S Tichý, P Kasík, M Taudy, P Jablonický, L Petruzalka
{"title":"[Carcinoma of the tonsils and tonsillar fossa. Tactics of our surgical approach].","authors":"S Tichý, P Kasík, M Taudy, P Jablonický, L Petruzalka","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors discuss the most frequent symptoms associated with the disease. In a group of 34 patients they revealed the advanced stage of the disease in 75%. In all instances they confirmed on histological examination a squamous-cell carcinoma in different stages of differentiation. The authors describe the tactics of surgical treatment and its results.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 4","pages":"228-31"},"PeriodicalIF":0.0,"publicationDate":"1989-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13928950","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":"[Treatment of mycotic diseases of the pharynx and esophagus].","authors":"M Vasák","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author summarizes briefly contemporary findings on possible treatment of mycotic affections of the pharynx and oesophagus with regard to the availability of different antimycotic preparations on the Czechoslovak market.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 4","pages":"242-3"},"PeriodicalIF":0.0,"publicationDate":"1989-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13928953","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}
A Hajtman, I Reznák, J Zucha, V V Demjdov, E Hajtmanová
{"title":"[Radionuclide evaluation of the relation between the upper and lower respiratory organs].","authors":"A Hajtman, I Reznák, J Zucha, V V Demjdov, E Hajtmanová","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Functional examination of the lungs provides information on global pulmonary parameters. Radionuclide examination of pulmonary ventilation and gas distribution in the latter makes it possible to evaluate the functional regional finding in the lungs. In six subjects, using the bolus method with 133Xe, the respiratory system as a whole was examined and relations between upper and lower airways were evaluated. It did not prove possible to demonstrate by the radionuclide examination that there exists a homolateral relationship between the respective side of the nose and lungs and that experimental short-term irritation and obstruction of one of the nasal cavity influences the regional ventilation and distribution of gas in the lungs. It can be assumed that a change on the tracheobronchial tree induced by nasal reflexes does not cause an apparent change in the pulmonary ventilation, but changes in a negative way the respiratory mechanics and the air flow in the lower airways.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 4","pages":"232-7"},"PeriodicalIF":0.0,"publicationDate":"1989-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13928951","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":"[Myringoplasty].","authors":"J Droppa, L Orich, B Cech, F Kurinec","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the course of eight years the authors made several types of myringoplasties. In 97% a fascial graft was used with a premyringeal or retromyringeal approach. In small central perforations stepp plasty proved useful, in major defects a combination of stepp plasty and placement of the graft beneath the tympanomeatal lobe or beneath the skin of the auditory meatus resp. Anatomical healing was achieved in a total of 90%. Eight per cent of the patients were re-operated with satisfactory results. After simple myringoplasties the auditory gain was 15-20 dB in 90%, after reconstruction of the entire conduction system hearing improved markedly in 64%. Hearing did not deteriorate after operation in any of the patients.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 4","pages":"223-7"},"PeriodicalIF":0.0,"publicationDate":"1989-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13928949","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":"[Endocrine orbital diseases].","authors":"O Síbl, O Síblová, J Veselý","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors summarize their experience with so-called orbital compression which they performed in eight patients solely on account of endocrine orbitopathy. From the total number of twelve operations (four times bilateral) they evaluate the results as unsatisfactory. It is a palliative surgical procedure which gives subjective relief and after some time in some instances also functional results. Although this type of disease is not frequent, this method is practically the only solution.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 3","pages":"129-36"},"PeriodicalIF":0.0,"publicationDate":"1989-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13897484","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":"[Changes in cellular immunity in children with acute laryngitis].","authors":"L Bednaríková, A Kubíková, P Horník","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 46 children with acute laryngitis the authors tested the state of cellular immunity in the acute stage and repeatedly during controls after 1-3-month intervals. They assessed the number of total T lymphocytes and active T lymphocytes, the number of B lymphocytes and by means of the test of blastic transformation they obtained information on the functional fitness of the T lymphocyte population. They revealed important changes in the state of the T lymphocyte population, i.e. quantitative as well as functional changes which persisted in 80% of the children 1 and a half months after the acute state. This finding must be considered the consequence of viral infection potentiated by corticoids which may be the cause of prolonged morbidity of these children. It is not advisable to admit these children to child communities. In case of repeated respiratory diseases it is recommended to make an immunological examination and apply immunomodulating therapy in immunodeficiencies.