Difficulties of diagnostic and therapeutic policy in association of purulent intracranial processes with inflammatory ENT diseases

The paper analyses treatment given to 125 patients with purulent intracranial processes combining with inflammatory diseases of the paranasal sinuses, ear and other diseases. Otorhinogenic genesis was diagnosed in 45.6% cases. Often, affections of the paranasal sinuses and ear mask the true reason of the intracranial pathology, making problems for diagnosis and choice of therapeutic policy. Differential-diagnostic features of the diseases which may complicate with purulent intracranial processes as well as urgent therapeutic measures are described.     

Creation of artificial urinary bladder in children

In children creation of artificial urinary bladder using intestinal segments was made in the absent or reduced reservoir function of the bladder. From 1990 to 1998 enterocystoplasty was performed in 30 boys and 6 girls. 15 of them have undergone colocystoplasty, 21--ileocystoplasty with detubulized segment. Holding conduits were made of the appendix or intestinal segment in 31 patients. On postoperative day 1-16 six patients developed complications demanding emergency operation--3 cases of comissural ileus and 3 of urinary peritonitis. 33 patients were followed up for 1 to 9 years. 29 patients urinated only through catheter 3 to 6 times a day. 4 patients urinated without a catheter but they had imperative enuresis. Concrements in the artificial bladder were detected in 8 postcolocystoplasty patients and 1 postileocystoplasty patient. The preference was given to ileocystoplasty with detubulized segment with creation of the holding conduit and occlusion of the bladder neck. The ileal artificial bladder is characterized by less probable long-term complications, greater volume, low pressure at filling, less intensive mucus production.