Method for treating cartilaginous curvatures of nasal septum

FIELD: medicine, otorhinolaryngology.

SUBSTANCE: one should perform local anesthesia to make deformed part of curved cartilage be anemic. Mechanical impact upon the cartilage of deformed part of nasal septum should be carried out after its distance heating due to laser radiation. Impact should be performed due to successive smoothing out the parts with a curved manual holder with thickening at its end to be then coincide with distance-contact additional heating due to laser radiation of adjacent cartilaginous parts. Treated part of nasal septum should be heated along the perimeter and kept with Killian's speculum. The innovation broadens technological abilities and simplifies therapy.

EFFECT: higher efficiency of therapy.

3 cl, 1 dwg, 3 ex

 

The invention relates to medicine, and more particularly to surgical methods and tools for the nasal cavity, and can be used to correct the shape of the nasal septum in the treatment of anomalies her cartilage using light radiation.

The level of technology in this field of medicine describes a method for correcting the shape of the cartilage tissue, is described and the patent RU 2114569, AND 61 IN the 17/24, A 61 N 5/06, 1998, in which the field curvature of the cartilage was useprivacy mucosa, then the cartilage plate was straightened and was fixed with a clamp.

Bend line of the cartilage were irradiated with carbon dioxide laser with a wavelength of 10.6 μm, a pulse duration of 0.2 s and a capacity of 1-2 watts. The radiation is focused to a spot diameter of 2 mm that was traveling through the optical system along the fold line of the cartilage with a speed of 0.03 cm/s

After irradiation the clip was filmed and performed a visual inspection of the shape changes of the nasal septum. The operation is performed under local anesthesia, in an outpatient setting, is characterized by low krovopoterei, prevention of recurrence of the deformity.

The disadvantages of this method are the probabilistic result of the correction of the shape of the cartilage due to the lack of active control, which resulted in a possible repeat of the operation, as well as the complexity of chirurgeons the th branch of the mucous membrane of the curved portion of the nasal septum, then returned to the place.

Noted shortcomings in the treatment of cartilage of the nasal septum, including local anesthesia and enemizati deformed parts, the mechanical action of the tool and the local heating of the cartilage tissue to a temperature of 70-80°With laser radiation through the submission manual holder with a fixed inside the optical fiber, while exercise active control to change modes of processing, then upon reaching the relaxation of mechanical stresses processed cartilage tissue laser radiation is switched off, and nasal septum hold on the tool to cool, after which the nasal cavity is injected fixing pad (see international application WO 01/22863 A2 from 05.04.01, A 61 B 17/24).

Matched with the load to the inner surface of the nose branches lever-spring tool is fitted adjacent to the curved portion of the nasal septum slot, along which moves through the fiber holder fiber laser radiation.

The tool is provided with the mechanism for moving the light beam relative to the deformed cartilage and strain sensor associated with the control apparatus for the active control, mainly on the strength of the response of cartilage to mechanical impact and form in which ernesti processing section.

When mechanical action is curved portion of the nasal septum is deformed, and then the elastic cartilage is heated by laser radiation and plastically takes the form of the branch tool. Upon cooling, the treated portion of the nasal septum in benevolent position on the tool cartilage restores elasticity and stores the specified form. Thus widen the nasal passage and facilitate nasal breathing.

However, the known method selected by the technical nature and the number of matching characteristics as the closest analogue is of limited use, mainly to eliminate the angular protrusions on the nasal septum, commensurate with the slot of the laser radiation on the instrument. The disadvantage of this method is unsatisfactory treatment of the curvature of the cartilage due to the fact that the surface of the branch tool incongruent surfaces mechanically deformed nasal septa different profile.

For the treatment of thorns, layers of the nasal septa and f-, S-shaped thickenings (from 4 to 10 mm) required multi manipulation reorient the tool that requires the unique skill of the physician that cannot be used practically universal.

Task to be solved by the present invention is directed, is to expand the group of technological capabilities and simplify the known method.

