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Otolaryngologia Polska

Dariusz Jurkiewicz, Beata Zielnik-Jurkiewicz
Bacterial lysates stimulate the general immunity of the body in a non-specific way. They act on non-specific defense mechanisms, leading to an increase in type A antibody in mucous membranes, phagocytic activity and INF-ƴ production. They can also stimulate the production of specific antibodies against the bacterial antigens that make up the preparation. The oral immunomodulatory preparations with the best documented clinical efficacy available on the Polish market are Ismigen, Broncho-Vaxom, Ribomunyl and Luivac...
October 31, 2018: Otolaryngologia Polska
Małgorzata Różańska, Paweł Bielecki, Joanna Reszeć, Krzysztof Kowal, Marek Rogowski
Cysteinyl leukotrienes (CysLTs) have been implicated in the pathogenesis of chronic rhinosinusitis (CRS). This study was undertaken to better understand the role of CysLTs in the development of CRS through 1). assessment of the pattern of expression of CysLT1 receptor in nasal polyps from patients with CRS and 2). correlation of expression of CysLT1 receptor with clinical features. Expression of CysLT1 receptor was evaluated immunohistochemically in nasal polyps from 20 patients with CRS and nasal mucosa from 10 control subject undergoing plastic surgery of the nose...
October 1, 2018: Otolaryngologia Polska
Kefah Karawani, Marzena Bielinska, Joanna Nowosielska-Grygiel, Piotr Pietkiewicz, Krzysztof Kusmierczyk, Katarzyna Kolary, Jurek Olszewski
INTRODUCTION: The aim of the paper was the comparative analysis of the diagnostic value of the Video Head Impulse Testing (VHIT) Ulmer I and Dix-Hallpike Test in patients with balance system disorders in out-patient practice and expertise preparation. MATERIAL AND METHODS: The examination was performed in 63 patients aged 20-79, including 28 women aged 20-72 and 35 men aged 23-79, divided into two groups: Group I (study group) - 33 patients with mixed cause vertigo (on the basis of the Fitzgerald-Hallpike caloric test during the VNG examination), and Group II (reference group) - 30 healthy patients...
September 26, 2018: Otolaryngologia Polska
Piotr Albrecht
The study dedicated mainly to general practitioners of ENTs discusses the principles of antibiotic therapy of the most common diseases that this specialty deals with, namely acute tonsillitis and throat inflammation, acute otitis media (AOM), and acute sinusitis. The most common errors in the antibiotic therapy of these diseases are also presented. The basic antibiotic in streptococcal pharyngitis is and remains oral penicillin administered for 10 days. The basic antibiotic, if it is needed, in AOM and acute sinusitis is amoxicillin in high doses...
September 11, 2018: Otolaryngologia Polska
Aleksandra Ślęzak, Wojciech Kaźmierczak, Henryk Kaźmierczak
Introduction Warthin's tumor is a non-malignant tumor that occurs in major salivary glands. Diagnostics include an interview and physical examination as well as additional tests - ultrasonography, magnetic resonance tomography, fine-needle aspiration biopsy. Surgical tumor resection remains the method of treatment, the scope of which includes techniques from extracapsular tumor resection to a full range of parotidectomy. Material and methods A retrospective analysis was conducted for available medical records of 53 patients treated surgically at the Department of Otolaryngology and Laryngological Oncology at the Collegium Medicum of the Nicolaus Copernicus University in Toruń in 2009-2016...
September 10, 2018: Otolaryngologia Polska
Agnieszka Lipiec, Piotr Rapiejko, Konrad Furmańczyk, Dariusz Jurkiewicz
INTRODUCTION: Allergic rhinitis concerns nearly 25% of the Polish population. Among pollen allergens, the most common reasons for allergic rhinitis are: grass, birch and mugwort. Knowledge of the characteristics of pollen seasons is necessary in diagnostics, monitoring of therapy and prevention of allergic rhinitis. P urpose: This work aims to analyze pollen seasons of the most allergenic plants in the Polish population; grass, birch and mugwort in the years 2003-2017 in Warsaw. M aterial and methods: Measurements of pollen concentration were carried out using Burkard volumetric spore trap operating in continuous mode...
