Polish Otorhinolaryngology Review最新文献

{"title":"Pediatric and adolescent bone-anchored implant. Skin changes and complications","authors":"A. Wolfovitz, Ariel B. Grobman, Hillary A. Snapp, F. Telischi","doi":"10.5604/01.3001.0014.7908","DOIUrl":"https://doi.org/10.5604/01.3001.0014.7908","url":null,"abstract":"Objective: To assess the contributing factors for development of skin changes and local complications in the pediatric and adolescent population who underwent bone-anchored implantation (BAI). Methods: Retrospective chart review of pediatric and adolescent patients (age 017 years) who underwent BAI for mixed hearing loss, conductive hearing loss, and single-sided deafness, at a tertiary care academic center. Demographic, clinical, implant type and surgical variables were collected and analyzed to identify their contribution to the development of skin changes and local complications. Results: Thirty-nine BAI surgeries were performed in 28 subjects during the review period. The mean age of implantation was 10.5 3.4 years (516 years). Skin changes and local complications occurred in 61.5% (24/39) of BAIs performed. In total, 75% (18/24) were attributed to local complications, and 25% (6/24) to skin changes. Revision surgery was required in 41.0% (16/39) of cases. The mean age upon revision with either skin changes or local complications, local complications alone, and skin changes alone was 14.6 3.3 years (7.2519), 13.4 4.0 years (7.317), and 16.1 1.2 years (13.817) respectively with no difference between the groups. Among implants with skin changes and local complications the abutment survival was found to be 33.3% at 6.75 years following implantation. No significant difference of demographic and clinical factors was noted when looking at cases with and without skin changes and local complications. Higher rates of skin changes and local complications were noted in two-stage techniques, non-linear incision and the use of absorbable sutures. Conclusion: Fewer skin changes/local complications were observed with linear incision/punch technique, single stage, and non-absorbable skin sutures. Abutment survival with skin changes and local complications plateaus at 6.75 years following implantation. The potential need for revision surgery and longer abutment replacement during puberty, presumably when scalp soft tissue thickens, should be considered prior to initial implantation of younger children, with information given to their care givers","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71284681","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":"Metastasis of clear cell renal cell carcinoma to the organs of the head and neck an ongoing problem","authors":"P. Torchalla, Małgorzata A Czesak, Ewa Osuch-Wójcikiewicz","doi":"10.5604/01.3001.0014.7722","DOIUrl":"https://doi.org/10.5604/01.3001.0014.7722","url":null,"abstract":"Renal cell carcinoma accounts for about 2-3% of all malignancies. It is characterized by a high frequency of metastases, which are most often observed in the lungs, bones, liver, brain and regional lymph nodes. Literature highlights the rare occurrence of renal cancer metastases to the head and neck, even though it is the third most common cancer that metastasizes to the head and neck.Below we present a case report of metastases of clear cell carcinoma from a kidney to the organs of the head and neck. The analysis was carried out retrospectively based on medical records of a patient hospitalized at the Department of Otorhinolaryngology, Head and Neck Surgery of the Medical University of Warsaw in the years 2009-2019. We describe an 81-year-old man after left-sided nephrectomy due to clear cell carcinoma, with numerous distant metastases, who was diagnosed with metastases to the left submandibular salivary gland 8 years after primary surgery, followed by a diagnosis of metastasis to the right submandibular salivary gland 3 years later. The patient underwent 2 radical procedures to remove the submandibular salivary glands. Due to the presence of lung metastases, treatment with a tyrosine kinase inhibitor was also implemented.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71284320","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":"Juvenile psammomatoid ossifying fibroma case report","authors":"M. Kuźmińska, T. Gotlib, K. Niemczyk","doi":"10.5604/01.3001.0014.6993","DOIUrl":"https://doi.org/10.5604/01.3001.0014.6993","url":null,"abstract":"Introduction: Juvenile psammomatoid ossifying fibroma is a rare benign head and neck neoplasm that develops most commonly in children and young adults in the nasal cavity, paranasal sinuses or the orbit. It can have a locally malignant character with a tendency to destroy surrounding structures. The treatment of choice is surgical removal of the lesion. Depending on the location of the tumor and surgeons preferences, it is recommended to use endoscopic or external approach, with the first one being the procedure of choice. Considering the risk of massive intraoperative bleeding, it is necessary to protect blood products before surgery. Case report: We present a case of a 41-year-old patient treated in the Department of Otorhinolaryngology, Head and Neck Surgery of the Medical University of Warsaw.