The required technical result is achieved by the fact that in the known method, including local anesthesia and enemizati deformed parts, mechanical impact tool, the local heating of the cartilage tissue to a temperature of 70-30°With laser radiation through the submission manual holder with a fixed inside the optical fiber, while exercise active control to change modes of processing, then upon reaching the relaxation of mechanical stresses processed cartilage tissue laser radiation is switched off, and nasal septum hold on the tool to cool, after which the nasal cavity is injected fixing the tampon according to the invention:

- mechanical effects on the cartilage of the deformed part of the nasal septum is carried out after remote heating by laser radiation, and mechanical influence exercised by successive smoothing areas by bent holder with a thickening at the end, which is combined with remotely-pin additional heating by laser radiation, the mating sections of cartilage and obrabotannoy part of the nasal septum warm up on the perimeter, fix and hold the nose mirror Killian;

in cartilage thickening of the nasal septum f-and S-shaped spikes and layers pre is varicella, by emitting fiber-optic waveguides to form at least one channel in the sagittal plane parallel to the bottom of the nose, on which the outside mechanical influence of the branches of nasal mirror Killian;

- when heated, the cartilage of the nasal septum fiber light guide keep at a distance of 2-4 mm from the treated surface;

- mechanical effects by smoothing the deformed part of the nasal septum exercise thickening at the end of the manual holder and bent part.

Distinctive features expanded the scope of application of the method of treatment of the curvature of the cartilage of the nasal septum by eliminating various anomalies of its form due to the gradual transfer thermodynamically uneven condition of the cartilage (from external influences) in uniform, changing the stress gradient in the nasal septum at the election of deformation.

The proposed method guarantees the quality of the processing of the curvature of the cartilage to correct the shape of the nasal septum and ensures the proper aerodynamics of the middle nasal passage - the main thoroughfare of nasal breathing, that is completely restored the functionality of the middle nasal passage.

Mechanical effects on the cartilage of the curved part of the nasal septum is carried out after heating by laser radiation that p is allowed to purposefully distort the cartilage in plastic condition, ensuring the achievement of the required functional form partitions for free nasal breathing.

The implementation of mechanical impacts on a preheated cartilage sequential smoothing plots provides active formation of manually selectively based on the results of the visual inspection of forms processed partitions and force response of cartilage to mechanical impact.

The combination of phased vyhladavania with remotely-pin additional heating by laser radiation, the mating sections of cartilage reduces operation time, so that gradually prepares the cartilage for continuous plastic deformation.

Finish heat treated part of the cartilage along its perimeter removes residual thermal and mechanical stresses in the nasal septum and aligns thermodynamic state of the cartilage tissue from non-uniform external influences during operation.

The preliminary formation of a channel in the cartilage thickened (>4 mm) of the nasal septum f - and S-shaped spikes and layers by emitting optic fiber in the sagittal plane parallel to the bottom of the nose forms a weakened section for the plastic protrusions septum deformation of cartilage by an external mechanical impact bra is our nasal mirror Killian.

Distance of 2-4 mm when heated cartilage to mechanical impacts optimized experimentally for the achieved quality and processing speed, which varies depending on the physical and mechanical properties of cartilage.

The use of the tool, which is fixed to the light emitter, for mechanical effects by smoothing through a curved portion of the holder and its thickening at the end simplifies the technology and physically extends the variety of dynamic mechanical manually on different parts of the cartilage of the nasal septum directly.

Active control over the manipulation of the cartilage of the nasal septum improves the quality of treatment, so that is out of line and allows proportioned to carry out operations on its curved areas, where possible on the plasticity of cartilage and is necessary for the formation of functionally important changes in the shape of the nasal septum.

Therefore, every significant topic are needed, and their combination is sufficient to achieve the novelty of the quality, not the inherent characteristics of dissociation, that is achieved with amounts of essential features.

The drawing schematically shows used in the proposed method of treatment instrument containing tubular hand holder 1 which is fixed with the possibility of relative axial movement of the fiber light guide 2, associated with the generator of laser radiation with a wavelength of 0.97-0.98 μm, in particular "Lason-10P" (conventionally not shown).