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 3","pages":"174-80"},"PeriodicalIF":0.0,"publicationDate":"1989-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13898148","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":"[Fixation of the malleus and incus].","authors":"P Lisonĕk, J Navrátil","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During the past five years at the ENT Clinic in Olomouc 15 incudomallear synostoses of inflammatory aetiology were observed; 10 times tympanotomy was found, performed in patients without an inflammatory history, fixation of the malleus, or fixation of the malleus and incus or fixation of the stapes and malleus. The authors demonstrate three typical cases, incl. preoperative and postoperative audiograms. As during operation the ossicles are mobilized and left in situ et in function or removed by milling and destroyed and replaced by a reconstruction, the authors demonstrate a primarily fixed malleus found accidentally in the skull from medieval excavations, and histological preparations of primary incudomallear synostosis from a macerated skull in the anatomical museum.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 3","pages":"149-53"},"PeriodicalIF":0.0,"publicationDate":"1989-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13897487","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 sleep apnea syndrome in children].","authors":"J Jakubíková, I Klacanský","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors give an account of the causes of the sleep apnea syndrome in children (SAS). SAS, unless eliminated in time, may cause serious functional and organic disorders in the cardiopulmonary and central nervous system due to repeatedly occurring hypoxia for prolonged periods. The authors discuss therapeutic methods used for elimination of airway obstruction from which the children suffer during sleep. The authors' solution of SAS is a simple apparatus (registered as an invention), inserted into the child's mouth through which the child breathes during sleep.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 3","pages":"170-3"},"PeriodicalIF":0.0,"publicationDate":"1989-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13898147","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 CT examination in the diagnosis and therapy of rhino-otogenic intracranial complications].","authors":"I Stárek, L Cerný, L Pridal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Computed tomography in the diagnosis of rhino-otogenic intracranial inflammatory complications made it possible to reduce significantly the morbidity and mortality. It provides more reliable information, than hitherto used pretentious and invasive methods, on the development of inflammatory foci, the dynamics of their development, localization and extent. In correlation with the clinical course and laboratory findings it makes it possible to select an optimal time for operation and to select an optimal surgical approach, or in exceptional instances a conservative procedure. However, false negative findings may also be encountered. In those instances, with regard to the course and symptomatology of these complications, CT must be repeated or another diagnostic method must be selected.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 3","pages":"143-8"},"PeriodicalIF":0.0,"publicationDate":"1989-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13897486","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":"[Personal experience with the sleep apnea syndrome].","authors":"J Rous, Z Cermák, J Hlad","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In three children aged 3, 9 and 10 years the syndrome of sleep apnea with typical manifestations of obstructive apnoeic episodes during sleep is described. In two instances the nocturnal periodic apnoeic spells were associated with marked varying hypoxemia, objectively recorded by continuous monitoring of the transcutaneous oxygen tension using a skin oximeter. In one child the cause of airway obstruction during sleep were hypertrophic tonsils and adenoid vegetation, in the other two children in the nocturnal apnoeic spells above all the functional component participated, expressed by increased relaxation of the oropharyngeal musculature during sleep. In the first child adenotonsillectomy was followed by immediate regression of all original symptoms, in the remaining two children therapeutic results were achieved only by removal of the slightly enlarged tonsils, while previous adenotomy did not have a favourable effect on the course of their disturbed sleep. Permanent regression of the apnoeic episodes after tonsillectomy was confirmed by records of a smooth level of the skin oxygen tension during sleep. This syndrome is more frequent than generally assumed and late establishment of the diagnosis may lead to the development of serious cardiopulmonary complications, irreversible neurogenic dysfunctions and psychosomatic retardation of the affected children.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 3","pages":"162-9"},"PeriodicalIF":0.0,"publicationDate":"1989-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13897490","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}