September 10, 2018: Otolaryngologia Polska
Agata Szkiełkowska, Elżbieta Włodarczyk, Adam Piłka
INTRODUCTION: Distorted processing of auditory information has a negative impact on the child's cognitive development. There are only a few studies conducted by Polish researchers determining normative values of psychoacoustic tests in auditory processing disorders. They are inconsistent due to different methodologies and research protocols. OBJECTIVE: The aim of this work is to determine the reference values of selected psychoacoustic tests for the population of Polish children between 7 and 12 years of age...
September 6, 2018: Otolaryngologia Polska
Krzysztof Przybylski, Ewa Majchrzak, Liucija Weselik, Wojciech Golusiński
Treating patients with squamous cell carcinoma of the head and neck is a significant problem. There is an increase in the incidence of malignant neoplasms in this region. Surgery, radiotherapy, and chemotherapy are often not sufficient methods of treatment. Thorough analysis of processes occurring in the tumor microenvironment has allowed to distinguish three stages that make up the reaction of the human body to hostile antigens, which are tumor antigens. Understanding these mechanisms has resulted in the introduction of a new term immunooncology...
September 6, 2018: Otolaryngologia Polska
Ngalufua'atonga Havea, Cheryl Tang, Jason Rockey, Angelica Lynch
INTRODUCTION: The nasal valve is the main regulator of airflow in the nose. Consequently, the collapse of the nasal valve has a significant impact on nasal obstruction and hence quality-of-life of patients. Several nasal valve rhinoplasty techniques are being used, from cartilage grafts to endonasal resection of the upper lateral cartilage. We describe a new endonasal approach to nasal valve rhinoplasty, the Triangular Technique, and assess its efficacy and complication rate over ten years...
September 5, 2018: Otolaryngologia Polska
Krzysztof Piersiala, Hanna Klimza, Joanna Jackowska, Anna Majewska, Małgorzata Wierzbicka
INTRODUCTION: Treatment planning in T2, T3 laryngeal carcinoma is based on clinical assessment and radiological imaging. However, to delineate precise mucosal margins for transoral laser microsurgery (TLM), a high class, sophisticated endoscopy is indispensable. Narrowband imaging (NBI) which is an optical filter technology, seems to be a useful adjunctive tool in marking superficial margins. MATERIALS AND METHODS: A total of 98 patients diagnosed with HNSCC underwent cordectomies and were enrolled in the evaluation...
August 31, 2018: Otolaryngologia Polska
Wioletta Pietruszewska, Magda Barańska, Jakub Wielgat
Acute infections of the upper respiratory tract and upper gastrointestinal tract (mouth and throat) are still the most common reason for reporting to the general practitioner or ENT specialist. Despite the fact that the most common causative agent of these diseases is a virus, antibiotics are still flavored in about 60-80% of patients who report to the doctor. In consensuses such as EPOS, WHO reports and other local/ / national reports, there is a need to limit antibacterial treatment for and to replace it with symptomatic and anti-inflammatory drugs...
August 31, 2018: Otolaryngologia Polska
Wiesław Gołąbek, Anna Szymańska, Kamal Morshed
INTRODUCTION: Juvenile nasopharyngeal angiofibroma (JNA) is a rare, benign, vascular tumor originating in the nasopharynx. The treatment of choice for JNA is surgical excision. In recent years, surgical management has been greatly influenced by the use of the transnasal endoscopic technique. THE AIM: The aim of the study was to present our experience with the transnasal microscopic removal of JNA. MATERIAL AND METHODS: Ten patients with JNA aged 12-17 underwent diagnostics imaging and transnasal microscopic tumor excision...
August 6, 2018: Otolaryngologia Polska
Laura Leach, Eamon Shamil, Charles M Malata
Introduction We present a single surgeon's experience of open augmentation rhinoplasty with autogenous L-shaped costal cartilage grafts, with long-term patient-reported outcome data. We highlight the salient operative steps and outline the peri-operative care required to optimise outcomes. Materials and Methods A retrospective review of eleven such augmentation rhinoplasties performed between 2008 and 2016 was undertaken. Indications included saddle nose deformity [granulomatosis with polyangiitis (n=7) and relapsing polychondritis (n=1)], post-traumatic nasal collapse (n=1) and advanced cosmetic westernisation of the nose (n=2)...
June 30, 2018: Otolaryngologia Polska
Hanna Kimza, Joanna Jackowska, Małgorzata Wierzbicka
Narrow band imaging (NBI) by enhancing the contrast between the mucosal epithelium and submucosal vessels facilitates diagnosis of precancerous and cancerous lesions, as well as hypertrophic lesions such as laryngeal papillomatosis. Narrow band imaging (NBI) is an optical technique based on the modification of white light by the use of special optical filters. Every change in the microvascular architecture of the mucosa is classified according to Ni's classification (2011). The use of NBI improves sensitivity and specificity of assessment of laryngeal lesions and allows more precise assessment of the status of surgical margins of early-stage and locally-advanced laryngeal cancers managed in endoscopic laser cordectomy...