The holder 1 is made with a bent knee and thickening of the 3 on the end, which are designed for mechanical effects on the treated cartilage of the nasal septum.

Inside the nasal passage, after preparation for surgery deformed part of the cartilage of the septum, enter the nasal branches of the mirror Killian, which open and consistently promote after coaxially located manual holder 1 is fixed fiber light guide 2. Through the light guide 2 implementing a phased remote (2-4 mm) heating sections of cartilage laser radiation with a wavelength of 0.97-0.98 μm, combined with the mechanical effects on the protruding part of the nasal septum in the perpendicular direction.

Strength of reaction to mechanical impact choose plastic (hot) section of cartilage, which is deformed by various manipulations, namely, through thickening 3 curved part of the holder 1 along the trajectory intersecting lines or closed curves, performing remotely-contact mechanical effects on the treated cartilage.

This automatically leads to additional warming of the mating sections protruding part of the cartilage, which is then selectively sledovatelno treated the same as the above.

After completing the processing of the curved part of the nasal septum, which is controlled visually by the formation of the desired architecture of the nasal cavity, the perimeter of the deformed area heated by the laser receiving to relieve internal stresses in unevenly heated cartilage of the nasal septum.

Then after the relaxation of mechanical stresses in the treated cartilage tissue laser off and the holder 1 with the optical fiber 2 is removed from the nasal cavity and the nasal septum hold on the branches mirrors Kalpana to cool her cartilage elasticity is fully restored.

After removal of the nasal mirror Killian in the nasal cavity is injected fixing elastic tampon for a few hours.

Used by the author experimentally technological parameters and modes of local heating by laser radiation cartilage deformed part of the nasal septum and mechanical effects, reducing the desired shape of the nasal septum, are the subject of "now-haw" and are beyond the scope of this application.

The invention is illustrated by specific examples, which do not limit the scope of the claims the essential features of the formula.

Example 1. K-VA I.A., 46 years old (case history 014147) turned 18.03.03 with complaints of headache, slabost is, the increase of temperature up to 37.5°With nasal congestion. The patient considers himself 3 weeks.

Was treated with antibiotics in tablets, drops in nose without any visible effect.

Similar symptoms were observed before for several years, but were much less pronounced and was held against the background of treatment with antibiotics for acute sinusitis.

History: head injury, peptic ulcer, resuscitation regarding gastrointestinal bleeding in January of last year.

During the inspection it was noted the nasal septum in the form of the f-shaped thickening of the anterior-medium departments, which almost completely overlaps the middle of the bow on both sides; a small amount of turbid phlegm in the depth of the nasal passages (more left), and increase the blueness of the nasal Concha, mucus in the back of the throat, redness of her mucous, purulent tube in the gaps of the tonsils, which are changed by the scars.

When computed tomography of the paranasal sinuses revealed signs of chronic pansinusitis, f-shaped curvature of the nasal septum.

At the same time the blood was not changed, the total number of cells does not exceed the upper limit of normal.

Diagnosis: chronic pansinusitis in a stage of slow deterioration, hypertrophy of the turbinates, deviated nasal, perehara the key, chronic tonsillitis, pharyngitis.

It was planned intranasal endoscopic laser functional policyname with correction of intranasal structures.

Indication for laser plastic was a gross violation of aerodynamics significant (9 mm) thickening of the cartilaginous part of the nasal septum, which interfere with the cure of sinusitis by punctures and courses of antibiotic therapy.

Operation. Local application anesthesia and anemicare: and the General of the bow put cotton swabs soaked in 10%lidocaine solution with the addition of two drops of 0.1%adrenaline for 20-30 minutes.

In General the bow to the right and entered divorced branches nasal mirror Killian, placed where the holder of the fibre (diameter 0.6 mm) of the laser radiation wavelength 0,975 μm with a speaker of its end, which is actively absorbed by the oxyhemoglobin - component vessels of the mucous membrane of Podhradie and water, which are the main components of cartilage, heated at the same time.

