Polish Journal of Otolaryngology最新文献

{"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}

{"title":"The impact of the COVID 19 pandemic on the functioning of the Universal Newborn Hearing Screening Program in Poland.","authors":"Grażyna Greczka,&nbsp;Piotr Dąbrowski,&nbsp;Monika Zych,&nbsp;Witold Szyfter,&nbsp;Małgorzata Wierzbicka","doi":"10.5604/01.3001.0015.9079","DOIUrl":"https://doi.org/10.5604/01.3001.0015.9079","url":null,"abstract":"<p><p>The Newborn Hearing Screening Program has existed in Poland for almost 20 years. However, for the first time in the history of his activity, he had to deal with large logistic and staffing problems. The analysis compared the years 2020 and 2021 in terms of the functioning of centers that conduct audiological diagnostics of the Program during the Covid-19 pandemic. In order to obtain relevant information, a telephone survey was conducted at the beginning of 2022 with questions about the performance of standard activities related to the Program. Results In 2020, 60 centers conducting audiological diagnostics (66.67%) were suspended, and 30 were working under the sanitary and epidemiological regime (33.33%). In 2021, only 5 (5.26%) diagnostic centers with their headquarters in facilities transformed into so-called homonymous hospitals, dealing only with the treatment of patients infected with SARS-CoV-2 virus, were suspended. Discussion The development of the pandemic and the related limitations around the world had a significant impact on the quality and scope of medical services provided. Many hospitals were quickly transformed into closed centers treating only patients with SARS-CoV-2. Audiological consultations take place in closed, soundproof rooms. Face-to-face contact was required for hearing assessment, fitting hearing aids, troubleshooting, and rehabilitation. The COVID-19 pandemic has forced audiology to modify existing practices. The use of telemedicine was increasingly preferred. In Poland, as all over the world, the scope of remote consultations has expanded, but due to technological and hardware limitations, audiological procedures remained in the sphere of direct contact with the patient. Conclusions In the first year after the announcement of the pandemic, significant difficulties were observed in the functioning of centers dealing with the diagnosis of children with suspected hearing loss. The appearance of the SARS-CoV-2 virus forced us to develop innovative methods of early diagnosis and treatment of children with hearing impairment, which resulted in the stabilization of the work of individuals in the following year.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":"76 4","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40333993","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":"Microbiological analysis of tracheostomy tube biofilms and antibiotic resistance profiles of potentially pathogenic microorganisms.","authors":"Łukasz Ścibik,&nbsp;Dorota Ochońska,&nbsp;Monika Gołda-Cępa,&nbsp;Monika Brzychczy-Włoch,&nbsp;Andrzej Kotarba","doi":"10.5604/01.3001.0015.8827","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8827","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; In hospitalized patients, tracheostomy tubes (TTs) are susceptible to colonization by biofilm- producing potentially pathogenic microorganisms (PPMs). Contact with TTs, which are situated in a critical region of the body with enormous microbial exposure, may lead to the emer-gence of resistant respiratory infections.&lt;/br&gt;&lt;/br&gt; &lt;b&gt;Objective:&lt;/b&gt; Our study aimed to isolate and identify Gram-positive and Gram-negative PPMs, mark their antibiotic resistance and determine the bacteriological pattern of the biofilm colonizing the TTs. &lt;/br&gt;&lt;/br&gt; &lt;b&gt;Methods:&lt;/b&gt; The study was conducted on 45 tracheostomy tubes obtained from 45 hospitalized adult patients with tracheostomy with intubation periods ranging from 1 to 28 days. Tracheal aspirates (TA) obtained from polyvinyl chloride (PVC) TTs were used for the analysis. Bacteria in biofilms were identified by standard microbiological techniques, tested for antibiotic resistance and phenotypic resistance according to the EUCAST guidelines and visualized by SEM.