Consilium Medicum (Sep 2023)
Differentiated approach to diagnosis and treatment to combined pathology of the pharynx, larynx and rhino-orbital zone: interdisciplinary interaction
Abstract
Background. The main complaint of patients with inflammatory diseases of the pharynx is a sore throat; rhino-orbital pathology, in turn, is manifested by symptoms associated with impaired nasal breathing, lacrimal drainage and other ophthalmological disorders. With pathology of the larynx, dysphonia is often present. As a rule, such patients initially fall into the hands of general practitioners, therapists and pediatricians, less often otolaryngologists, however, periodically the clinical situation requires the involvement of other specialists and additional laboratory and instrumental studies. The article presents a number of clinical observations of patients with combined pathology of the pharynx, larynx and rhino-orbital zone, who initially turned to an otolaryngologist, who subsequently required a team approach from various specialists. Aim. Demonstration of a differentiated approach to the diagnosis and treatment of combined pathology of the pharynx, larynx and rhino-orbital zone within the framework of interdisciplinary interaction of specialists based on clinical observations of patients. Materials and methods. We observed 5 patients who initially sought consultation with an otorhinolaryngologist with complaints of pain or discomfort in the throat, impaired nasal breathing, lacrimal drainage, itching in the eye area, and dysphonia. Results. The article presents clinical cases of syphilis, leptotrichosis of the oropharynx, herpesvirus infection type VI, infectious mononucleosis, infectious-toxic paresis of the larynx, the diagnosis and treatment of which was carried out through interdisciplinary interaction of otorhinolaryngologists with doctors of other specialties. The presented observations demonstrate that, despite the reason for treatment, patients with combined pathology of the pharynx, larynx and rhino-orbital zone require the help of not only otolaryngologists, but also other specialists, primarily infectious disease specialists. Conclusion. In order to improve the quality of diagnosis, routing and treatment of patients with combined pathology of the pharynx and rhino-orbital zone, it is necessary to develop interdisciplinary interaction and create conditions for expanding the professional erudition of doctors dealing with the problems of pathology of the same anatomical areas.
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