No3-4(5) 2022
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DOI 10.37219/2528-8253-2022-3-18 |
Petruk LG, Kramarenko RP
Data of clinical otorhinolaryngologic review of servicemen of armed forces
of Ukraine are at implementation of the educational firing |
Petruk Lyubov G.
Odessa National Medical University
Department of military medicine and disaster medicine
Associate professor of the department
Doctor of Medical Sciences
E-mail: lyubovpetruk0@gmail.com
Orchid ID: http://orcid.org/0000-0002-1261-7054
Kramarenko Roman P.
Military Medical Clinical Center of the Southern Region
Head of the otolaryngology clinic
E-mail: romeoKP@ukr.net
Orchid ID: http://orcid.org/0000-0002-2011-9434 |
Abstract
Lately medical help is provided in many medical institution of Ukraine for
those servicemen who suffered of the influence of intensive noise during
implementation of duties of military service. Before sending in the zone of
battle actions for implementation of the assigned tasks, servicemen of
certain military branches pass training for improving of their skills,
including, handling a weapon. The actual task is to reveal in time
violations that can lea to the development of defeat of the auditory system
under action of sounds of high intensity in the conditions of realization of
battle actions in future.
Aim: to define changes in otorhinolaryngologic status of servicemen
of AFU during the implementation of the educational firing on a polygon.
Materials and methods: the otorhinolaryngologic inspection of 53
servicemen is conducted at age from 18 to 37 and after realization of firing
from a rifle armament (gun-machine of Kalashnikov without and with subbarrel
grenade launcher) on a polygon.
Results and their discussions: After realization of series of shots
in parts of servicemen certain changes were revealed in ENT status. During
the otoscopy of some patients (11.3%) was revealed the injection of the
vessels by the way of handle of hammer, in 5 (9.4%) cases during the
otoscopy was marked certain smoothness of the contours of eardrums and
reduction of light reflex. Worth mentioning that 10 (18.8%) patients
inspected after training felt high-frequency subjective noise. 2 fighters
(3.7%) ment ioned moderate dizziness after implementation of shots. 5 (9.4%)
servicemen had complaints about a moderate headache after training. Majority
of them noted that such a feeling passed during an hour after firing.
However, in 7.5% cases such complaints took the place after this term. And
exactly at this group of inspected we also looked after changes at an
otoscopy. We guided such fighters at a further instrumental inspection for
detection of possible violations in functioning of auditory analyzer as a
result of the noise influence. To our opinion, such persons should be
examined in relation to the presence of preclinical violations in an
auditory analyzer and possible increase of individual sensitiveness to noise
influence . There is a risk, which in the zone of battle actions in case of
acousticbarotrauma the severe defeat of the auditory system can develop in
such fighters.
Thus, due to the conducted examination by otolaryngologist. increases the
possibility of revealing the person with high sensitiveness to the noise
influence in time that help determine the limitations that can be applied in
this case, It is expedient to use possibility to prevent development of
heavy hearing loss and invalidisation of servicemen, that has socio-economic
consequences.
Conclusions:
1. During the implementation of the educational firing some servicemen can
suffer from the violations of the state of the auditory system, which looks
like the changes of otoscopic picture and the presence of complaints such as
congestion of the ears, dizziness, high-frequency subjective ear noise,
headache.
2. The examination of otolaryngologist after implementation of the
educational firing of servicemen allows revealing those who has visible
changes in the state of ENT-organs. The selection of such persons creates
precondition of determination among them group of high risk further
development of violations in an auditory analyser. |
Keywords
servicemen, shooting exercises, auditory analyser. |
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