&lt;/br&gt;&lt;/br&gt; &lt;b&gt;Results:&lt;/b&gt; Out of 45 TTs, 100% were found to be positive in bacterial cultures with 58 PPM isolates (10 spe-cies) correlating well with the SEM findings. Overall, 72% of isolates were Gram-negative bacilli, followed by Gram-positive cocci (28%). Staphylococcus aureus was the predominant bacterium (identified in 35.5% of patients), followed by Klebsiella pneumoniae (identified in 23.8%). Among the Gram-negative PPMs, 50% of isolates were identified as multidrug-resistant (MDR), 8.6% as extremely drug-resistant (XDR) and 5.2% were pandrug-resistant (PDR).&lt;/br&gt;&lt;/br&gt;&lt;b&gt;Conclusions:&lt;/b&gt; Our study showed a rapid colonization of the TT surface by biofilm- producing PPMs. Patients with tracheosto- mies, also those with non-infectious conditions, were mainly colonized with highly re-sistant bacteria.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":"76 5","pages":"1-13"},"PeriodicalIF":0.6,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10865297","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":"[Przewlekłe zapalenie ucha środkowego z perlakiem - czy można przewidzieć wyniki pooperacyjne?]","authors":"M. Pietraszek, Anna Bartochowska, M. Wierzbicka, W. Szyfter, W. Gawęcki","doi":"10.5604/01.3001.0015.8703","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8703","url":null,"abstract":"Wstęp: W 2017 r. Europejska Akademia Otologii i Neurootologii (EAONO) we współpracy z Japońskim Towarzystwem Otologicznym (JOS) opublikowała konsensus ujednolicający definicję, klasyfikację oraz stopień zaawansowania perlaka ucha środkowego. Miał on pomóc w określeniu ciężkości choroby, trudności całkowitego usunięcia perlaka oraz ułatwić porównanie wyników otochirurgicznych pomiędzy różnymi ośrodkami. Klasyfikacja ta definiuje 5 okolic w obrębie ucha środkowego (tzw. system STAM): S - miejsca trudnodostępne (S1- protympanum / epitympanum przednie / zachyłek nadtrąbkowy i S2- zatoka bębenkowa ), T- jama bębenkowa, A - attyka i M- wyrostek sutkowaty. Konsensus ten wyróżnia także 4 stopnie zaawansowania perlaka (STAGE I-IV) w zależności od miejscowej rozległości perIaka czy występowania powikłań zewnątrzczaszkowych lub wewnątrzczaszkowych. Cel: Celem pracy była analiza chorych z przewlekłym zapaleniem ucha środkowego z perlakiem, ocena wyników leczenia oraz ich korelacja ze stopniem zaawansowania perlaka zgodnie z klasyfikacją EAONO/JOS. Materiał i Metody: Dokonano retrospektywnej analizy dokumentacji medycznej pacjentów operowanych pierwszorazowo z powodu przewlekłego zapalenia ucha środkowego z perlakiem w latach 2015 - 2020. Była to grupa 204 chorych w wieku 6-82 lat, w tym 113 mężczyzn i 91 kobiet. Wyniki: Analiza wykazała statystycznie istotną zależność pomiędzy stopniem zaawansowania perlaka a uszkodzeniem młoteczka (p= 0,00342), kowadełka (p= 0,0001) i suprastruktury strzemiączka (p= 0,00193). Zaobserwowano, że największy odsetek wznów perlaka występował po jego usunięciu z dojścia wyłącznie przez PSZ. Rzadziej wznowy stwierdzano po operacji techniką zamkniętą (CWU), a jeszcze rzadziej techniką otwartą (CWD). Bardzo dobre wyniki stwierdzono też u chorych po zabiegu z obliteracją wyrostka sutkowatego (BOT). W analizowanym materiale nie zaobserwowano natomiast zależności częstości wznowy perlaka od stopnia zaawansowania choroby (p= 0,53430). Analiza statystyczna wykazała, że wraz ze wzrostem stopnia zaawansowania choroby (STAGE I-III) istotnie większy był przedoperacyjny ubytek słuchu dla przewodnictwa powietrznego (p= 0,0025) oraz kostnego (p= 0,0042), a także większa była rezerwa ślimakowa (p= 0,0201). Również analiza pooperacyjnych wyników słuchu wykazała, że wszystkie te wartości były wyższe