Saratov JOURNAL of Medical and Scientific Research

Kuchmin V.N.

Saratov State Medical University n.a. V.I. Razumovsky, Department of Otorhinolaryngology, Assistant

Determination of the projection of the front sinus in the preoperative period

Year: 2019, volume 15 Issue: №4 Pages: 839-842
Heading: Otolaryngology Article type: Original article
Authors: Kuchmin V.N., Mareev O.V., Mareev G.O., Aleshkina O.Yu., Afonina O.I.
Organization: Saratov State Medical University

Objective: to create an easy-to-use method for determining the parameters of the frontal sinus in the preoperative period for more effective and safe surgical treatment of the patient. Material and Methods. An algorithm for obtaining parametric projections of the frontal sinus, based on computed tomography of the head. Results. A parametric model of the frontal sinus with indication of its boundaries, wall thickness and depth was constructed on the basis of high-resolution computer tomograms. Using reference points and data of computer tomograms, a stencil of the frontal sinus was formed with its subsequent fixation on the front surface of the forehead, which can be a guide when choosing the optimal place for trepanation in surgical practice. Conclusion. The proposed method allows in the absence of expensive equipment, minimal costs and the need for personnel training to obtain an accurate parametric projection of the frontal sinus, containing the necessary information about the thickness of its walls and depth.

2019_04_839-842.pdf1.02 MB

Variability of linear parameters of frontal sinuses in adults

Year: 2018, volume 14 Issue: №2 Pages: 302-305
Heading: Human anatomy Article type: Original article
Authors: Mareev O.V., Aleshkina O.Yu., Mareev G.O., Kuchmin V.N., Afonina O.I., Kapustina N.Yu.
Organization: Saratov State Medical University

Objective: to identify the variability of frontal sinuses size patterns divided by sex and age in adults. Material and Methods. 83 X-ray computer tomograms of the head of adults without any signs of paranasal sinuses pathology and without traces of surgery on the external structures and internal nose in the history were studied. Results. It has been found the best pneumatized frontal bones in males; the rapid growth of the frontal sinuses occurs more in men in the 1st age group, whereas in women, the formation of the frontal sinus is smoother and more uniform during the whole life. Conclusion. Men have depth prevailing characteristics of frontal sinuses in the 1st age group and the width on the left side in the 2nd age group differing significantly in comparison to women group; height of the sinus in men decreases with age, whereas in women it does not change its value significantly; bilateral values for the parameters of the frontal sinus do not have reliable sex and age differences.

2018_2_302-305.pdf264.13 KB

The ethmoid sinus in the skull: modern views

Year: 2014, volume 10 Issue: №2 Pages: 245-249
Heading: Macro- and Micromorphology Article type: Review
Authors: Mareev O.V., Mareev G.O., Markeeva M.V., Kuchmin V.N.
Organization: Saratov State Medical University

Inflammatory diseases of the paranasal sinuses (SNPs) are one of the most urgent problems of otorhinolaryngology. The number of patients with inflammatory diseases of the UNP remains high in our country and abroad, despite the development and introduction of new advanced methods of treatment. From 15to 36% of patients with sinusitis are treated in the ENT departments. Over the last two decades the SNPs diseases increased more than 10 times in Russia. Therefore the diagnosis and treatment of sinusitis is an actual problem of modern otorhinolaryngology. It is necessary to develop effective, reliable and non-invasive diagnostic methods of sinusitis.

2014_02_245-249.pdf275.79 KB