June 30, 2018: Otolaryngologia Polska
Antoni Krzeski, Marcin Burghard
Obstructive sleep-disordered breathing (SDB) is a common clinical problem. An unrecognized and untreated SDB is a serious threat for an intensively developing organism of a child. The consequences of SDB include cardiovascular and neurological complications, growth disorders and enuresis. Therefore, SDB in children becomes an important subject of many scientific investigations, publications, and congresses. In 2015 the European Respiratory Society Task Force published a document concerning the conclusions about the diagnostics and treatment of SDB in children and youth from 2 to 18 years of age (Fig...
June 29, 2018: Otolaryngologia Polska
Paulina Krasnodębska, Wiktor Krasnodębski, Agata Szkiełkowska
The work assessed the clinical utility of open quotients measured during laryngovideostroboscopy and electroglottography. Values of the parameters were analyzed according to clinical diagnosis. An algorithm based on direct and indirect mucosal wave measurement is presented, which allows for differentiation of voice disorders. The method developed for the objectification of glottal functions in various voice pathologies is characterized by high sensitivity and specificity.
June 20, 2018: Otolaryngologia Polska
Bengül Altaş, Hasan Koçak, Serdar Sltınay, Kadir Yücabaş, Ümit Taşkın, Faruk Oktay
INTRODUCTION: Atrophic rhinitis (AR) is a disease characterized by atrophy of the mucosa, submucosa, bone tissue due to an unknown cause and excessive nasal cavity enlargement. The disease still has no complete treatment, and the treatment of the functional loss of atrophic cells in AR is still a matter to be investigated. Ozone (O3) therapy has been shown to enhance cell metabolism, angiogenesis, fibroblast activity, and collagen synthesis. AIM: To determine whether ozone treatment affects the disease histopathologically, in experimentally created AR...
June 20, 2018: Otolaryngologia Polska
Joanna Leszczyńska, Grażyna Stryjewska-Makuch, Grażyna Lisowska, Bogdan Kolebacz, Marta Michalak-Kolarz
INTRODUCTION: Fungal paranasal sinusitis can be either invasive or non-invasive. Saprophytic infections, fungus balls (FB) and allergic fungal rhinosinusitis are non-invasive (AFR). MATERIALS AND METHODS: The present study examined 521 patients who underwent endoscopic sinus surgery between January 2016 and April 2017 due to chronic paranasal sinusitis at the Department of Laryngology and Laryngological Oncology of the Upper Silesian Medical Centre in Katowice. The aim of the study was to analyse the histopathological and microbiological material collected intraoperatively and to determine the incidence and type of fungal infections among patients treated for chronic sinusitis...
June 20, 2018: Otolaryngologia Polska
Bożena Kosztyła-Hojna, Diana Moskal, Anna Łobaczuk-Sitnik, Anna Kraszewska, Maciej Zdrojkowski, Jolanta Biszewska, Małgorzata Skorupa
INTRODUCTION: Voice express the psyche and personality of a person. Psychogenic dysphonia is called Phononeurosis. Neurosis, depression or family, occupational and social conflicts are the cause of voice disturbances. The most frequent type of dysphonia is hyperfunctional dysphonia, rarer - hypofunctional type. AIM: The aim of this study is an analysis of voice quality and diagnosis of clinical type of psychogenic dysphonia. MATERIAL AND METHODS: The analyzed group consisted of 50 patients with voice disorders treated in 2017 and the control group - 30 people with physiological voice...
June 12, 2018: Otolaryngologia Polska
Ewa Migacz, Robert Proczka, Antoni Krzeski, Wojciech Kukwa
Introduction The association between obstructive sleep apnea and atherosclerosis is confirmed for long time, but the pathomechanism is still not known. The aim of this study was to investigate the prevalence of OSA in patients scheduled for endarterectomy and the influence of this procedure on the sleep study parameters and sleepiness. Materials and methods 46 patients scheduled for open carotid endarterectomy were enrolled in the study. Sleep study and Epworth Sleepiness Scale (ESS) was performed preoperatively...
June 12, 2018: Otolaryngologia Polska
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