Клінічне значення біомікроскопії судин бульбарної кон’юнктиви у хворих при патології внутрішньоносових структур з порушенням носового дихання

Abstract

Introduction. The clinical significance of biomicroscopy of bulbar conjunctival vessels in patients with pathology of intranasal structures and nasal breathing disorders was considered. The study of the clinical anatomy of the vascular system is very important in otorhinolaryngology. The conjunctiva of the eye, like the nasal cavity, is supplied with blood from the external and internal carotid arteries. Therefore, the assessment of biomicroscopy of the bulbar conjunctiva can be considered the only functional reflection of mi-crocirculation not only at the level of the body as a whole, but also the nasal cavity in particular. The study of the microcirculation of the bulbar conjunctiva allows us to assess the biomedical indicators of the state of trophic capabilities with more information than in the study of individual human organs and tissues. Aim. Evaluation of the clinical significance of bulbar conjunctiva microcirculation in patients with pathology of intranasal struc-tures and nasal breathing disorders. Results. Our study showed that in patients with changes in intranasal structures and nasal breathing disorders conjunctival bi-omicroscopy is characterized by the peculiarities of a number of morphostructural parameters of the microcirculatory tract, despite the nonspecificity of vascular disorders. With increasing magnitude of nasal resistance and duration of the disease, microcirculatory (MC) disorders from functional changes to the appearance of morphological disorders of both vascular and intravascular units of the MC channel intensified. An unfavorable manifestation of which was a decrease in the number of functioning capillaries and the ap-pearance of perivascular disorders. Conclusions. Our conclusions coincide with the data of other authors. It should be noted that biomicroscopy of the bulbar con-junctiva is absolutely justified and allows to assess the structures of microcirculation in terms of functional disorders. However, this method, against the background of obvious advantages, has disadvantages, such as complexity of image stabilization (because of the eyeball’s movements), the lack of assessment of the perivascular space, the inability to study the transitional capillary. The prospect of work is to conduct capillaroscopic studies directly in the mucous membrane of the nasal cavity to find direct correlations between microcirculation in the study area and peripheral areas. Key words: Microcirculation; Bulbar conjunctiva; Nasal breathing disorders; Intranasal structures.