The light guide summed up right to the ledge of the nasal septum at a distance of 2.5 mm from its top. After that, a laser power of 5 W is turned on and begins dipping the fiber into cartilage in the sagittal plane parallel to the bottom of the nose to a depth of 10 mm Through 1 with Svetovid extracted from locally magnetoplastic cartilage, where it formed a channel with a diameter of 1 mm, the Laser is turned off.

Then on the ledge of cartilage formed over the channel were made using mechanical pressure through the branches mirrors Killian, resulting in a 2 mm was formed recess. The remainder of the protrusion of cartilage overlying the greater part of the lumen of the middle nasal passage was then removed by laser plastics: smoothing with simultaneous remotely-contact mechanical effects.

The laser power is set to 6 W and transmitted through the fiber to the optical fiber fixed in the hollow sinocom tubular holder with a thickening at the end (see drawing).

First was carried out remote (2-4 mm) heating the base of the remainder of the protrusion of cartilage with tool movement to the top. Then contact-distance movements (parallel and intersecting lines, closed concentric circles or eights) was carried out by pressing of the impact of smoothing through the bent knee of the holder and its thickening at the end of the heated areas of the cartilage of the septum. Exposure of these manipulations is 3 C.

Force response of cartilage in the plastic state when it is warmed up, absorbing the energies of the laser radiation, defined area for mechanical burnishing. When carrying out the AI vigliani simultaneously making contact-remote additional heating of the laser radiation of the mating section of the cartilage, preparing it for subsequent smoothing.

Conducting sequential smoothing ledge cartilage areas, carry out a visual check of the form walls, which give the result of the functional form, fully opening the middle of the bow to the right in the smoothing ledge that allows you to spend intranasal endoscopic presinusoidal.

To remove stress in unevenly heated the cartilage of the septum from the local external thermo-mechanical effects is heating of the laser-treated area on the perimeter, which due to the heat causes the cartilage in thermodynamic equilibrium, eliminating reactive deformation.

Similarly processed protrusion of the nasal septum to the left.

Fixing elastic nasal swabs were introduced for a few hours.

The duration of treatment in the day hospital one bed-day.

Operation under local anesthesia and the postoperative period without complications. Nasal breathing fully recovered. The follow - up period was 2 months. The treatment resulted in the complete recovery.

Example 2. L s A., 1989 birth history 1689).

Complaints about the difficulty of nasal breathing, frequent colds. Repeatedly treated about adenoid, acute catarrhal otitis media, bilateral acute and prevosto Onego of sinusitis.

History: postnatal encephalopathy with hypertensive syndrome, drug Allegria, infectious mononucleosis.

When the ENT examination: nasal septum S-shaped curved upper curve to the right and overlaps the middle of the bow, coming into touch with the middle nasal sink on the right and left lower curve refers to the lower turbinate. Nasal turbinates are enlarged, cyanotic. The nasal passages are narrowed. Nasal breathing is difficult. On the back of the throat mucus granules lymphoid tissue. In the gaps of the tonsils purulent tube. Adenoids 2nd degree. The eardrum with deformed light cone. The hearing has been saved.

Diagnosis: nasal septum, vasomotor rhinosinusitis and eustachitis without exacerbation, chronic adenoiditis, chronic tonsillitis out of aggravation.

Made of surgical treatment, including laser thermoplastic cartilage of the nasal septum 11.02.03.

Operation: under the local application anesthesia with 1 ml of 2%lidocaine solution together with two drops of 0.1%solution of epinephrine on cotton pads carried in the nasal cavity to the desired areas of anesthesia of the mucous membrane of the nasal septum 30 minutes, using a nasal mirror Killian visualized area of the planned impact on the right is the curvature of the upper parts of the nasal PE is gorodki, which overlaps the middle nasal passage and in contact with the middle nasal sink. The thickness of the cartilage in this place does not exceed 3 mm.