w wyższym stopniu zaawansowania perlaka, a różnice były istotne statystycznie (p=0,0156 dla przewodnictwa powietrznego, p =0,0069 dla przewodnictwa kostnego). Wnioski: Badanie wykazało, że system klasyfikacji i zaawansowania perlaka EAONO/JOS pozwala obiektywnie określić stopień zaawansowania choroby, który z kolei koreluje ze stopniem destrukcji struktur kostnych oraz z wynikami słuchowymi. Daje on także możliwość porównania wyników leczenia z przedstawionymi przez innych badaczy. System ten jednak nie pozwala przewidzieć ryzyka wznowy perlaka - w oparciu jedynie o jego lokalizację i zaawansowanie. Wydaje się, że kluczowe znaczenie ma tutaj zastosowan","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":"1 1","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2022-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88222015","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":"Does the orientation of the styloid process cause Eagle Syndrome? An anatomical study of the styloid process in 72 Greek skulls.","authors":"George Paraskevas,&nbsp;Alexandros Poutoglidis,&nbsp;Nikolaos Lazaridis,&nbsp;Irene Asouhidou,&nbsp;Chrysanthos Chrysanthou,&nbsp;Elpida Apostolidou,&nbsp;Kalliopi Iliou,&nbsp;Nikolaos Tsetsos,&nbsp;Evropi Forozidou,&nbsp;Paraskevi Karamitsou,&nbsp;Antonios Skalias,&nbsp;Konstantinos Vlachtsis","doi":"10.5604/01.3001.0015.8627","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8627","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; Patients often suffer from an elongated styloid process. This clinical entity is well known and is described as Eagle syndrome. The presence of this anatomical variation is not always associated with symptoms. However, there is a strong correlation between the elongated styloid process and Eagle syndrome &lt;/br&gt;&lt;/br&gt; &lt;b&gt;Aim:&lt;/b&gt; This study aims to calculate the incidence of elongated styloid processes in the Greek population, to analyze the morphometric characteristics of styloid processes, and to compare these among sexes. &lt;/br&gt;&lt;/br&gt; &lt;b&gt;Material and methods:&lt;/b&gt; This is a single-center retrospective study. All skulls were donated to the Department of Anatomy, the Ari-stotle University of Thessaloniki from January 2013 to May 2019 for research purposes. A styloid process longer than 30 mm was considered elongated. We used Welch's t-test for the statistical analysis of the data. &lt;/br&gt;&lt;/br&gt; &lt;b&gt;Results:&lt;/b&gt; The prevalence of elongated styloid processes was 35%. The average diameter was 3.32 mm and the average total length was 25.02 mm. There was no statistically significant difference between male and female skulls, though the female styloid processes were slightly longer and the male ones were slightly wider. Symmetry was recorded in 31% of skulls. Average axial angle was 650 but in 4% of cases it was less than 20&lt;sup&gt;0&lt;/sup&gt;. &lt;/br&gt;&lt;/br&gt; &lt;b&gt;Conclusions:&lt;/b&gt; The elongated styloid process is not a rare entity. Eagle syndrome should always be considered in the differential diagnosis when patients report chronic sore throat. Our anatomical findings add a new dimension to the etiopathogenesis of Eagle syndrome.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":"76 4","pages":"12-16"},"PeriodicalIF":0.6,"publicationDate":"2022-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40333992","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":"Local recurrence risk in head and neck basal cell carcinoma.","authors":"Mateusz Szewczyk,&nbsp;Jakub Pazdrowski,&nbsp;Mikołaj Pabiszczak,&nbsp;Barbara Więckowska,&nbsp;Aleksandra Dańczak-Pazdrowska,&nbsp;Wojciech Golusiński","doi":"10.5604/01.3001.0015.8568","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8568","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the study was to ascertain the risk factors of local recurrence in primary basal cell carcinoma of the head and neck Material and methods: A retrospective