Polish Journal of Otolaryngology最新文献

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Expert opinion on candidacy for bone conduction hearing implants Osia System and Baha Connect System. 关于骨传导听力植入体 Osia 系统和 Baha Connect 系统候选资格的专家意见。
IF 1
Polish Journal of Otolaryngology Pub Date : 2024-10-17 DOI: 10.5604/01.3001.0054.6777
Susan Arndt, Italo Cantore, Henrik Smeds, Eva Goldberg-Bockhorn, Willeke Lok, Jaime Marco, Christof Röösli, Wojciech Gawęcki
{"title":"Expert opinion on candidacy for bone conduction hearing implants Osia System and Baha Connect System.","authors":"Susan Arndt, Italo Cantore, Henrik Smeds, Eva Goldberg-Bockhorn, Willeke Lok, Jaime Marco, Christof Röösli, Wojciech Gawęcki","doi":"10.5604/01.3001.0054.6777","DOIUrl":"https://doi.org/10.5604/01.3001.0054.6777","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; Bone conduction hearing implants (BCHI) are a widely used rehabilitation solution for patients with conductive hearing loss (CHL), mixed hearing loss (MHL), or single-sided deafness (SSD).&lt;b&gt;Aim:&lt;/b&gt; This expert review presents candidacy criteria considerations when choosing between active transcutaneous bone-conduction hearing devices (Osia&lt;sup&gt;&lt;/sup&gt; System) and passive percutaneous bone-conduction hearing devices (Baha&lt;sup&gt;&lt;/sup&gt; Connect System) to help streamline the decision-making process in those contexts where economics have a major impact on professionals' and patients' choice.&lt;b&gt;Methods:&lt;/b&gt; Eight experts participated in two online surveys and two virtual meetings to discuss real-world clinical experience to highlight treatment approaches and factors considered when counseling the patients and selecting an optimal BCHI solution. Key considerations for decision-making were recorded following consensus from all experts.&lt;b&gt;Conclusions:&lt;/b&gt; Aspects in decision making include the requirement to use local &lt;i&gt;versus&lt;/i&gt; general anesthesia for the implantation procedure, bone thickness, considerations for future magnetic resonance imaging (MRI) procedures, and patient preference. Increased risk of skin infections, requirements for cleaning and managing the implant site, particularly for those with limited dexterity, as well as esthetic concerns could make the Baha&lt;sup&gt;&lt;/sup&gt; Connect System unsuitable for some patients. In these cases, the Osia&lt;sup&gt;&lt;/sup&gt; System may provide clear advantages, particularly in patients for whom good hearing performance is a priority, and this would need to be discussed individually with the patient in a multidisciplinary setting. Conversely, for patients requiring minimally invasive surgery, who have contraindications for general anesthesia or require frequent head MRI scans in the future, the Baha Connect System may be more suitable.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictive value of tooth and sinuses radiological characteristics in managing odontogenic sinusitis of endodontic origin. 牙髓源性牙源性鼻窦炎管理中牙齿和鼻窦放射学特征的预测价值。
IF 1
Polish Journal of Otolaryngology Pub Date : 2024-10-17 DOI: 10.5604/01.3001.0054.6744
Marta Kwiatkowska, Kornel Szczygielski, Łukasz Skrzypiec, Dariusz Jurkiewicz
{"title":"Predictive value of tooth and sinuses radiological characteristics in managing odontogenic sinusitis of endodontic origin.","authors":"Marta Kwiatkowska, Kornel Szczygielski, Łukasz Skrzypiec, Dariusz Jurkiewicz","doi":"10.5604/01.3001.0054.6744","DOIUrl":"10.5604/01.3001.0054.6744","url":null,"abstract":"<p><strong>Background: </strong>One of the most common causes of bacterial odontogenic sinusitis (ODS) is endodontic disease with periapical lesions (PAL). Referrals between otolaryngologists and dental specialists are indispensable for proper diagnosis and treatment. If the disease does not resolve after medical and root-canal treatment (RCT), tooth extraction, endoscopic sinus surgery (ESS) or both are the ways of management.The aim was to clarify the predictive value of disease's radiological characteristics for the further surgical intervention.</p><p><strong>Methodology: </strong>68 symptomatic patients evaluated by an otolaryngologist and dental specialist were included to this prospective observational cohort study. Patients who failed medical treatment of sinusitis (intranasal steroids, saline rinses and antibiotics) and RCT were treated either with ESS, tooth extraction or both at the same time.</p><p><strong>Results: </strong>87% of patients required surgical intervention. 