Manual holder (tool) bare fiber tip under visual control is introduced into the nasal cavity between spaced branches nasal mirror Killian and connected to the protrusion of the nasal septum at a distance of 2-4 mm, where for 4 was carried out with heating of the deformed cartilage area of 2 cm square quick stroke and in a circular motion. The turbidity of the cartilage serves as a signal to move to the mechanical smoothing heated plastic hanging bent knee holder and his levobrezni thickening at the end. Smoothing combined with additional heating of the combined areas of cartilage contact-remote laser radiation within 2 C.

On the enlightenment of cartilage, which occurred during these 2, the protrusion walls completely subsided. While the surface was slightly shifted to pressure the branches mirrors Killian. Departing 2 mm from the edge of the branches around the perimeter of the processed surface of the nasal septum is produced by heating with laser radiation for 1 to relieve residual stresses in the cartilage, then the radiation is switched off, and the holder with a fixed svetovolokna removed from the nasal cavity.

Just to thermop is asticou upper protrusion of the nasal septum to the right spent 7 with power output of laser radiation with wavelength 0,975 μm 6.2 watts.

Completes the operation of natural cooling cartilage together with your mirror Killian, which is then removed from the nasal cavity, which is placed for a few hours fixing the pad.

As a result of the operation, the average nasal passage was opened, which provided for the restoration of nasal breathing through the right half of the nose.

In this way eliminated the ledge to the cartilage on the left in the lower part of the nasal septum, which in the end is not in contact with the lower nasal sink.

Observations on the present revealed no recurrence of the curvature or negative impact thermoplastic nasal septum.

Example 3. T. s S., 7 years (history 3672), he complained of difficulty in nasal breathing, snoring, sleep with an open mouth, frequent otitis, hearing loss, frequent colds.

History: postnatal encephalopathy, hydrocephalus, rickets, goiter, reactive pancreatitis, acute urticaria in 4 years, adenoiditis. About adenoiditis treated by a homeopath over 2.5 years without any visible effect.

Overall condition is satisfactory. Appearance no gross deviations from age-related norms.

For inspection and examination of ear, nose and throat diagnosed with S-shaped curvature of the nasal septum, adenoids 3rd degree, vasomotor rhinosinusitis, tabootie, conductive hearing loss, odlin the config tab of the sky, the syndrome of pathological adaptation.

Underwent surgical treatment, including laser thermoplastic S-obracanego curvature of the cartilage of the nasal septum in the day hospital clinic.

18.03.03 under local application anesthesia 2 ml of 2%lidocaine solution with the addition of two drops of 0.1%solution of epinephrine (soaked in mixture of torontoca introduced into the nasal cavity 30 min) and the total potentiation local analgesia and sedation in terms anesthesiological monitoring and laser radiation with a wavelength of 0.97 μm and a power of 6 watts conducted heat cartilage protrusion of the nasal septum, with remote display 2 C.

Subsequent contact-remote phased-exposure - 3 (C) mechanical smoothing through curved holder and thicker at the end, combined with additional heating of the mating sections of cartilage, which are subject to deformation, the nasal septum was attached to a sustainable new form that provides the functionality of the middle nasal passage.

The processed part of the nasal septum warmed up laser radiation along the perimeter to relieve stress, then recorded the nasal mirror Killian and held the instrument to cool, then in the nasal cavity was introduced for a few hours fixing the elastic is mon.

Observation of the patient and for two months after surgery showed that the nasal septum saves the generated middle position, providing functional nasal breathing. The proposed method obepechivaet:

- ability to resolve small but functionally significant curvature of the cartilage of nasal septum in remote areas by means of laser-mechanical spatial practically in all directions relative to the work surface, which provides the maneuverability of the surgeon for thin plastic transformations form the nasal septum;

- elimination of gross deformation of the thickened cartilage of the nasal septum, which are not removed by way of laser plastic by known counterparts, as their contraindications;

- the inclusion of a complex correction intranasal structures during endoscopic surgery sinusitis.

The comparative analysis of proposed technical solutions to identified analogues of the prior art from which the invention not obvious to a person skilled ENT, showed that it is not known, but with the possibility of serial use in clinical practice, it is possible to conclude that compliance with the criteria of patentability.