analysis of 545 patients with head and neck primary basal cell carcinoma treated in years 2008 - 2018 was done. The following data was recorded: age, sex, tumor site, histological subtype, greatest dimension, margin status, experience of operating surgeon and local recurrence Results: Most of the tumors were located nose (165; 30,2%) and auricle (119; 21,8%). The most common pathological subtype was nodular (119; 21,8%). Three hundred and ninety-four tumors (72,2%) were under 20mm in diameter. Positive surgical margins were noted in 107 (19,6%) cases. Local recurrence was observed in 52 (9,5%) cases, of which 29 (29/107; 27%) had positive surgical margins, in 23 (23/438; 5,2%) cases margins were free, which was the only statistically significant factor (p&lt;0,001; OR 6,71; CI 3,69 - 12,2).</p><p><strong>Conclusions: </strong>The results of our study have shown that positive surgical margin remains the strongest risk factor for local recurrence. With surgical excision being the gold standard of treatment the greatest emphasis should be placed on avoiding such scenario in high risk patients.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":"76 4","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40333995","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":"Dysfunctions of the vestibular organ in patients with migrainous vertigo in the results of objective tests of the equilibrium system.","authors":"Monika Woźniak,&nbsp;Karolina Dżaman,&nbsp;Ireneusz Kantor,&nbsp;Marzena Kubiczek-Jagielska,&nbsp;Dagmara Zaborowska","doi":"10.5604/01.3001.0015.8339","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8339","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; Migrainous vertigo (MV) is one of the most common causes of episodic vertigo. Diagnostic criteria for MV are described in the appendix to the third edition of the International Classification of Headache Disorders (Beta Version). The dysfunction exerts its impact on certain peripheral and central structures within the vestibular system. &lt;/br&gt;&lt;/br&gt; &lt;b&gt;Aim:&lt;/b&gt; The aim of the study was to assess the function of the central and peripheral vestibular system in patients with MV based on the results of objective clinical tests including videonystagmography (VNG) and cervical vestibular evoked myogenic potentials (cVEMP) depending on the duration of the disease. &lt;/br&gt;&lt;/br&gt; &lt;b&gt;Material and methods:&lt;/b&gt; A query of the medical records of patients receiving vertigo treatment at the Department of Otolaryngo-logy of the Centre of Postgraduate Medical Education over the last four years returned a total of 84 cases of patients diagnosed with MV; the patients were assigned to either of the following two groups: study group I (SG1) - 42 patients with MV in whom the symp-tom onset had occurred within one year prior to hospital admission, and study group II (SG2) - 42 patients who had been suffering from vertigo for about 10 years. &lt;/br&gt;&lt;/br&gt; &lt;b&gt;Results:&lt;/b&gt; Patients in both groups (SG1 and SG2) were diagnosed with all three types of vestibular dysfunction (central, peri-pheral and mixed), with peripheral vestibular dysfunction being the predominant finding. A thorough analysis of the dura-tion of vestibular attacks revealed that the patients suffering from MV for a longer period of time (SG2) suffered from vertigo attacks which were longer than those in the patients with the shorter lasting-disorder (SG1). The duration of vertigo episodes was also estimated to be prolonged in peripheral and mixed types of vestibular disorders. The percentage of individuals with peripheral and mixed vestibular disorders increased significantly with increasing MV episode durations.</p>","PeriodicalId":42608,"journal":{"name":"Polish Journal of Otolaryngology","volume":"76 4","pages":"1-6"},"PeriodicalIF":0.6,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40333991","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}