12% improved after tooth extraction alone, 47% after ESS and 31% required both procedures. The degree of maxillary sinus' (MS) opacification was not correlated with the need of invasive procedures implementation, as opposed to ostiomeatal complex' patency (p&lt;0.001). Cortical bone destruction towards the MS and multiple tooth roots involvement suggested ODS resolution only after combined surgical approach (p=0.041).</p><p><strong>Conclusions: </strong>Radiological characteristics of causative tooth and patency of ostiomeatal unit correlate with the evolution of ODS and need for either ESS and/or tooth extraction. Patients with multiple roots affected, shorter distance to the MS floor and PAL's with visible bone destruction may require tooth extraction and ESS to resolve ODS completely.</p><p><strong>Clinical implications: </strong>Radiological data may help in earlier diagnosis and treatment of ODS with PALs for both otolaryngologists and dental specialists.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Memory Load Test - A Concept for Cognitive Reserve Evaluation with Auditory Perception. 记忆负荷测试--利用听觉评估认知储备的概念
IF 1
Polish Journal of Otolaryngology Pub Date : 2024-09-12 DOI: 10.5604/01.3001.0054.5661
Maya Madhavan, Muhammad Ibraheem Zaid, Khizer Chaudhary, Chetachi Soribe, Muhammed Jlal Siddiqui, Nabiha Ali, Roisin Rahaman, Helga Brito Lima, Sanya Nair, Nessa Din, Maria Marzec, Maciej J Wróbel
{"title":"Memory Load Test - A Concept for Cognitive Reserve Evaluation with Auditory Perception.","authors":"Maya Madhavan, Muhammad Ibraheem Zaid, Khizer Chaudhary, Chetachi Soribe, Muhammed Jlal Siddiqui, Nabiha Ali, Roisin Rahaman, Helga Brito Lima, Sanya Nair, Nessa Din, Maria Marzec, Maciej J Wróbel","doi":"10.5604/01.3001.0054.5661","DOIUrl":"https://doi.org/10.5604/01.3001.0054.5661","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; Auditory scene analysis refers to the system through which the auditory system distinguishes distinct auditory events and sources to create meaningful auditory information. The exact number of directly perceived auditory stimuli is unknown, studies suggest it may range from 3 to 5. This number differs among individuals, and potentially may indirectly indicate the ability to store and process the complex information, related to the memory load, which is combined with human cognitive processes.&lt;b&gt;Aim:&lt;/b&gt; This study aims to further identify and quantify the number of sounds that can be perceived simultaneously in a complex auditory environment.&lt;b&gt;Material and methods:&lt;/b&gt; Participants were presented with structured acoustic recordings and were asked to identify the exact number of targeted stimuli heard throughout the test. The experiment was designed to assess the auditory load and determine the maximum number of auditory stimuli that a healthy human can perceive at once.&lt;b&gt;Results:&lt;/b&gt; Our study showed that on average, participants could identify up to three sounds at once with accuracy of responses declining progressively for four sounds or more.&lt;b&gt;Conclusions:&lt;/b&gt; This study aimed to investigate the human capacity to detect and identify multiple sound signals simultaneously in a noisy environment. By understanding this ability, we sought to assess cognitive reserve in individuals. Our objective was to determine if auditory load could serve as a diagnostic tool for cognitive evaluation. We believe that further research will establish the validity of this approach, and we anticipate that it is only a matter of time before it becomes a viable method for assessing cognitive function.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Soft tissue sarcomas of the head and neck region: clinical and histopathological study of 39 patients. 头颈部软组织肉瘤:39 例患者的临床和组织病理学研究。
IF 1
Polish Journal of Otolaryngology Pub Date : 2024-07-25
Jarosław Markowski, Anna Długosz-Karbowska, Monika Ciupińska, Wojciech Smółka, Zuzanna Dobrosz, Aleksandra Ślaska-Kaspera, Olga Lesniewska-Skowerska, Wirginia Likus, Klaudia Mazurek
