Polish Journal of Otolaryngology最新文献

{"title":"Very high concentrations of birch pollen in the air of selected Polish cities in 2022 - clinical implications.","authors":"Anna Rapiejko,&nbsp;Dariusz Jurkiewicz,&nbsp;Agnieszka Lipiec","doi":"10.5604/01.3001.0016.0832","DOIUrl":"https://doi.org/10.5604/01.3001.0016.0832","url":null,"abstract":"<p><strong>Introduction: </strong>In the Polish population, the most common cause of allergic rhinitis (AR) in the spring is birch pollen.</p><p><strong>Aim: </strong>The aim of this study was to assess the basic characteristics of the birch pollen season in selected cities in central and northern Poland including Warsaw, Piotrkow Trybunalski, and Bydgoszcz in 2022, considering their clinical implications.</p><p><strong>Material and method: </strong>Pollen monitoring was conducted using the volumetric method with the Hirst-type continuous volumetric sampler. Measurements were taken in 7-day cycles, and the microscopic analysis was performed for each 24-hour period. Results During the studied period, birch pollen posed a threat in the 2nd and 3rd decades of April and the 1st and 2nd decades of May. The birch pollination intensity was reflected by the very high values of maximum average daily pollen concentration 4102 pollen/m3 in Warsaw, 4389 pollen/m3 in Piotrkow Trybunalski, 3832 pollen/m3 in Bydgoszcz and the sum of the average daily pollen concentrations (i.e. Annual Pollen Integral, APIn) from 32439 in Bydgoszcz to 37638 in Warsaw, and long periods of exposure to high concentrations (2930 days).</p><p><strong>Conclusions: </strong>The pollen season 2022 is part of an alternating 2-year cycle of the birch pollen season intensity. The variability of parameters describing the dynamics of pollen seasons over years makes it necessary to monitor information on the pollen concentration in the air during the pollen season, both by the patients with inhalant allergy and their physicians.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":"76 6","pages":"30-36"},"PeriodicalIF":0.6,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10763964","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}

{"title":"Artificial Intelligence, or just statistics done different?","authors":"Maciej J Wróbel,&nbsp;Bartosz Lewandowski","doi":"10.5604/01.3001.0016.0540","DOIUrl":"https://doi.org/10.5604/01.3001.0016.0540","url":null,"abstract":"<p><p>As interest in AI in medicine grows, so too does the need for education on the topic. Despite the technology itself being so close, our understanding of the essence of how it works remains remote. A greater, more judicious acceptance of AI tools can be fostered in medicine by a broader appreciation of what the technology can and cannot do.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":"76 6","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10763965","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}

{"title":"Virtual rhinomanometry based on computed tomography of the paranasal sinuses in patients with nasal septum deviation a pilot study.","authors":"Robert Chrzan,&nbsp;Joanna Szaleniec,&nbsp;Krzysztof Karbowski,&nbsp;Bartosz Kopiczak,&nbsp;Jolanta Gawlik,&nbsp;Jerzy Tomik,&nbsp;Tadeusz Popiela","doi":"10.5604/01.3001.0016.0539","DOIUrl":"https://doi.org/10.5604/01.3001.0016.0539","url":null,"abstract":"<p><strong>Aim: </strong>The aim of the study was to compare the flow disturbances in computational fluid dynamics (CFD) technique based on computed tomography (CT) to the results of active anterior rhinomanometry (RMM), in patients with nasal septum deviation (NSD).</p><p><strong>Material and methods: </strong>In 24 patients with NSD, RMM and CT of the paranasal sinuses were performed as a part of typical clinical management. For each patient, 3D models of air-filled spaces in the nasal cavity were created, based on CT images, and air flow simulations during inhalation were performed using CFD technique. Correlations between RMM, both before and after anemization, during inspiration, and CFD were tested, independently for the left and right side.</p><p><strong>Results: </strong>The obtained correlation coefficients for the comparison of flow in RMM during inspiration and in CFD during simulated inspiration were: before anemization 0.46 for the left side and 0.52 for the right side, after anemization 0.65 for the left side and 0.61 for the right side (p &lt; 0.05).</p><p><strong>Conclusions: </strong>Moderate correlation was found between the results of real and virtual rhinomanometry, with higher correlation coefficients obtained after anemization, compared to the values before anemization.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":"77 1","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10757947","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}

