Department of Otolaryngology
Teaching Staff:
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Head of the department: |
Professor Rustem A. Abizov, Doctor of Medical Science |
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Teaching Staff Members: |
Professors: Bohdan G. Iskiv, Volodymyr O. Shkorbotun |
History Data:
In 1918, in the year of foundation of the Kyiv Clinical Institute for Advanced Training of Doctors (now the P. Shupyk Kyiv Academy of Postgraduate Education), the section of otolaryngology with the ambulance section was founded in the Institute.
In 1922 the Department of Otolaryngology was founded, headed by Prof. S. Stavraki (І876-1936) – the student of М. Volkovych.
In 1930 the Department was headed by Assistant Professor and later Professor М. Harshak, also the student of Prof. М. Volkovych, who used to keep the traditions, particularly in studying a widespread disease at that time – scleroma of respiratory tract. For the first time in Ukraine М. Harshak developed the methods of treatment of larynx cancer – complete ablation of larynx, and partial resection of larynx (1933), and studied their further results.
From 1944 till 1964 Prof. O. Kolomiychenko was the Head of the department. During this period, he developed and improved the methods of post-graduate education of otolaryngologists.
In 1955 O. Kolomiychenko published his work «Ear Diseases» in Ukrainian – the manual for primary specialisation practitioners and for village general practitioners. He was the first to implement surgery microscope in Ukraine; he developed surgeries of patients with otosclerosis, improving their hearing (Lenin Prize, 1964), and this information was covered in his monograph published in 1962. More than 1,000 of such surgeries were performed in the Otolaryngology clinic during this period. The department became a methodological centre for education of specialists for the whole former USSR.
The peak of О. Kolomiychenko’s activity was the foundation of Kyiv Scientific-Research Institute of Otolaryngology, later bearing his name.
In 1964 the Department was headed by Prof. S. Mostovy, together with R. Abizov, K. Marchenko, О. Momot and А. Laiko and under his supervision, the number of manuals and monographs was published, and it had made an essential contribution into the improvement of educational process, raising the level of knowledge of otolaryngologists and raising the level of ENT patient’s treatment. He studied in details the question of metastasis of the throat cancer into regional nodes of neck and laryngeal space.
From 1975 till 1991 the department was headed by Prof. О. Evdoschenko, who also kept the traditions of Kyiv School of Otolaryngologists, having a huge experience of scientific, educational and doctor’s work. She made fundamental clinical and experimental otolaryngological studies of organ transformations of patients with virus influenza, and made an experimental–histological study of cicatrisation of stapes fracture of patients with otosclerosis. Under supervision of Prof. О. Evdoschenko and Assistant Professor М. Mel’nyk, the new methods of diagnostics and treatment of latent otoantritis, namely drainage method had been studied.
In 1991 Prof. B. Is’kiv was elected as the Head of the department - being the author of the book on tympanoplasty and the student of Prof. O. Evdoschenko. During this period the system of treatment of patients with chronic purulent otitis media was developed. He conducted experimental histological studies of transplantation of different tissues (fascia, venous wall, skin transplantants, cheek tunica mucosa) for creation of a new tympanic membrane; the phases of transplantation and complications, resulting in experimental tympanoplasty, were studied; the recommendations on clinical use of the experiment results were elaborated.
A new direction in otosurgery - meatotympanoplastics - and its different variants were developed, when along with formation of a new tympanum the walls of external acoustic duct are restored, which may often be ruined by pathologic process or due to surgery.
This new line of investigation became traditional and was applied in training process in other clinics as well. The III-type modification of tympanoplastics was proposed with restoring back wall of external acoustic duct, the effectiveness of which had been proven by electro-acoustic experiment and clinical data (Assistant Professor V. Shkorbotun), the symptoms and methods of postponed meatotympanoplastics were developed by Assistant О. Peleshenko. The process of engraftment of auditory ossicle with autofibrine-glue fixing was investigated by H. Panahi.
The following famous scientists-otolaryngologists studied and worked at the department: Professors І. Kurilin, Doctor of Medical Sciences, Assistant Professor А. Makuha, Assistant Professor М. Sanotsky, Assistant Professor N. Manzhura, І. Yashan, А. Laiko, А. Kosakovsky.
Fundamental study of oncology diagnostics and treatment was conducted at the department, further highlighted in Doctor’s Dissertation of R. Abizov (1990).
Diapositive films, albums and video films had been created for better study of new methods of treatment.
The teaching staff members of the Department (Prof. B. Iskiv, Assistant Prof. М. Melnyk) together with the leading otolaryngologists of Ukraine had compiled educational plans and specialisation (internist’s) program. Educational plans and pre-certification course programs had been compiled in otolaryngology (B. Iskiv, К. Marchenko) and in oncology (B. Iskiv, R. Abizov).
Four computer programs were created for certification of interns, specialists in otolaryngology and oncology.
Since 2003, the department has been headed by Professor R. Abizov, the author of an unique manual of oncology in otolaryngology in CIS. Under his supervision, unique surgeries on tumour had been developed and performed.
Teaching and Methodological Work:
The following courses are held at the department:
Specialization: in Otolaryngology, Surdology, in Oncootolaryngology.
