In Filatovskaya they were in surgery (1 injury), the child was 1.8. They sewed on the phalanx of my finger, and the head doctor did not allow me to stay overnight! The child had to recover from anesthesia alone! They were motivated by the fact that in a ward designed for 7 children under 3 years old! There may be only 2 parents. They have nowhere to sleep, etc. I paid the senior nurse 500 rubles and stayed the night. In the morning, before the round, we were put out on the street, but were allowed to return for breakfast. The hospital is old, some buildings are under renovation. The doctors are very good.
There is a new building in Morozovskaya, a large one. Conditions seemed better. The doctors are also very good.
Speransky No. 9. We often go there because of sore ears. The attitude is ugly, but there are new buildings. Although the ENT department is in an old, 2-3-story building. On January 1st we were there from purulent otitis media, they offered hospitalization, I refused. There is not enough medicine, that in Filatovskaya (they brought their suprastin in tablets and injections, so that if the child was pumped immediately, he is allergic), at 9 my friend was in bed with a child of 2.2, they also brought their own medicines. The rooms are also for several people. But the clinic and ENT specialists at 9 are very good. In the waiting room of the ENT department, allergic crusts in the ears, from Otipax drops, were mistaken for natural formations in the ears. At the same time, they added that you, mommy, have those too. And they told me not to argue with the doctor.
And our private ENT recommended us Tushinskaya, where we will remove adenoids in the fall, we have frequent otitis media due to adenoiditis. By the way, the rooms there are 2-4 beds, for 2 children and 2 mothers. They have a day hospital with ENT department. Children under 5 years old are placed with their parents. The buildings are new.
I think it’s better for you to find a good ENT specialist and try treatment at home. By the way, how do you treat sinusitis, and how does it resolve in a child? It’s just that I often sit with exacerbations of sinusitis and found such a good site, I’ll give the link below. http://www.herpes.ru/lor/dis/gaymorit.htm
I hope I helped you a little. I wish you to get well soon.
05/08/2005 02:11:08, Golden Sun (in system 210778)
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Thank you very much for your help. We are trying to get treatment at home, I’m just asking just in case - the ENT specialist is intimidating. In general, I am satisfied with our doctor; she treated my sinusitis in the fall and quite successfully. And on Friday something really intimidated me, so I got scared :). We are being treated according to a regimen very similar to that described on the website. I think we can handle it. Thanks again. Do not be ill. 09.05.2005 00:04:23,
The Department of Otorhinolaryngology is visited annually by more than 30 thousand patients c various diseases ear, throat, nose. All patients receive highly qualified diagnostic and treatment services outpatient care, which includes, among other things, performing a number of surgical interventions in the nasal cavity, paranasal sinuses, palatine tonsils ah and upper respiratory tract. The department employs nine doctors of the first and highest categories, including an audiologist-audiologist and a phoniatrist. Patients with functional disorders voices are advised by a phonopedist.
All department offices are equipped with the most modern multifunctional ENT doctor workstations from Atmos, Heinemann (Germany) and Nagashima (Japan), which allow performing the entire range of necessary diagnostic and medical procedures, produce photo and video documentation of identified changes and save it in the patient database. To examine the nose, pharynx and larynx, the department’s doctors widely use rigid and flexible endoscopes, including a diagnostic station from Olympus (Japan), which makes it possible to identify the most initial stages tumor diseases upper respiratory tract. Diagnosis of ear diseases is carried out using microscopes and modern audiometric equipment. For surgical and semi-surgical treatment, ultrasound, radio wave and cryosurgical devices are used, allowing gentle interventions to be performed on an outpatient basis.
Branch services
Diagnostic procedures:
- cardiorespiratory monitoring;
- sleepvideoendoscopy - examination of the respiratory tract during medicated sleep.
Endoscopic examination of the nasal cavity and larynx (including NBI endoscopy).
A comprehensive examination for snoring and obstructive sleep apnea syndrome:
Multilevel daily monitoring of the acidity of the stomach, esophagus and pharynx and to detect reflux disease.
Ultrasound examination of the paranasal sinuses using the Sinuscan device if radiography is contraindicated.
Computer and MRI diagnostics of ENT organs.
Hearing test:
- tuning fork;
- pure tone audiometry;
- impedancemetry.