{"title":"Summary of the Polish Universal Neonatal Hearing Screening Program 2021year review.","authors":"Grażyna Greczka,&nbsp;Monika Zych,&nbsp;Piotr Dąbrowski,&nbsp;Małgorzata Wierzbicka","doi":"10.5604/01.3001.0016.0051","DOIUrl":"https://doi.org/10.5604/01.3001.0016.0051","url":null,"abstract":"<p><p>The Polish Universal Neonatal Hearing Screening Program (PUNHSP) has been carried out in Poland for 20 years. Its main goal is to screen newborns for hearing. This examination is performed on the 2-3 days of a child&apos;s life, and in addition, information is collected on the risk factors for the development of hearing loss. In total, 486 centers participate in PPPBSuN at three reference levels. By the end of 2021, 7 million children were registered in the PPPBSuN Central Database. The most common type of hearing loss in children was bilateral sensorineural hearing loss, diagnosed in 2021 in 160 children. The report below presents the most important results and conclusions from the functioning of PPPBSuN in 2021.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":"77 1","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10816191","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}

{"title":"Epidemiological and clinical characteristics of 407 salivary glands neoplasms in surgically treated patients in 2010-2020.","authors":"Weronika Jaremek-Ochniak,&nbsp;Julia Skulimowska,&nbsp;Iga Płachta,&nbsp;Tomasz Szafarowski,&nbsp;Wojciech Kukwa","doi":"10.5604/01.3001.0015.9816","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9816","url":null,"abstract":"<p><p>INTRODUCTION Tumors of the salivary glands account for approximately 3 to 4% of all head and neck neoplasms. It is estimated that 10-15% of them are malignant. The most common benign tumor is pleomorphic adenoma, while the most common malignant tumors are adenoid cystic carcinoma and mucoepidermoid carcinoma. Neoplasms of the salivary glands are extremely histologically diverse, which results from the complex embryogenesis of the salivary glands. The identified risk factors for tumors of the salivary glands are: ultraviolet radiation, ionizing radiation, viral infections, nicotine and alcohol. MATERIAL AND METHOD The aim of the study was an epidemiological analysis of patients with salivary gland neoplasms, the distribution and histopathological characteristics of individual neoplasms treated at the Department of Otorhinolaryngology of the Medical University of Warsaw in 2010-2020. The diagnoses were analyzed according to the latest WHO 2017 histological classification of salivary gland tumors. In addition, the material was supplemented with data on the 5-year survival rates of patients with malignant neoplasms obtained from the Registry of Marital Status. RESULTS AND DISCUSSION The material contained 407 neoplasms of the salivary glands over a 11-year period, of which malignant neoplasms accounted for 17.4%. The malignant tumors were dominated by: adenoid cystic carcinoma (28,2%), mucoepidermoid carcinoma (12,7%), and acinic cell carcinoma (9,9%). Lymphomas (15,5%) were also a large group. The benign neoplasms were dominated by pleomorphic adenoma (54.1%) and Warthin&apos;s tumor (36%). Tumors of the salivary gland the most often affected the parotid gland (92%). CONCLUSIONS The obtained data are consistent with the general epidemiological data described in the current literature.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":"76 5","pages":"29-36"},"PeriodicalIF":0.6,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10569420","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}