{"title":"Soft tissue sarcomas of the head and neck region: clinical and histopathological study of 39 patients.","authors":"Jarosław Markowski, Anna Długosz-Karbowska, Monika Ciupińska, Wojciech Smółka, Zuzanna Dobrosz, Aleksandra Ślaska-Kaspera, Olga Lesniewska-Skowerska, Wirginia Likus, Klaudia Mazurek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; Soft tissue sarcomas (STS) constitute about 1-2% of all malignant tumors, with approximately 10% of them located in the head and neck region.&lt;b&gt;Aim:&lt;/b&gt; The aim of this study was the assessment of treatment efficiency in head and neck STS of adult patients of the ENT Department of Medical University of Silesia, treated surgically in the period 1980-2023.&lt;b&gt;Materials and methods:&lt;/b&gt; Retrospective analysis of 39 patients with the diagnosis of head and neck STS.&lt;b&gt;Results:&lt;/b&gt; Histopathological examination showed 21 different types of STS located most commonly in: paranasal sinuses (13 cases), orbital cavity (6 cases), nasal cavity (3 cases), and larynx (3 cases). Other locations: parapharyngeal space, parotid gland, nasal septum, bridge of the nose, soft and hard palate, mandibular mucosa, tongue, auricle, palatine tonsil, and cheek. All those patients underwent chemoradiation as postoperative treatment. Radical surgical procedure was achieved in 32 patients (82%). However, in 11 patients (28%), microscopic examination did not confirm radical resection (R1 - PSM - positive surgical margin). In 7 patients (18%), the surgical procedure turned out to be not radical on macroscopic examination (R2). Dissemination of neoplasms (distant metastases) was found in 7 patients (18%). Five-year survival time without local recurrence was achieved in 25 patients (64%). The most frequent reason for unsuccessful interventions was local recurrence noted in 18 patients (46%), while distant metastases occurred in 9 patients (23%).&lt;b&gt;Conclusions:&lt;/b&gt; The basic procedure in the treatment of STS is radical surgery combined with preoperative or postoperative radiotherapy and/or chemotherapy and, in case of a metastasis, surgical removal thereof. Despite the fact that sarcomas are rare tumors, they remain a challenge for head and neck surgery. Recurrence rates and mortality remain high due to the high degree of malignancy.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Polish cross-cultural adaptation of the Glasgow Benefit Inventory as an instrument for the post-intervention measurement of change after Gamma Knife treatment. 波兰对格拉斯哥效益量表进行跨文化改编,将其作为伽马刀治疗后测量变化的工具。
IF 1
Polish Journal of Otolaryngology Pub Date : 2024-07-25
Katarzyna Bieńkowska, Barbara Kostecka, Mirosław Ząbek, Andrzej Kokoszka, Sebastian Dzierzęcki, Ewelina Cichoń, Grzegorz Turek
{"title":"Polish cross-cultural adaptation of the Glasgow Benefit Inventory as an instrument for the post-intervention measurement of change after Gamma Knife treatment.","authors":"Katarzyna Bieńkowska, Barbara Kostecka, Mirosław Ząbek, Andrzej Kokoszka, Sebastian Dzierzęcki, Ewelina Cichoń, Grzegorz Turek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; The Glasgow Benefit Inventory (GBI) is one of questionnaires for the measurement of treatment success, which is widely used in patients after vestibular schwannoma treatment.&lt;b&gt;Aim:&lt;/b&gt; This study aimed to adapt the GBI originally written in English to Polish conditions and to evaluate its psychometric properties.&lt;b&gt;Material and methods:&lt;/b&gt; The Polish version of the GBI used in this study was prepared by a bilingual translator, and its accuracy was ensured by back-translation. To identify the structure of the Polish version of the GBI, exploratory factor analysis was performed. The reliability was determined using Cronbach's α. To verify the validity, correlation analysis was conducted between the domains of GBI and other questionnaires.&lt;b&gt;Results:&lt;/b&gt; The results of confirmatory factor analysis indicated that the original 3-factor model is not a good fit for the data. The exploratory factor analysis was performed and identified 4 factors. The total variance of the 4-factor solution was 66.25%. The Cronbach's α calculated for the total GBI reached 0.91. Our analysis confirmed significant weak or moderate correlations between tools for the measurement of general QoL (AQoL-8D: r = 0.411; p = 0.000) and health-related QoL (PANQOL: r = 0.367; p = 0.000; a tool dedicated for patients with VS), well-being (WHO-5: r = 0.432; p = 0.000), hearing and tinnitus (STS: r = -0.217; p = 0.016).&lt;b&gt;Conclusions:&lt;/b&gt; This study reports the first adaptation of the GBI for patients with VS to Polish conditions. The results demonstrated that the Polish version of the GBI is a reliable and valid questionnaire that can be used to measure treatment success.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Contemporary directions in the therapy of sensory hearing loss. 感官听力损失治疗的当代方向。
IF 1
Polish Journal of Otolaryngology Pub Date : 2024-07-25
Anna Rzepakowska, Aleksandra Borowy, Eryk Siedlecki, Marta Wolszczak, Katarzyna Radomska
