Polski Przegląd Otorynolaryngologiczny最新文献

{"title":"Effectiveness of voice therapy combining various voice rehabilitation techniques in patients with muscle tension dysphonia","authors":"Karolina Kęder, Ewelina M. Sielska-Badurek","doi":"10.5604/01.3001.0054.2985","DOIUrl":"https://doi.org/10.5604/01.3001.0054.2985","url":null,"abstract":"Introduction: Voice disorders associated with excessive muscle tension are most frequently diagnosed by phoniatrists. Voice therapy constitutes an essential part of the management of patients with voice disorders. Aim: The aim of this study consisted in the assessment of the effectiveness of voice therapy combining various rehabilitation techniques in patients with muscle tension dysphonia along with the analysis of patient-assessed rehabilitation quality results. Material and methods: The study was carried out in a group of 16 patients (4 male and 12 female) aged 33–91 years. The mean age of the subjects was 53.8 years (Me = 51; SD 15.21). Organic lesions were excluded in all patients. Voice therapy was carried out using various rehabilitation techniques, and the study methodology included basic scales and questionnaires used in patients with voice disorders as well as a custom questionnaire on rehabilitation quality as assessed by the patients themselves. Results: The study results confirm the effectiveness of the therapy. Conclusions: The study confirms the effectiveness of voice therapy combining various rehabilitation techniques.","PeriodicalId":513660,"journal":{"name":"Polski Przegląd Otorynolaryngologiczny","volume":"66 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140440252","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":"Self-Evaluation of Communication Experience after Laryngectomy (SECEL) - validation of the Polish version.","authors":"Katarzyna Miszczak, A. Rzepakowska","doi":"10.5604/01.3001.0054.2984","DOIUrl":"https://doi.org/10.5604/01.3001.0054.2984","url":null,"abstract":"IntroductionA total laryngectomy can impact multiple aspects of a patient’s life. SECEL is a method adapted for precise self-assessment of communication created specifically for post-total laryngectomy patients.MethodsSo far, the SECEL questionnaire has been validated in the English, Swedish, Italian, Spanish, Croatian, and Malaysian languages s far. The reason for conducting the Polish validation of the questionnaire was the lack of an effective targeted tool for self-assessment of people post-total laryngectomy to be used in speech-phoniatric practice. The sample population was comprised of 33 patients. 94% of participants use the tracheoesophageal voice and the remaining 6% use the esophageal voice. The validation trials were conducted at the time of outpatient clinic visits or hospitalizations and included a filling in of the SECEL, VHI, EORTC, and QLQ-C30 using the EORTC QLQ-H&N35 subtype in addition to performing objective tests- a diadochokinesis and maximum phonation time on sound [a].The statistical analysis of the obtained results employed the basic measures of variability, Wilcoxon's signed-rank test, Spearman’s Rank Correlation Coefficient, Cronbach's alpha coefficient, the standardized alpha coefficient, the U-Mann-Whitney test, and the Kruskal-Wallis test.ResultsThe results of the study proved very good internal coherence of the Polish language translation of the SECEL questionnaire, with Cronbach's Alpha coefficient reaching the value of 0.92 and the standardized Alpha coefficient being 0.93. Correlation between the first and second completion of the SECEL questionnaire was demonstrated. The strength of the relationship was later calculated using Spearman’s rank coefficient, with its obtained value 0.73. The results are satisfactory in demonstrating the high reliability of the test's reproducibility. Statistical analysis indicates a high level of correlation between the SECEL and the VHI subscale of Speech Problems from the H&N35 questionnaire, a moderate level of correlation with the VAS scale included at the end of the Polish translation of the SECEL questionnaire, and no correlation at all between the Polish SECEL and MPT(a) and DDK. The results obtained are analogous to those obtained in previous foreign validations of the SECEL questionnaire.ConclusionThe Polish version of the SECEL questionnaire is characterized by good internal coherence, reliability, reproducibility, and correlation with other tools. The aforementioned data is sufficient for the proposal to employ the Polish translation of the SECEL questionnaire on a widespread basis in clinical practices.","PeriodicalId":513660,"journal":{"name":"Polski Przegląd Otorynolaryngologiczny","volume":"39 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140438410","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":"Foreign body within the upper esophagus of a patient not consenting to surgical treatment – case report and legal proceedings in light of current case law","authors":"Mateusz Stępiński, Radosław Tymiński, Valeriia Hrydnova","doi":"10.5604/01.3001.0054.2983","DOIUrl":"https://doi.org/10.5604/01.3001.0054.2983","url":null,"abstract":"Introduction: Patients intentionally inserting foreign bodies into the lumen of their gastrointestinal tract usually aim at achieving certain benefits, such as postponement or avoidance of punishment. Aim: In view of the ever-increasing number of proceedings (including criminal proceedings) against health care professionals, the authors carried out a review of the available literature on: medical actions undertaken in cases of foreign bodies within the esophagus, current legislation and jurisprudence as practiced in the Republic of Poland within the context of model legal proceedings in cases involving patients raising doubts about being fully conscious and not consenting to necessary treatment. Case report: The article presents a case of a patient with an esophageal foreign body who had not consented to the proposed surgical treatment. Doubts as raised within the otorhinolaryngological team with regard to the patient’s state of consciousness were not dispelled as the result of psychiatric consultation. Following a meticulous analysis of the current jurisprudence of the Polish judicial system and obtaining a court’s permission to intervene, the procedure (esophagoscopy with removal of esophageal foreign body) was performed. After exclusion of any life-threatening complications, the patient was transferred to the Psychiatric Department. Conclusions: In the current state of the law, performing a procedure to remove a foreign body from the esophagus without prior court approval could qualify as a violation of patient’s rights. In such case, legal liability of the physician would arise regardless of the fact that the patient would have received care in accordance with the current medical knowledge and practice.","PeriodicalId":513660,"journal":{"name":"Polski Przegląd Otorynolaryngologiczny","volume":"62 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140440378","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}