Conservative and semi-surgical treatment of acute and chronic diseases of the ENT organs:
puncture-free treatment of sinusitis using the YAMIK sinus catheter;
treatment inflammatory diseases nasopharynx with the “Cavitar” apparatus - combined irrigation with finely dispersed medicinal aerosols and ultrasonic cavitation;
vacuum washing of lacunae of the palatine tonsils in chronic tonsillitis;
cryotherapy on the palatine tonsils and radio wave lacunotomy for chronic tonsillitis;
radio wave and ultrasound effects on the nasal turbinates for vasomotor and allergic rhinitis;
coagulation of the vessels of the nasal cavity during repeated nosebleeds;
balloon sinuplasty for chronic diseases paranasal sinuses;
installation of strengthening implants in soft sky in the treatment of snoring;
removal of foreign bodies;
removal of neoplasms of the mucous membranes and skin of ENT organs;
opening of infected foci of ENT organs.
Surgery in a day hospital setting:
septoplasty, endoscopic correction of nasal septum deformities;
operations on the nasal turbinates with persistent difficulty in nasal breathing, drug-induced rhinitis (dependence on vasoconstrictor drops;
endoscopic operations on the paranasal sinuses for chronic and polypous sinusitis;
removal of paranasal sinus cysts using intranasal endoscopic access;
Shaver nasal polypotomy;
shunting of the tympanic cavity and removal of the shunt for exudative otitis media.
Advisory assistance
The department regularly conducts consultations scientific supervisor Department of Professor A. S. Lopatin, examination preparation for planned surgical interventions, which are performed both in a clinic and in a hospital.
The Department of Pediatric Otolaryngology of the Central Clinical Hospital is located in Children's Building No. 3, where a major renovation was recently completed. Next to the building for small patients there are three fully equipped playgrounds.
The department provides diagnosis and treatment of emergency and planned ENT diseases in patients from birth to 18 years of age, including diseases requiring high-tech medical care.
Usage modern technologies in otorhinolaryngology allows to improve the diagnosis of diseases, and A complex approach to therapy, combining a wide range of therapeutic and restorative procedures (physiotherapy, acupuncture, massage and physical therapy), allows you to increase the effectiveness of treatment and reduce rehabilitation time.
We work on expert-class equipment both in the operating room and in examination rooms. The equipment of the department is ahead of the standard adopted in the Russian Federation.
The head of the department is Kirill Leonidovich Meshcheryakov, otolaryngologist, candidate of medical sciences.
The department has three modernly equipped ENT rooms, where all therapeutic and diagnostic procedures are carried out: consultation, dressings and much more. Each office is equipped with Otopront combines, which allow performing microscopy, rigid and flexible endoscopy with image recording. The combines are equipped with special devices for washing the ears, nasal cavity and paranasal sinuses, palatine tonsils, and irrigating the ENT organs with medications.
The Otopront combine is a multifunctional treatment module with which you can perform the following procedures: rinsing the ears with heated water, rinsing the tonsils using a specialized built-in system, spraying medicinal solutions, as well as perform numerous other procedures.
In the ENT office, doctors can objectively evaluate respiratory function nose using anterior active rhinomanometry and acoustic rhinometry. These methods allow you to correctly determine the cause of nasal breathing problems, be it a narrowing of the nasal valve, a deviated nasal septum, chronic rhinitis or adenoids. The department is also equipped with an audiology room where impedance testing, threshold pure-tone audiometry and screening otoacoustic emissions can be performed.
The Children's Building houses all of the hospital's main pediatric services. This makes it possible at any time, if necessary, to obtain advice from doctors of other specialties: pediatrician, allergist-immunologist, infectious disease specialist, gastroenterologist, pulmonologist, cardiologist, rheumatologist, nephrologist, ophthalmologist, pediatric surgeon, pediatric maxillofacial surgeon, urologist, dentist, neurologist. In addition, patients can undergo additional examination of diseases of the nervous, cardiovascular and respiratory systems to the department functional diagnostics our building, an X-ray room (with the ability to conduct computer, radioisotope and magnetic resonance imaging) and an ultrasound room. It offers patients a equipped last word technology Laboratory center Central Clinical Hospital, where you can quickly conduct a preoperative examination. Our clinic also has a “one-day hospital” program, which includes procedures and examination of the child.
All surgical interventions are carried out under anesthesia, which is mandatory in pediatric practice. Anesthesia is performed using modern equipment using the latest and greatest safe means for anesthesia. During the operation, vital signs are constantly monitored. important functions the patient's body. Intraoperative monitoring allows one to assess the depth of anesthesia, which is necessary for adequate pain relief with minimal drug load. Patients spend the first hours after surgery in special wards under the supervision of an anesthesiologist and remain there until they fully awaken, on average this takes 2 hours.