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71284220","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 treatment under subterraneotherapy conditions at the Wieliczka Salt Mine Health Resort on the symptoms of diseases of the nose and paranasal sinuses","authors":"A. Woźniak, K. Nowak, A. Pełkowska, K. Rys, J. Gawlik, J. Skladzien","doi":"10.5604/01.3001.0014.6978","DOIUrl":"https://doi.org/10.5604/01.3001.0014.6978","url":null,"abstract":"Introduction: Chronic rhinosinusitis is an important disease of the upper respiratory system which substantially reduces patient quality of life and the methods of symptomatic treatment are tremendously limited. Aim: The aim of this study was to evaluate the next therapeutic option which is a combination of respiratory rehabilitation and subterraneotherapy. Material and methods: The study covered 57 patients of whom 15 were men and 42 women. The average age of patients was 60 +/- 10.87 (standard deviation). 44 patients finished 15 days of therapy which covers full-time treatment. The average age of these patients was 59.7 +/- 11.6 (standard deviation). Results: In the study group, there was a statistically significant reduction among all analyzed symptoms of chronic rhinosinusitis. The general severity of symptoms decreased from 5.66 cm to 2.57 cm (p < 0.001), blockade/congestion of the nose from 5.49 to 2.23 cm (p < 0.001), anterior nasal discharge from 5.33 cm to 2.5 cm (p < 0.001), posterior nasal discharge from 6.04 cm to 2.71 cm (p < 0.001), facial pain/pressure from 3.43 cm to 1.45 cm (p < 0.001), headache from 3.73 cm to 1.19 cm (p < 0.001) and reduction or loss of smell from 4.17 cm to 1.94 cm (p < 0.001). Conclusions: Such a notable improvement in all analyzed symptoms led us to conclude that respiratory rehabilitation, especially such conducted in adequate climatic conditions, should be a valuable therapeutic option in the symptomatic treatment of patients with chronic rhinosinusitis.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"111 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71284207","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":"A clinicopathological study of nasal andparanasal sinus tumours","authors":"Ankita Joshi, Subrat Behera, J. Malik","doi":"10.5604/01.3001.0014.7872","DOIUrl":"https://doi.org/10.5604/01.3001.0014.7872","url":null,"abstract":"Introduction: A variety of benign and malignant tumours involving the nasal cavity and paranasal sinuses (PNS) are commonly encountered in clinical practice. The presenting features and symptomatology of all sinonasal masses are similar. It is impossible to determine clinically what pathology lies underneath. So a detailed history, clinical examination, proper imaging, and thorough histopathologic evaluation are essential to reach a diagnosis. Objectives The purpose of this study was to classify various types of Benign and malignant lesions presenting as nasal and paranasal mass and characterize their clinico-pathological profile in a tertiary care center. Materials and Methods: This was a prospective study where 120 cases of nasal and paranasal masses were included over a period of 24 months (sep 2013-sep 2015) Clinico-pathological study was carried out in these cases. A provisional diagnosis was made after clinical assessment and radiologic investigations, but final diagnosis was made after histopathologic examination. Results: The number of benign lesions were more than the malignant lesion, 66.66% versus 33.33% respectively. All age groups were involved and the mean age of presentation was benign tumours 29.5 years and malignant tumours 50.25 years. Male to Female ratio was 3:1 for benign tumours and 1.7:1 for malignant tumours. In our study, among benign lesions the occurrence of Angiofibroma was highest seen in 37.5% cases. In malignant lesions, Squamous cell carcinoma was most common seen in 67.5% cases. Carcinoma nasal cavity was the commonest malignant lesion seen in 70% cases. Nasal obstruction was the most common (91.6%) presenting complaint followed by intermittent epistaxis (69.16%) and nasal discharge (58.3%). Conclusion: We concluded that for proper evaluation of a sinonasal mass, clinical, radiologic, and histopathologic evaluation should be carried out conjointly in all the cases. Histopathology always gives a confirmatory diagnosis but in few cases immuno-histocytochemistry becomes the ultimate diagnostic technique for correct and timely intervention.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48349077","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":"Inverted sinus papillary surgery","authors":"T. Gotlib","doi":"10.5604/01.3001.0014.6345","DOIUrl":"https://doi.org/10.5604/01.3001.0014.6345","url":null,"abstract":"Inverted papilloma is a locally aggressive lesion most commonly oryginating from the maxillary sinus. Currently transnsal endoscopic surgery is a method of choice in majority of cases. The article presents evolution of endoscopic approaches and possibilities of miniinvasive treatment of this tumor with regard to location.