Pre-certification: in Otolaryngology, Surdology.
Training: according ti demands of medical establishments “Elected issues of otorinolaryngology and ENT-oncology” (term 2 weeks), “Emergency ENT care and borderline conditions in otolaryngology and general medical practice” (term 2 weeks).
Internship.
Clinical residency and post-graduate education.
Scientific Research Activities:
For the whole period of activity of the department, 1950 scientific works and theses have been published. During the period of activity of the department, 10 Doctors of Medical Sciences and 38 Candidates of Medical Sciences have been trained, 3 of them were trained during the last 5 years. 91 doctors were trained at the department at clinical residency and postgraduate course.
The following topics of scientific researches at the Department are carried out:
І. Oncology in otolaryngology
1. “Improvement and development of diagnosis and treatment methods for patients with tumours (mainly with infiltrative ones) and inflammation processes in otolaryngology”. Scientific Adviser – Prof. R.Abizov. Authors: Assistants S.Lakiza, S.Samoilenko, J.Shkoba.
A complex of modern methods of accurate diagnostics in oncology has been implemented: micropharingolaringoscopia, echography, dopplerographia, computer and nuclear-magnetic tomography, thermography, radionuclide diagnostics.
Functionally-protective surgical operations of patients with larynx cancer, namely in early phases, have been developed and improved. Timely diagnostics is being developed and treatment tactics of patients with inflammatory processes of sinus is being improved. Diagnostics, classification, methods of prophylaxis and treatment of local radio-reaction and complications of patients with cancerous growth in upper airways are being improved.
2. “Meatotympanoplastics of patients with chronic purulent middle otitis, improvement and development of methods of diagnostics and treatment of patients with tympanogenic labyrinthitis, chronic secretory otitis media and mastoidoplastics”. Scientific Advisor – Prof. B. Is’kiv. Authors: Assistant О.Peleshenko, V.Kryvsha, I.Gorishni.
3. “The Development and improvement of methods of diagnostics and treatment of acute inflammation of otitis media and its complications (otoantritis, acute senconeural deafness) of children and adults along with associated pathology of middle and inner ear”. Author– Senior lecturer М. Mel’nyk.
4. “Development and Improvement of methods of sanitation and surgical operations, which restore hearing, of patients with chronic purulent otitis media, phase tympanoplastics after sanitation of otogeneous extra- and intra- cranial complications”. Scientific Advisor and author– Senior lecturer V.Shkorbotun.
Clinical work:
Clinical base for the Department of Otolaryngology is the ENT Ward of the Kyiv Regional Clinical Hospital. Modern diagnostic examinations, as well as the whole scope of conservative and surgical treatment of patients with both inflammatory and oncological diseases are conducted in Otolaryngology clinic.
Diagnostics scope:
- Endoscopic (sinusoscopic) diagnostics;
- Computer tomography;
- Magnetic resonance tomography;
- Ultrasonic diagnostics;
- Fiber-optic diagnostics;
- Clinical and immunological examination;
Surgical operations:
tonsillectomy for adults and children, also with general anaesthetic;
adenotomy with general anaesthetic;
sanifying ear surgeries;
antrоtomy;
mastoidectоmy;
tympanoplastics;
stapedoplasty;
tympanum shunting;
auricle plastics;
Surgeries of sinus, also with application of endoscope and shaver:
antrototomy;
ethmoidectomy;
trepanopuncture of frontal sinus;
frontotomy;
Frontal-lattice trepanation;
Plastics of tooth alveolus;
Submucous septum resection;
Septoplastics;
Redressation of nasal bones;
Rhinoplastics;
Treatment of snoring;
Ablation of middle cervical cyst;
Collar mediastinotomy;
Oncological surgeries in otolaryngology patients:
Tracheotomy;
Ablation of fibroma;
Chordectomy;
Laryngectomy;
Krail’s operation;
Denker’s operation;
Ablation of fauces and nasopharynx tumour;
Bandaging а.cаrotis;
Cryodestruction of non-malignant and malignant neoplasm
International activities:
During last 20 years, 15 doctors from foreign countries (Lebanon, Syria, Yemen, Palestine, Cyprus, Iran, Armenia, Мoldova, Nepal ) had been studying at the department in clinical residency and postgraduate course.
From 1982 till 1984 – Prof. R. Abizov (Assistant at that time) worked as Chief Otolaryngologist, Head of Otolaryngology Department of Central Hospital in Buzhumbura, The Republic of Burundi (Central Africa);
During 6 weeks of 1993 Assistant Y.Shkoba had been training in Delhi and Madras (India) on the issues of application of modern technologies in medicine;
Assistant S. Lakiza had been training for 6 months (1996 – 1997) in Portman’s Otolaryngology Clinic and University Clinic of Bordeaux (France);
Assistant I. Gorishni had been training for 6 months (1999-2000) in Portman’s Otolaryngology Clinic (France);
Y. Shkorbotun took part in Salzburg-Cornell Seminar ”ENT” in Salzburg (Austria) 2003.
Address:
04107 Kyiv, 1, Baggovutivska str.
Tel. (044) 213 15 85