{"title":"Use of positron emission tomography/ computed tomography in the initial staging of head and neck squamous cell carcinoma: Accuracy in evaluation of the primary site of the tumor, metastases to cervical lymph nodes, and distant metastases.","authors":"Zuzana Krátká,&nbsp;Jan Paska,&nbsp;Ales Kavka,&nbsp;Monika Jaruskova,&nbsp;Radka Lohynska,&nbsp;Katerina Lickova,&nbsp;Ales Cocek","doi":"10.5604/01.3001.0015.9817","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9817","url":null,"abstract":"AIM\u0000Our study aimed to evaluate the use of positron emission tomography/computed tomography (PET/CT) in the initial staging of head and neck squamous cell carcinoma (HNSCC), including assessment of local and distant spread of the disease. We also aimed to compare the accuracy of PET/CT in the evaluation of human papillomavirus (HPV) positive and HPV-negative oropharyngeal carcinoma.\u0000\u0000\u0000MATERIAL AND METHODS\u0000This single-center, prospective study was conducted between August 2016 and September 2021. A total of 198 patients with HNSCC who underwent PET/CT within the primary staging were included. We compared PET/CT results with histological findings. We calculated the accuracy, sensitivity, specificity, and positive and negative predictive values to assess the primary tumor, cervical lymph nodes, and distant metastases.\u0000\u0000\u0000RESULTS\u0000PET/CT showed a high success rate (32%) in revealing the primary site of carcinoma of unknown primary (CUP). The accuracy of PET/CT in displaying the primary tumor, cervical lymph node metastases, and distant metastases was 89.4%, 85.4%, and 87.4%, respectively. The method provided high sensitivity but lower specificity in all three areas. Specifically, PET/CT showed low specificity in the assessment of small tumors (75%), metastatic involvement of cervical lymph nodes (69.6%), and HPV-positive oropharyngeal carcinoma (55.6%).\u0000\u0000\u0000CONCLUSIONS\u0000The high accuracy of PET/CT to identify distant metastases and whole-body staging in one diagnostic step accelerated primary staging and resulted in earlier commencement of therapy. However, it also led to an overestimation of clinical findings and thus to extensive surgical treatment, especially in patients with small tumors, metastatic involvement of cervical lymph nodes, and HPV- positive oropharyngeal carcinoma. PET/CT is also useful for CUP diagnostics.","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":"76 6","pages":"14-21"},"PeriodicalIF":0.6,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10763963","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}

{"title":"Adjuvant radiotherapy in parotid gland pleomorphic adenoma - recommendations.","authors":"Małgorzata Wierzbicka,&nbsp;Jacek Fijuth,&nbsp;Krzysztof Składowski,&nbsp;Dariusz Jurkiewicz,&nbsp;Paweł Burduk,&nbsp;Jarosław Miłoński,&nbsp;Kazimierz Niemczyk,&nbsp;Wioletta Pietruszewska,&nbsp;Marek Rogowski,&nbsp;Dominik Stodulski,&nbsp;Boguslaw Mikaszewski","doi":"10.5604/01.3001.0015.9818","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9818","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; Standard treatment for pleomorhic adenoma (PA) of the parotid gland is complete surgical excision. Radiotherapy (RT) as a primary treatment method is controversial and generally is not applied. However, RT might be considered as an adjuvant therapy in some selected cases. &lt;/br&gt;&lt;/br&gt; &lt;b&gt;Aim:&lt;/b&gt; The aim of this work was to define recommendations for RT in patients with parotid gland PA after primary surgical treatment.&lt;/br&gt;&lt;/br&gt; &lt;b&gt;Material and methods:&lt;/b&gt; Based on the results currently published in the literature and the authors' own experiences from leading Polish laryngological and oncological clinical centers dealing with the treatment of salivary gland tumors, the indications for irradia- tion and its methods in patients with PA of the salivary glands were discussed. &lt;/br&gt;&lt;/br&gt; &lt;b&gt;Results and discussion:&lt;/b&gt; Authors recommend personalized treatment based on multidisciplinary panel decisions in each patient. Adjuvant RT should be considered in cases of suboptimal resection of primary PA (close margin, intraoperative tumor spillage, risk of recurrence based on clinical factors and histological features), and in cases of PA recurrence. Doses/ fractions and techniques of irradiation are recommended depending on the clinical extension of the primary or recurrent tumor. &lt;/br&gt;&lt;/br&gt; &lt;b&gt; Conclusions:&lt;/b&gt; Adjuvant RT in PA treatment should be a result of a personalized multidisciplinary decision after considering all possible risks of irradiation consequences. Recommendations for this treatment should be taken into consideration.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":"76 5","pages":"1-7"},"PeriodicalIF":0.6,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10865296","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}

{"title":"The importance of the gut microbiota in the promotion, development, and treatment outcomes of cancer with special regard to the gut-respiratory axis.","authors":"Piotr Nogal,&nbsp;Małgorzata Wierzbicka,&nbsp;Natalia Zagozda,&nbsp;Joanna Jackowska","doi":"10.5604/01.3001.0015.9677","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9677","url":null,"abstract":"<p><p>The role of oral and pharyngeal microbiota is important in the promotion and development of head and neck cancers, as discussed in detail in this publication. The object of this work is to gather scientific information on the importance of the gut- respiratory axis in the promotion, development, and treatment outcome of head and neck cancer (HNSCC). Scientific knowledge about the interaction of head and neck cancer tumor cells and gut microbiota is residual, so examples of the relationship between the gut microbiota and the promotion of development in cases of other malignancies are also discussed. The subject of this work is also to present the importance of the gut-respiratory axis in promotion, development, and its impact on treatment outcomes of head and neck cancers.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":"76 6","pages":"6-13"},"PeriodicalIF":0.6,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10763966","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}