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"9 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2021-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47285214","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":"New directions in molecular diagnostics and therapy of Vestibular Schwannoma.","authors":"M. Litwiniuk, M. Makuszewska, R. Bartoszewicz, K. Niemczyk","doi":"10.5604/01.3001.0014.6321","DOIUrl":"https://doi.org/10.5604/01.3001.0014.6321","url":null,"abstract":"In recent years a significant progress has been made in the field of molecular background of vestibular schwannoma (VS) emergence and growth. Main genetic and epigenetic aberrations, as well as gene expression changes and specific signaling pathways have been described, that contribute to the development of sporadic VS, and these connected with type II neurofibromatosis (NF2). These findings led to search for potential prognostic markers and biological treatment. In this article we summarize main research directions in the field of molecular diagnostics and biological therapies for VS.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"9 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2021-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71284128","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":"Principles of qualification and surgical treatment of the nose and paranasal sinuses in the era of COVID-19","authors":"P. Witkowski, A. Skorek","doi":"10.5604/01.3001.0014.6320","DOIUrl":"https://doi.org/10.5604/01.3001.0014.6320","url":null,"abstract":"The COVID-19 pandemic is one of the greatest challenges in modern medicine. Despite the implemented social and economic restrictions, the epidemiological situation is still dynamic. Otolaryngologists (especially rhinologists), are a group of doctors particularly exposed to SARS-CoV-2 infection. In order to limit the spread of the virus, it is necessary to implement procedures that minimize the risk of infection of medical personnel and patients. Due to the location of the virus, it is very important in relation to rhinological procedures and operations. The authors reviewed the literature on this topic and presented effective methods to reduce the likelihood of virus transmission during nasal and paranasal sinus surgery used in our center. It is important that pandemic limitations do not affect the duration of diagnosis and initiation of cancer treatment. Neoplasms of the nasal region and paranasal sinuses are detected relatively late due to the time of symptom onset, and further delays in the onset of the therapeutic process are extremely unfavorable. We are of the opinion that rhinological procedures, especially in patients with unknown epidemiological status, should be limited to the necessary minimum - life-threatening conditions and resection of malignant neoplasms. Even in these cases, however, strict adherence to procedures is necessary to reduce the risk of virus transmission. We hope that the implementation of the guidelines presented in the following paper will help in the fight against the current pandemic and its subsequent waves.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"9 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2021-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71284176","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":"100 years of Otorhinolaryngology, Head Neck Surgery Department of Medical University of Warsaw","authors":"K. Niemczyk, A. Bruzgielewicz, Ewa Osuch Wójcikiewicz, P. Chęciński, K. Pierchała, R. Bartoszewicz","doi":"10.5604/01.3001.0014.6344","DOIUrl":"https://doi.org/10.5604/01.3001.0014.6344","url":null,"abstract":"On January 15, 2021, one hundred years have passed since the establishment of the Department of Otorhinolaryngology, Head and Neck Surgery at the Medical University of Warsaw. The authors representing the oldest generations of the current Team present the history of the Clinic from its establishment to the present day. The most important achievements throughout history and selected activities of the team currently working are described.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"9 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2021-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71283766","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":"Current indications for the treatment with cochlear and brainstem implants in children. New directions and possibilities.","authors":"J. Mierzwiński, Iwona Wrukowska, Artur Lewandowski, Paulina Mierzwińska, Karolina Haber","doi":"10.5604/01.3001.0014.8515","DOIUrl":"https://doi.org/10.5604/01.3001.0014.8515","url":null,"abstract":"The publication presents the latest trends in indications for cochlear implantation in children. The principles of early detection of hearing loss in children as well as the detailed methodology and tools for diagnosis of a child before cochlear implant were discussed. Based on a review of publications from recent years, reference was made to the latest trends in implantation, taking into account: electroacoustic stimulation, electronatural stimulation, unilateral deafness, asymmetric sensorineural hearing loss, early implantation in children under 12 months of age and indications for brainstem implants in children with inner ear malformations . The significance of residual hearing in patients with cochlear implants as well as the use of appropriate electrodes for a specific clinical situation were also discussed. These factors may influence future development of speech and hearing.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71284832","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}