{"title":"Contemporary directions in the therapy of sensory hearing loss.","authors":"Anna Rzepakowska, Aleksandra Borowy, Eryk Siedlecki, Marta Wolszczak, Katarzyna Radomska","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; More than 5% of the world's population experience hearing impairment. The most common form is presbycusis (age-related hearing loss; ARHL). It affects almost one in three people over the age of 65. The hair cells of the cochlea play an important role in the process of sound registration. Genetic mutations, aging and environmental factors can cause damage that contributes to the hearing loss.&lt;b&gt;Methods and results:&lt;/b&gt; The currently explored research directions include drug treatments, gene therapies, and stem cell therapies. To date, no significant differences in the therapeutic effect depending on the route of corticosteroid administration have been demonstrated in patients with moderate to severe hearing loss. New dexamethasone-containing hydrogel formulations, as well as lipid formulations, thermosensitive polymers, and nanoparticles, have been developed to achieve high drug concentrations in the inner ear structures. Otoprotective effects of antioxidants or substances that modify the toxic effects of e.g. cisplatin, are also being studied. Attempts at auditory cells' regeneration seem promising in hearing loss research. Substances that regulate the central mechanisms of the Notch and Wnt pathways are being explored to this end. The genetic determinants of presbycusis suggest that interference at the level of specific genes may be a promising option for the treatment of this condition. With the CRISPR/Cas9 technology, the functions of inner ear genes can be effectively studied by disrupting normal gene alleles. The CRISPR/Cas9 complexes developed to target specific genes are delivered using cationic lipids, proteins, and viral vectors. They are then transported through the round window membrane by diffusion, without the need to surgically disrupt the inner ear. The potential of using antisense oligonucleotides to treat hereditary deafness caused by hair cell degeneration has also been established. Another research direction is related to stem cells being used for the development of in vitro 3D models of the human inner ear. Studies are also pursued to identify the mechanisms underlying the formation of cochlear organoids from pluripotent cells as well as determine the critical time points and events for cochlear sensory epithelial development and targeted hair cell differentiation.&lt;b&gt;Conclusions:&lt;/b&gt; In summary, significant progress has been made over the past decade in the search for novel therapies for sensory hearing loss. This line of research remains an ambitious and important area for further exploration.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Polish Translation and Validation of the SCHNOS (Standardized Cosmesis and Health Nasal Outcomes Survey) Questionnaire. SCHNOS(标准化舒适度和鼻腔健康结果调查)问卷的波兰语翻译和验证。
IF 1
Polish Journal of Otolaryngology Pub Date : 2024-07-21 DOI: 10.5604/01.3001.0054.4820
Marcin Jadczak, Sandra Krzywdzińska, Dariusz Jurkiewicz
{"title":"Polish Translation and Validation of the SCHNOS (Standardized Cosmesis and Health Nasal Outcomes Survey) Questionnaire.","authors":"Marcin Jadczak, Sandra Krzywdzińska, Dariusz Jurkiewicz","doi":"10.5604/01.3001.0054.4820","DOIUrl":"https://doi.org/10.5604/01.3001.0054.4820","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; Rhinoseptoplasty procedures are focused not only on the aesthetic but also on the functional aspects. Surgical outcomes have to be evaluated in each patient. To date, the Polish literature has lacked a tool facilitating simultaneous assessment of rhinoseptoplasty's impact on both the external appearance and functionality of the nose.&lt;b&gt;Aim:&lt;/b&gt; The aim of this study was to translate, adapt, and validate the Polish version of the original SCHNOS (Standardized Cosmesis and Health Nasal Outcomes Survey) questionnaire as used for the assessment of the functional and aesthetic outcomes in patients after rhinoplasty.&lt;b&gt;Materials and methods:&lt;/b&gt; A total of 31 subjects (N = 24 [77.4%] women and N = 7 men [22.6%]) aged 19 through 55 years (M = 31.32; SD = 8.50) participated in the study. The SCHNOS questionnaire was translated in accordance with international guidelines. The psychometric accuracy of translation was tested in native speakers of Polish. The authors measured the internal consistency, correlatability, and repeatability of the instrument to determine its validity. The data were subjected to statistical analysis.