1. The treatment of the curvature of the nasal cartilage is ergorace, includes local anesthesia and enemizati deformed part of the curved cartilage, mechanical impact tool, the local heating of the cartilage tissue by laser radiation, the retention of the nasal septum on the tool to its full cooling with subsequent introduction into the nasal cavity of the clamping pad, characterized in that the mechanical stresses on the cartilage of the deformed part of the nasal septum is carried out after remote heating by laser radiation, and mechanical influence exercised by successive smoothing areas through a bent hand holder with a thickening at the end, which is combined with remotely-pin additional heating by laser radiation, the mating sections of cartilage, and the processed part of the nasal septum warm up on the perimeter and keep the nose mirror Killian.

2. The method according to claim 1, characterized in that in the presence of the cartilage thickening of the nasal septum f - and S-shaped studs and pre layers by emitting fiber-optic waveguides form a channel in the sagittal plane parallel to the bottom of the nose, on which the outside mechanical influence Brandau nasal mirror Killian.

3. The method according to claims 1 and 2, characterized in that during heating of the cartilage of the nasal septum fiber light guide at arrivat at a distance of 2-4 mm from the treated surface.

4. The method according to claims 1 to 3, characterized in that the mechanical effects by smoothing the deformed part of the nasal septum exercise thickening at the end of the manual holder bent his part.



 

Same patents:

FIELD: medical engineering.

SUBSTANCE: device has two parts. Light guide part has short flexible light guide having end piece and needle with its holder. The second part has radiation-emitting head attached to semiconductor laser and end piece fastening member manufactured as latch plug. The light guide part is single-use removable part.

EFFECT: high reliability of radiation power; enhanced effectiveness of treatment.

5 cl, 2 dwg

FIELD: medicine.

SUBSTANCE: method involves filling external acoustic duct with 1% Imoxipine solution. Distal end of monofiber light guide to is brought to transplant surface manufactured from human fetus dura mater to close perforation opening in tympanic membrane. Helium-neon laser radiation is applied with output power of 10-20 mW, light spot diameter of 4-6 mm, power flow density of 35-80 W/cm2, unit dose of 3.0-5.5 J/cm2 and exposure time of 3-5 min.

EFFECT: deep penetration and rapid adsorption via transplant surface and acoustic duct skin.

FIELD: medicine.

SUBSTANCE: the present innovation deals with inactivating AIDS virus in virus-containing cells. One should irradiate with impulse light at impulse sequence frequency being 9.4-9.5 Hz, simultaneously with the group of wave length being 516.7; 517.2; 518.2; 636.2 nm, with the group of wave length being 874.0; 732.6; 403.0 nm.

EFFECT: higher efficiency of inactivation.

FIELD: medicine, gastroenterology, reflexotherapy.

SUBSTANCE: biologically active points (BAP) should be affected with electromagnetic radiation from the unit of linear spectrum. Moreover, upon RN-12 point one should apply bismuth-containing material. While affecting points KI19 and BL21 - rhenium-containing material, at affecting ST21 point - titanium-containing material. At affecting the point BL50 - beryllium. Simultaneously, one should affect 7 additional points. At affecting the first additional beryllium-containing material, at affecting the second and the 6th additional points - strontium-containing material, at affecting the 3d and the 7th additional points - platinum-containing material, for the 4th additional point - bismuth-containing material for the fifth additional points - titanium-containing material. The innovation provides objective control of impact degree and excludes indexing, as well.

EFFECT: higher efficiency of application.

2 ex, 1 dwg

FIELD: medicine.

SUBSTANCE: method involves exposing biologically active points and auxiliary points to electromagnetic radiation produced by line spectrum source. Material containing platinum is used as source glow material when acting upon DV-8, BL-47 and RN 15 points and material containing osmium is used when treating GB 24 and BL 18 points. Material containing platinum is used as source glow material when acting upon the first auxiliary points, material containing osmium is used when treating the third auxiliary points and material containing nickel is used when treating the second and the fourth auxiliary points.

EFFECT: enhanced effectiveness in controlling action intensity in objective way.