The operating room is equipped with the most modern operating complex OR 1 (Karl Storz, Germany), the arsenal of which includes video endoscopic equipment, a motorized complex for performing operations on ENT organs, and 3D navigation. Moreover, all devices are connected to a central computer, which allows the surgeon to control various equipment settings, selecting the optimal parameters. In addition, the operating room maintains a constant temperature and humidity that is comfortable for the patient. The ventilation system is aimed at constant air disinfection, which significantly reduces the risk of intraoperative infection.
Most operations are performed under the control of an endoscope or operating microscope, which allows for maximum efficiency and functionality with minimal surgical trauma. This reduces the number of dressings in postoperative period, which significantly reduces the risk of negative reactions in our young patients. For accurate surgical access 3D navigation is used.
Surgical treatment performed in our department:
- Tympanostomy for exudative otitis media. It is possible to use a radio wave surgical device (Surgitron), which in some cases allows avoiding the installation of shunts.
- Surgical treatment of conductive hearing loss, including sanitizing and hearing-improving operations on the middle ear.
- Surgical treatment of congenital ear anomalies: ear appendages, parauricular fistulas. Reconstruction of the external ear canal. Removal of tumors of the outer and middle ear.
- Corrective surgeries on intranasal structures and paranasal sinuses. Video endoscopic septoplasty, turbinoplasty. Plastic surgery of perforation of the nasal septum. Video endoscopic operations to restore choanal patency.
- Functional endoscopic surgery paranasal sinuses. Removal of tumors of the nasal cavity, paranasal sinuses, tumors of the nasopharynx and skull base using motorized devices (shavers) and a 3D navigation system.
- Operations to eliminate lacrimation, including congenital.
- Adenotomy under video endoscopic control.
- Tonsillotomy and tonsillectomy using a radio wave surgical device (Surgitron).
- Early diagnosis and treatment of laryngeal lesions.
Also, the wide profile of our clinic allows us to carry out complex (simultaneous) surgical treatment diseases of ENT organs and other surgical diseases within one operation under one anesthesia with the involvement of different specialists.
Patients in the department are accommodated in double rooms or superior rooms. Each room is equipped with everything necessary for the comfort of small patients. It is possible to hospitalize a child or several children from the same family along with a relative. For this purpose, a separate room is provided, and an adult patient receiving care is given a certificate of incapacity for work, if necessary. There is free Wi-Fi throughout the entire property.
The staff of the department do everything possible to ensure that your stay is medical institution was as comfortable and minimally stressful as possible. The best people in Russia work in our building medical specialists. Regular certification is carried out medical personnel, All nurses Regularly undergo training and advanced training courses according to the department's profile.
Is an intermediate link between outpatient and inpatient medical care sick children. These structural units are intended for patients who do not require round-the-clock medical supervision, therapeutic, rehabilitation, diagnostic and preventive measures V daytime. Day hospital has full access to all the capabilities of the medical, diagnostic, advisory, and rehabilitation units at his disposal.
Essentially, the day hospital of our Center is a comprehensive tool for sick children to receive the full amount of medical services for treatment and rehabilitation without the need for hospitalization.
In the day hospital, pediatric doctors of all specialties see patients. There are laboratory, diagnostic and medical departments so that during the day the patient can spend necessary procedures, physiotherapeutic or rehabilitation measures.
The day hospital of the Federal State Institution "National Medical Research Center for Children's Health" of the Ministry of Health of Russia differs significantly from similar units of the Moscow children's outpatient clinic service in the ability to conduct a wide range of diagnostic and rehabilitation procedures using the most modern equipment, as well as more wide range rehabilitation measures for sick children. On the basis of our day hospital, complex and effective diagnostic, therapeutic, rehabilitation and preventive measures are carried out.
Day hospital specialists also do a lot of work in vaccinating children and carrying out preventive examinations schoolchildren and other children in organized groups.
The undoubted advantage of our day hospital is the close cooperation of pediatricians, psychologists and teachers, which allows children undergoing treatment for a long time to master curriculum on an equal basis with peers and receive psychological and pedagogical support.
IN department of hospital-replacing technologies Diagnostics, treatment and rehabilitation are carried out in the following profiles: allergology, gastroenterology, cardiology, neurology, orthopedics, pediatrics, rheumatology.
There is a large selection of convenient comprehensive programs for children and adolescents under 18 years of age. The programs include:
- Diagnosis of a child “Check-up” in 1-2 days;
- The child's attending physician of a specialized specialty;
- Individual programs effective treatment and rehabilitation.
Now comprehensive programs examination, treatment and rehabilitation of children aged from birth to 18 years in the profiles of allergology, gastroenterology, neurology have become even more accessible!
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