Greta Berger, Vitaly Grinevych, A. Milewska, E. Tarasów
{"title":"Analiza stopnia pneumatyzacji regionuczoowo-sitowego, anatomiczne wskazwkidotyczce drenau i leczenia chirurgicznegozatoki czoowej","authors":"Greta Berger, Vitaly Grinevych, A. Milewska, E. Tarasów","doi":"10.5604/01.3001.0015.4246","DOIUrl":"https://doi.org/10.5604/01.3001.0015.4246","url":null,"abstract":"Cel: Celem niniejszej pracy jest ocena i porwnanie przebiegu ttnicy sitowej przedniej (ang. anterior ethmoid artery; AEAz lokalizacj grnego przyczepu wyrostka haczykowatego (ang. upper attachment of the uncinate proces; UAUP) oraz stopnipneumatyzacjii zmiennoci anatomicznej komrek czoowo-sitowych z przebiegiem naturalnego drenau zatoki czoowej w rekonstrukcjachwielopaszczyznowych (tj.: czoowej, osiowej i strzakowej) tomografii komputerowej (ang. Computed Tomography; CT).Metody: Przeprowadzono retrospektywne badanie anatomiczne i oceniono cznie 120 stron regionu czoowo-sitowegou 60 pacjentw. Wszystkie badania CT zostay wykonane przy uyciu 320-detektorowego aparatu Aquilion ONE CT scanner(Canon Medical Systems, Otawara, Japonia). Do wykonania analizy wykorzystano oprogramowanie Statistica 13, a za istotnestatystycznie uznano wyniki na poziomie p < 0,05.Wyniki: Najczciej wystpujcymi typami UP, biorc pod uwag kryteria Landsberga-Friedmana, byy typ III i typ II.Stwierdzono przewag wystpowania przebiegu naturalnego drenau zatoki czoowej przyrodkowo do grnego przyczepuwyrostka haczykowatego, tj. do przewodu nosowego rodkowego. rednia odlego midzy AEA i UAUP wynosiaokoo 9,73 mm i 9,16 mm, odpowiednio po prawej i po lewej stronie. Wystpowaa silna, dodatnia korelacja pomidzyodlegociami AEA-UAUP po obu stronach, tj. po lewej i po prawej stronie (p < 0,0500). Statystycznie istotne rnicewystpoway midzy odlegociami AEA-UAUP i SOEC, odpowiednio po prawej i po lewej stronie (p < 0,000). Zachodziaistotna statystycznie zaleno midzy obecnoci SOEC a pci, odpowiednio po lewej i po prawej stronie (p = 0,00576; p= 0,03567). Obserwowano istotne statystycznie rnice midzy obecnoci SAC a odlegoci AEA-UAUP po stronie prawej(p = 0,0414) oraz midzy obecnoci SBC a odlegoci AEA-UAUP po stronie prawej (p = 0,0416). Pneumatyzacj komrekczoowo-sitowych oceniano wedug klasyfikacji IFAC, tzn. najczciej spotykanymi typami byy: ANC, SOEC, SAC i SBC,a najrzadszymi SAFC i SBFC.Wnioski: Ocena lokalizacji UAUP dostarcza wiarygodnych informacji na temat przebiegu naturalnego drenau zatoki czoowej.Najczciej wystpujcy typ UP, tj.: I, II i III, wspistnieje z przebiegiem drenau zatoki czoowej przyrodkowo do grnegoprzyczepu wyrostka haczykowatego. Zwikszona pneumatyzacja (tzn. obecno: SACs, SBCs, SOECs) ma istotny statystyczniewpyw na odlego midzy ttnic sitow przedni a grnym przyczepem wyrostka haczykowatego (AEA-UAUP).Wysoki stopie pneumatyzacji w okolicy czoowo-sitowej cechuje przewaga wystpowania midzy pciami, tj. SOECs sczciej spotykane w populacji mczyzn.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48516900","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}
Anna Długosz-Karbowska, W. Smółka, M. Ciupińska-Kajor, J. Markowski
{"title":"Myoepithelioma in the parapharyngeal space report of two cases and review of literature","authors":"Anna Długosz-Karbowska, W. Smółka, M. Ciupińska-Kajor, J. Markowski","doi":"10.5604/01.3001.0015.4247","DOIUrl":"https://doi.org/10.5604/01.3001.0015.4247","url":null,"abstract":"Introduction: Myoepithelioma (ME) is a benign tumour in 40% of cases located in the parotid gland, accounting for <11.5% of all salivary gland tumours. Myoepitheliomas arise from myoepithelial cells, which are present in major and minor salivary glands, but also lacrimal glands, breasts, and sweat glands. They are seen more often between the fourth and fifth decade of life, without sex predominance. Patients mainly complain about painless, slowly growing mass. MEs in CT are characterized as well-circumscribed small, unilocular, round tumours with smooth or lobulated contours; they may contain enhancing nodules and non-enhancing areas and exhibit homogeneous signal intensities or densities based on MRI. Deep lobe parotid tumours may occasionally grow along the stylomandibular tunnel into the parapharyngeal region resembling dumbbell shape. Tumours of the parapharyngeal space are rare and account for 0.50.8% of all head and neck tumours. Patients have an intraoral mass or asymmetry of the palate, with difficulties in swallowing or phonation. Operative removal with capsule preservation is the treatment of choice. The approach depends on the size of the tumour: cervical, transoral, transparotid, mandibular osteotomy approach or a combination of these. MEs may be locally aggressive, especially in long-standing tumours or in tumours with multiple recurrences. Case report: The authors present two cases of myoepithelioma in the parapharyngeal space.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71286138","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":"Otorhinolaryngological achievements of Samuel Lehm (18791954)","authors":"A. Kierzek","doi":"10.5604/01.3001.0015.5920","DOIUrl":"https://doi.org/10.5604/01.3001.0015.5920","url":null,"abstract":"Samuel Lehm (1879-1954), a Jewish doctor from Lvov, graduated from the Faculty of Medicine at the Jan Kazimierz University in Lvov, received his medical diploma in 1909. He was a doctor of the Otolaryngology Clinic and the ENT Clinic of this University. During the First World War he served in the Austro-Hungarian army. After the First World War he was an active ENT specialist in Lvov and a member of the Polish Society of Otolaryngology. After the Second World War, he lived in Krakw. His son Stanisaw Lem (1921-2006) was a famous Polish science fiction writer, philosopher, futurologist, literary critic and also doctor. Samuel Lehm was involved in various cases related to otorhinolaryngology, including: monocytic angina, membranous septum of larynx, laryngeal papillomas, purulent parotitis, but most of all scleroma.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71285828","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}
Krzysztof Kowalik, A. Modrzejewski, Konrad Kaźmierczak
{"title":"Cerebral infarction as a postoperative\u0000complication of a resection paraganglioma\u0000– a case report","authors":"Krzysztof Kowalik, A. Modrzejewski, Konrad Kaźmierczak","doi":"10.5604/01.3001.0015.4248","DOIUrl":"https://doi.org/10.5604/01.3001.0015.4248","url":null,"abstract":"Introduction: Paraganglioma is a rare, usually benign neoplasm originating from the carotid bodies and belonging to a large group of head and neck tumors. It is characterized by slow growth and varied clinical manifestations, often remaining asymptomatic for a long time. \u0000Case report: We present a case of a 19-year-old male patient with carotid body tumor who developed a postoperative left cerebral infraction.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48992397","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}