1 dwg

FIELD: medicine.

SUBSTANCE: method involves acting with pulsating low intensity laser radiation in infrared bandwidth upon lesion focus and introducing special-purpose preparation. Pulsating low intensity laser radiation treatment is stopped not earlier as alkaline phosphotase activity level in blood serum in fractured extremity surpassing one in healthy extremity. The special-purpose preparation is administered at a dose of 750 mg taken as one dose twice a day per os in combination with intramuscular injection at a dose of 400 mg twice a day. Calcium and glycosaminoglycans levels being equalized in blood serum in fractured and intact extremity, preparation dose is to be reduced to 750 mg taken per os once a day.

EFFECT: enhanced effectiveness in activating periosteum repair; reduced risk of complications.

3 cl

FIELD: medical engineering.

SUBSTANCE: device has body having pulsating light sources inside with reflector, aperture, filters and light guide cable prism which greater side is turned towards the light guide cable. The light guide cable prism has materials allowing radiation to be amplified in given wavelength range. Light sources are arbitrarily arranged in space in the device body relative to each other. The reflectors have concave surfaces of the at least second order. The aperture is arranged in front or behind the filter. The prism is usable also as heat insulation or heat discharge unit. One of prism embodiments is manufactured from heavy flint glass, ruby, glass or quartz alloyed with materials allowing amplifying radiation in selected wavelength range. The second prism embodiment is light guide casing filled with fine alloy materials usable for amplifying radiation in given wavelength range placed in liquid having refraction coefficient corresponding to one of the fine alloy material applied. Luminescent materials are usable as the materials allowing radiation to be amplified in given wavelength range. Lateral surface of the prism has at least one reflecting coating. The device optionally has reflecting surfaces symmetrically arranged relative to vertical optical symmetry axis of the device between light source reflectors and aperture. The light sources allow combined or separate functioning mode.

EFFECT: enhanced effectiveness of treatment; wide range of functional applications.

7 cl, 5 dwg

FIELD: medicine; cosmetics; medical engineering.

SUBSTANCE: method involves checking skin state, giving massage treatment with infrared radiation in remote infrared spectrum zone being used, ozone massage, low frequency wave massage, low frequency vibration wave massage and ultrasonic massage, cleansing skin, giving skin care and introducing nutrients into the skin. Device has units for acting with low frequency waves, infrared radiation in remote infrared spectrum zone, low frequency vibration waves and ultrasound, cleansing skin, checking skin state, and working key unit, presentation unit, memory unit, power supply unit, unit for initiating skin cleaning and skin care.

EFFECT: enhanced effectiveness of treatment.

17 cl, 9 dwg, 3 tbl

FIELD: medicine; medical engineering.

SUBSTANCE: method involves applying variable electromagnetic field excited by amplitude-modulated signal having carrier frequency in 100-1000 kHz bandwidth and modulating frequency in 10-8000 kHz bandwidth, and irradiation with low intensity quasi-monochromatic radiation of visible and proximal infrared wavelength bandwidth with small spectrum width. Two action elements are used when performing the treatment. The first one is vaginal action element having inductive transmitter of resonant type emitting electromagnetic oscillations with carrier frequency belonging to 100-1000 kHz bandwidth amplitude-modulated in 10-8000 kHz bandwidth and low intensity quasi-monochromatic radiation of visible and proximal infrared wavelength bandwidth with small spectrum width. The treatment is carried out concurrently and in continuous mode. The device has power supply source, sinusoid signal oscillator and vaginal action element having dielectric casing. The casing encloses inductive transmitter winding. The sinusoid signal oscillator has active oscillator with inductive transmitter winding being concurrently used as inductive element of oscillatory circuit of the active oscillator. Low frequency oscillator is additionally available. Its output is connected to active oscillator circuit via modulator. Control tract has in series connected amplitude detector, DC amplifier and indicating unit. An additional supracutaneous treatment element has active oscillator, inductive transmitter winding concurrently serving as active oscillator inductance element, modulator, which input is connected to low frequency oscillator output and its output is connected to active oscillator circuit. The control tract has in series connected amplitude detector, DC amplifier and indicating unit. M photodiodes are connected in series via timer and acoustic indication element.

