3, 6]. In this regard, there is a need for detailed studies related to clarifying the features of the allergic reactivity of the body in various diseases.