No3(4) 2021
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DOI 10.37219/2528-8253-2021-3-77 |
Zaitsev A., Berezniuk V., Kovtunenko O., Lyshenko D., Morgachova A., Pakholchuk A.
Our experience of rare otolaryngological complications of coronavirus
infection |
Zaitsev Andrii V.
Dnipro State Medical University
Associate Professor of Otorhinolaryngology
Candidate of Medical Sciences, Associate Professor
Email: zavlor@ukr.net
ORCID ID: 0000-0002-2815-615X
Berezniuk Volodymyr V.
Dnipro State Medical University
Professor of the Department of Otorhinolaryngology
Doctor of Medical Sciences, Professor
Email: otologg@gmail.com
ORCID ID: 0000-0003-0336-9893
Kovtunenko Oleksandr V.
Dnipro State Medical University
Head of the Department of Otorhinolaryngology
Doctor of Medical Sciences, Professor
Email: lor@dsma.dp.ua
ORCID ID: 0000-0002-0562-7684
Scopus Author ID: 57215498685
Lyshenko Dmitry V.
Communal enterprise "Dnepropetrovsk Regional Clinical Hospital named after
I.I. Mechnikov "Dnepropetrovsk Regional Council"
Head of the Department of Ear Microsurgery
Candidate of Medical Sciences
Email: dmitrylist1967@gmail.com
ORCID ID: 0000-0002-5116-5839
Morgachova Anna K.
Communal enterprise "Dnepropetrovsk Regional Clinical Hospital named after
I.I. Mechnikov "Dnepropetrovsk Regional Council"
Candidate of Medical Sciences
Email: aleks1923@gmail.com
ORCID ID: 0000-0001-8913-3923
Pakholchuk Anna B.
Communal enterprise "Dnepropetrovsk Regional Clinical Hospital named after
I.I. Mechnikov" Dnepropetrovsk Regional Council"
Email: anna.pakholchuk@gmail.com
ORCID ID: 0000-0002-7166-6358 |
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Abstract
Introduction: COVID-19 disease can lead to serious complications of
the ENT organs. Among them are the developments of aseptic thrombosis of the
arteries of the ENT organs and face, as well as auditory dysfunction.
Purpose: to investigate changes in auditory function and blood supply
to the ENT organs of patients which underwent
coronavirus COVID-19.
Materials and methods: examination and treatment of patients with
complications of coronavirus infection: facial soft tissue thrombosis (2)
and auditory dysfunction (38).
The results obtained: Coronavirus infection in two patients resulted
in thrombosis of the soft branches of the internal and external carotid
arteries with the development of necrosis of the mucous membrane of the
lateral wall of the nose, nasal sinuses, septum and palate, which required
surgical treatment.
Acute sensorineural hearing loss with an increase in thresholds of sound
perception to 40 dB was observed in 23 (60.5%) patients, and most of them
(19 people) suffered from severe coronavirus infection and received
comprehensive treatment (hormones, anticoagulants, etc.). Hearing loss with
an increase in the threshold of sound perception to 40-60 dB was
determined in 15 (39.5%) patients, of whom only 5 underwent severe COVID-19.
Conclusions: Patients who have undergone a coronavirus infection
caused by the SARS-CoV-2 virus may develop
otolaryngological complications in the form of auditory dysfunction or
arterial thrombosis. More severe bilateral damage to the
auditory analyzer occurs in patients who underwent mild COVID-19 and did not
receive anti-inflammatory therapy.
The use of glucocorticoids and anticoagulants for the treatment of
coronavirus infection on time prevents the development of complications from
the auditory analyzer and blood coagulation system. |
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Keywords
Coronavirus infection, arterial thrombosis, sensorineural hearing loss. |
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