{"title":"Intraoperative margins in oral and oropharyngeal cancer transoral surgery benefit from sampling method modifications.","authors":"Hanna Klimza,&nbsp;Grażyna Greczka,&nbsp;Leszek Grabowski,&nbsp;Przemyslaw Majewski,&nbsp;Jacek Banaszewski,&nbsp;Małgorzata Wierzbicka","doi":"10.5604/01.3001.0015.9678","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9678","url":null,"abstract":"OBJECTIVES\u0000To investigate the impact on local relapse rate (LRR) and disease specific survival (DSS) of intraoperative margins (FS) obtained by circumferential sampling method, corresponding to the lesion shape and marked using clock-face orientation combined with narrow band imaging (NBI) in head and neck squamous cell carcinoma Materials and Methods: 147 consecutive patients who underwent primary surgery with radical intent for oral and oropharyngeal cancer between 2011 and 2016 were prospectively enrolled. Patients were assigned to 3 groups with different sampling methods. In group A (n=44) a classical FS sampling method was used. In group B (n=73), the clock-face orientation sampling method (FS oclock) was used, whereas in group C (n=30), the FS oclock method combined with NBI. The primary outcome measure was the interdependence between FS sampling methods and oncological outcomes measured by LRR and DSS.\u0000\u0000\u0000RESULTS\u0000In total, 1534 FS samples were obtained with range of 3-24 FS taken per case, median 7.25 in group A, 8.15 in group B and 7.52 in group C. When compared FS histology and final histology in all groups the sensitivity, specificity and accuracy were 61.54%, 98.51% and 95.24%, respectively. The overall LRR equaled 8.8%. The lowest LRR was observed in FS oclock method combined with NBI (6.67%) followed by FS oclock (6.85%) and FS classic (13.64%). For all patients, DSS achieved 95.92% - 95.45% in FS classic, 95.89% in FS oclock and 96.67%. in FS oclock combined with NBI.\u0000\u0000\u0000CONCLUSION\u0000The FS oclock sampling method combined with NBI increases the chance of achieving tumor-negative margins and in result improves the treatment outcome reflected by LRR and DSS.","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":"76 6","pages":"37-44"},"PeriodicalIF":0.6,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10869459","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}

{"title":"Pectoralis major myocutaneous flaps vs. revascularised free tissue flaps following salvage surgery for recurrent head and neck cancer.","authors":"Jakub Pazdrowski,&nbsp;Pawel Golusinski,&nbsp;Mateusz Szewczyk,&nbsp;Ewa Majchrzak,&nbsp;Aleksandra Dańczak-Pazdrowska,&nbsp;Wojciech Golusiński","doi":"10.5604/01.3001.0015.9500","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9500","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the efficacy of two reconstructive methods: pectoralis major myocutaneous flap and revascularised free flap in salvage surgery for recurrent head and neck cancer.</p><p><strong>Patients and methods: </strong>We retrospectively analysed 100 cases of patients who had recurrent head and neck cancer and were treated in the Department of Head and Neck Surgery between 2011 and 2021. The study participants were divided into two groups depending on the method of reconstruction: 62 patients who underwent revascularised free flap reconstruction and 38 patients with pectoralis major myocutaneous flap.</p><p><strong>Results: </strong>In total, flap necrosis was observed in 20 cases, 18 of which were in the group who received revascularised free flaps (29.03%) and 2 in the pectoralis major myocutaneous flap group (5.26%). The OR of flap failure in the free flap group vs. pectoralis major flap group was 7.36 (95% CI 0.85-63.75; p=0.067) In the group who underwent revascularised free flap reconstruction the total surgery time was significantly longer than in the other group (p &lt; 0.0001).</p><p><strong>Conclusion: </strong>We suggest the advantages of using pectoralis major myocutaneous flaps for recurrent head and cancers, which is of the utmost importance for malnourished patients in poor general health and whose primary treatment comprised of a combination therapy.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":"76 5","pages":"22-28"},"PeriodicalIF":0.6,"publicationDate":"2022-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10569421","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}