EFFECT: enhanced effectiveness of treatment.

5 cl, 4 dwg

FIELD: medicine.

SUBSTANCE: method involves producing ophthalmoscopic tumor image and visually estimating its pigmentation. Digital computer-assisted analysis of tumor image color parameters is carried out by applying Adobe Photoshop software. Digital 0 code is assigned to absolutely black color and digital code of 765 is assigned to absolutely white color. Transpupillary diode laser thermotherapy is started with color code of 153 to 289 beginning from power density of 4.2 W/cm2. Color code being of 290 to 503, the treatment begins with 7.8 W/cm2. Color code being of 504 to 635, the treatment begins with 11.4 W/cm2.

EFFECT: enhanced effectiveness of treatment owing to initial power density being accurately selected.

FIELD: medicine.

SUBSTANCE: method involves carrying out instrumentally controlled intervention with high intensity laser radiation being supplied to thyroid gland node via light guide brought into thyroid gland node body with a conductor through soft tissues. Dynamic temperature control is carried out 0.2-0.7 cm laterally far from nodal form boundary as the instrumental control in performing laser radiation treatment. 37-40°C being reached, laser radiation treatment is to be stopped. Laser light guide is introduced into the thyroid gland node 2-3 cm far from conductor end.

EFFECT: enhanced effectiveness of non-invasive, organ-saving treatment without narcosis being applied.

2 cl

FIELD: medicine; medical engineering.

SUBSTANCE: method involves exposure to laser radiation by moving scanning laser beam over biological object surface under treatment. Spatial object position is varied concurrently with scanning laser beam radially and circumferentially moving over surface under treatment and changing inclination angle with respect to biological object surface. State of surface under treatment is controlled by recording its temperature, comparing the temperature to maximum permissible level. Radiation power is adjusted. Device has casing, laser, objective and guide. The objective is radially and circumferentially movable and inclination angle variable with respect to objective surface The objective is radially and circumferentially movable. Computer, control unit, power control unit and scanning device are also available.

EFFECT: accelerated surgical intervention procedure; save action of laser radiation beam.

2 cl, 1 dwg

FIELD: medicine, otorhinolaryngological surgery.

SUBSTANCE: one should apply thin layer of "Solcoseryl" gel onto osseous facial walls of frontal and maxillary sinuses at the border with trepanation opening after removing pathological content out of them and before applying a transplant out of flat bone of human fetal cranial arch that exceeds the diameter of trepanation opening by 3-4 mm. Then, one should additionally fix the transplant by affecting with distal edge part of a light guide of semi-conductor laser "ATKUS-15" with contact-type technique at output power of laser radiation being 8 W at constant mode. The method enables to increase fixation density of allobrefobone to osseous walls of sinus along its whole diameter.

EFFECT: higher efficiency of fixation.

1 ex

The invention relates to medicine, namely to ENT surgery

The invention relates to medicine and can be used in the treatment of adenoid vegetations
The invention relates to medicine, namely to ENT surgery
The invention relates to medicine, namely to ENT surgery
The invention relates to medicine, namely to ENT surgery
The invention relates to medicine, namely to ENT surgery
The invention relates to medicine, namely to ENT surgery

FIELD: medicine, otorhinolaryngological surgery.

SUBSTANCE: one should apply thin layer of "Solcoseryl" gel onto osseous facial walls of frontal and maxillary sinuses at the border with trepanation opening after removing pathological content out of them and before applying a transplant out of flat bone of human fetal cranial arch that exceeds the diameter of trepanation opening by 3-4 mm. Then, one should additionally fix the transplant by affecting with distal edge part of a light guide of semi-conductor laser "ATKUS-15" with contact-type technique at output power of laser radiation being 8 W at constant mode. The method enables to increase fixation density of allobrefobone to osseous walls of sinus along its whole diameter.

EFFECT: higher efficiency of fixation.

1 ex

Up!