&lt;b&gt;Results:&lt;/b&gt; The confirmatory factor analysis confirmed the two-factor structure of the scale. The satisfactory reliability amounted to 0.888 [95% CI: 0.804-0.940] for the SCHNOS-O and 0.883 [95% CI 0.795-0.937] for the SCHNOS-C scale. Differential accuracy was confirmed by AVE values of &gt; 0.5 as well as by correlation of the results with the Rhinoplasty Outcome Evaluation (ROE) questionnaire scores.&lt;b&gt;Conclusions:&lt;/b&gt; The SCHNOS questionnaire has been translated, adapted, and validated for use in the Polish-speaking population. The tool was found to be relevant and reliable.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Subtotal resection of vestibular schwannoma with subsequent Gamma Knife irradiation - tumor growth control, facial and cochlear nerve outcome - preliminary results. 前庭分裂瘤次全切除术后伽玛刀照射--肿瘤生长控制、面部和耳蜗神经疗效--初步结果。
IF 1
Polish Journal of Otolaryngology Pub Date : 2024-07-21 DOI: 10.5604/01.3001.0054.5437
Grzegorz Turek, Adrian Drożdż, Sebastian Dzierzęcki, Karolina Dżaman, Mariusz Gruda, Justyna Zielińska-Turek, Jan Gajewski, Dominika Bodzak, Mirosław Ząbek
{"title":"Subtotal resection of vestibular schwannoma with subsequent Gamma Knife irradiation - tumor growth control, facial and cochlear nerve outcome - preliminary results.","authors":"Grzegorz Turek, Adrian Drożdż, Sebastian Dzierzęcki, Karolina Dżaman, Mariusz Gruda, Justyna Zielińska-Turek, Jan Gajewski, Dominika Bodzak, Mirosław Ząbek","doi":"10.5604/01.3001.0054.5437","DOIUrl":"https://doi.org/10.5604/01.3001.0054.5437","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; The choice of treatment of vestibular schwannoma (VS) depends on several factors, including the tumor size, the patient's age and overall health, and the presence and severity of symptoms.&lt;b&gt;Aim:&lt;/b&gt; The aim of the study was to assess the effectiveness of intentional subtotal resection (STR) of tumor followed by Gamma Knife surgery (GKS) in patients with larger VS (Koos 3 and 4).&lt;b&gt;Materials and methods:&lt;/b&gt; The retrospective analysis was performed on 18 patients. Data of VS volumes measured in MRI, the facial nerve function assessed in the House-Brackmann scoring system (HB), and the results of audiological examination expressed on the Gardner-Robertson scale (GR) were collected preoperatively, postoperatively, and post-GKS.&lt;b&gt;Results:&lt;/b&gt; Preoperatively, the main symptom was hearing loss observed in 13 out of 18 patients. The facial nerve function was assessed as HB 1 in 16, whereas HB 2 in 2 patients. The mean volume of the tumor in the initial MRI amounted to 16.81 cm&lt;sup&gt;3&lt;/sup&gt; . Postoperatively, the facial nerve was assessed as HB 1 or 2 in 16, whereas HB 3 in 2 patients. Serviceable hearing was presented by only 4 persons. The Mean diameter of the tumor after subtotal surgery amounted to 3.16 cm&lt;sup&gt;3&lt;/sup&gt; , 1.83 cm&lt;sup&gt;3&lt;/sup&gt; after GKS, and 1.58 cm&lt;sup&gt;3&lt;/sup&gt; at the last follow-up. The facial nerve function and hearing level remained the same as before GKS in all patients.&lt;b&gt;Conclusions:&lt;/b&gt; STR followed by GKS can be a safe and effective method of treatment of large VS concerning the functional outcome of the facial nerve and the tumor volume growth control.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Speech recognition and speech audiometry parameters in evaluation of aural rehabilitation progress in cochlear implant patients. Review paper. 评估人工耳蜗患者听力康复进展的语音识别和语音测听参数。综述论文。
IF 1
Polish Journal of Otolaryngology Pub Date : 2024-07-21 DOI: 10.5604/01.3001.0054.5438
Przemysław Ryćko, Marek Rogowski
{"title":"Speech recognition and speech audiometry parameters in evaluation of aural rehabilitation progress in cochlear implant patients. Review paper.","authors":"Przemysław Ryćko, Marek Rogowski","doi":"10.5604/01.3001.0054.5438","DOIUrl":"https://doi.org/10.5604/01.3001.0054.5438","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; Speech audiometry is well established and frequently used test in audiology as well as in cochlear implant recipient's performance evaluation. Expanding indications for cochlear implantation forces use of more refined methods of both assessment and prognosis of outcome of aural rehabilitation. Variability of speech intelligibility tests and materials require standardized protocol facilitating outcome comparison.&lt;b&gt;Aim:&lt;/b&gt; Aim of this review paper is analysis of usage of speech audiometry and other speech intelligibility tests and its results reporting in patients with cochlear implant in Poland and in the World.&lt;b&gt;Materials and methods:&lt;/b&gt; Protocols of many different domestic and foreign health centers where compared, showing many methodological differences. Selection of literature for analysis was made according to PRISMA algorithm recommendations. Twenty research papers were chosen for review process.&lt;b&gt;Discussion:&lt;/b&gt; In many papers we found lack of data regarding methodology of performed tests. Many authors indicate difficulties in comparing results, especially if publication lacks basic technical information. Despite that if right method is applied, results can be compared. In literature only one level of material presentation in test is prevalent. Speech audiometry is significant in exploring connections between multiple pre-op and post-op prognostic aspects of cochlear implantation.&lt;b&gt;Conclusions:&lt;/b&gt; Because of variability in presentation and reporting of CI patients outcomes, consensus is needed in area of system facilitating comparison of research results. This may provide simple solution for accurate analysis and choosing right set of data. Schematic of presentation of audiological data in authors health center was proposed as example.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Polish version of the COMQ-12 questionnaire, a new validated tool for the assessment of the quality of life in patients with chronic otitis media. 波兰语版 COMQ-12 问卷,用于评估慢性中耳炎患者生活质量的新验证工具。
IF 0.6
Polish Journal of Otolaryngology Pub Date : 2024-04-09 DOI: 10.5604/01.3001.0054.3355
Marta Pietraszek, Grażyna Greczka, Anna Bartochowska, Wojciech Gawęcki
{"title":"Polish version of the COMQ-12 questionnaire, a new validated tool for the assessment of the quality of life in patients with chronic otitis media.","authors":"Marta Pietraszek, Grażyna Greczka, Anna Bartochowska, Wojciech Gawęcki","doi":"10.5604/01.3001.0054.3355","DOIUrl":"https://doi.org/10.5604/01.3001.0054.3355","url":null,"abstract":"<p><p>&lt;b&gt;&lt;br&gt;Introduction:&lt;/b&gt; The COMQ-12 questionnaire is a tool to assess the quality of life in patients with chronic otitis media in many countries. The questionnaire consists of 12 questions: seven relating to the severity of symptoms, two regarding the impact of the disease on lifestyle and work, two concerning the impact on the need for healthcare, and one is a general question. Each question is rated on a scale from 0 to 5.&lt;/br&gt; &lt;b&gt;&lt;br&gt;Aim:&lt;/b&gt; To present the validation process and the final version of the Polish version of the COMQ-12 questionnaire.&lt;/br&gt; &lt;b&gt;&lt;br&gt;Material and methods:&lt;/b&gt; The Polish version of the COMQ-12 questionnaire was prepared based on an independent translation of the English version by three physicians (two otolaryngology specialists and one physician in the process of specialization in otolaryngology). The questionnaire was validated in a study including 60 participants: 30 patients with chronic otitis media and 30 volunteers without a history of middle ear diseases or hearing disorders. Each participant was asked to complete the COMQ-12 questionnaire twice at an interval of 4 weeks apart. The internal consistency, reliability, and construct validity of the questionnaire were analyzed using Cronbach's alpha and McDonald's omega coefficients, Spearman's rho correlation coefficient, and the Mann-Whitney test, respectively.&lt;/br&gt; &lt;b&gt;&lt;br&gt;Results:&lt;/b&gt; High internal consistency, reliability, and construct validity of the Polish version of the COMQ-12 questionnaire were shown in the course of statistical analysis. The overall internal consistency was 0.95 and 0.97 as assessed by Cronbach's alpha and McDonald's omega coefficients, respectively. Spearman's rho correlation coefficient was above 0.89 for each question. Statistically significant differences in the COMQ-12 total scores were obtained between patients with chronic otitis media and the control group.&lt;/br&gt; &lt;b&gt;&lt;br&gt;Conclusions:&lt;/b&gt; The Polish version of the COMQ-12 questionnaire can be a valuable clinical tool for the assessment of the quality of life in patients suffering from chronic otitis media.&lt;/br&gt.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140857385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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