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Wyszukujesz frazę "Surgery" wg kryterium: Wszystkie pola


Tytuł:
Robotic surgery (da Vinci Xi system) in head and neck cancer – own experience
Autorzy:
Golusiński, Wojciech
Pieńkowski, Piotr
Majchrzak, Ewa
Powiązania:
https://bibliotekanauki.pl/articles/1397295.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
da Vinci Surgical System
oropharyngeal cancer
robotic surgery
Opis:
Introduction: Patients before 50 years of age with HPV-positive oropharyngeal cancer are characterized by significantly better survival than HPV-negative patients. The consequences of oncological treatment directly affect physiological function of the organs of the upper respiratory tract and, in consequence, the quality of life of these individuals. Therefore, the choice of therapy is of great importance. Minimally invasive surgery offers radical oncological treatment, while preserving the quality of life. The principal surgical methods are transoral access using TLM, electrosurgery and TORS. Radiochemotherapy as primary treatment is equally effective in the first and second stages of clinical advancement of cancer. However, occurrence of late complications such as swallowing, breathing, taste and smell disorders led to a recent re-emergence of minimally invasive surgery, particularly transoral robotic surgery, which has been widely used in head and neck surgery in the United States of America, Asia and Western European countries for more than 20 years. After many years, Poland joined the community of countries where the head and neck interventions are performed using the da Vinci Surgical System. Objective: The purpose of the work is to present our own experience with the TORS at the Department of the Head and Neck Surgery and Laryngological Oncology of the Poznan University of Medical Sciences and to analyze the latest literature reports on the use of TORS in the treatment of oropharyngeal squamous cell carcinoma.
Źródło:
Polish Journal of Otolaryngology; 2020, 74, 1; 1-5
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Comparison of criteria for elective tracheostomy in head and neck cancer surgery
Autorzy:
Kissin, Filip
Rysz, Maciej
Budziszewska, Magdalena
Krajewski, Romuald
Powiązania:
https://bibliotekanauki.pl/articles/1397292.pdf
Data publikacji:
2021
Wydawca:
Index Copernicus International
Tematy:
elective tracheostomy
head and neck surgery
postoperative complications
Opis:
Elective tracheostomy before resection of a malignancy in head and neck region assures unobstructed ventilation during postoperative period but is associated with an increased risk of complications. We aimed to evaluate retrospectively, how the application of elective tracheostomy scales would influence the frequency of tracheostomy in comparison with preoperative clinical judgement. In 205 patients operated on from 2013 till 2017, theresection of a malignancy involved suprahyoid or pharyngeal muscles, neck dissection and flap reconstruction. The decision on elective tracheostomy was made on the clinical basis. Score for each patient in 3 published scales was calculated. In the study group 76 patients had elective tracheostomy at the outset of a resection procedure. Among 129 patients without elective tracheostomy, 9 had tracheostomy in the postoperative period. Indications for elective tracheostomy were calculated for scale I, II and III. Only in 120 patients the decision whether to perform elective tracheostomy would be identical in each scale. Our results suggest that decisions to perform elective tracheostomy based on 3 scales show low specificity. The factors used in the published scales should be evaluated in a prospective multicenter study
Źródło:
Polish Journal of Otolaryngology; 2021, 75, 4; 20-26
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
OK-432 treatment of pediatric patients with recurrent thyroglossal duct cyst after surgery
Autorzy:
Ohta, Nobuo
Fukase, Shigeru
Nakazumi, Miho
Sato, Teruyuki
Suzuki, Takahiro
Powiązania:
https://bibliotekanauki.pl/articles/23203233.pdf
Data publikacji:
2021-06-01
Wydawca:
Index Copernicus International
Tematy:
OK-432
recurrent thyroglossal duct cyst
surgery
Opis:
Introduction: Recurrent thyroglossal duct cyst after surgery is not a rare condition and first-line treatment has not been established yet. Aim: Evaluation of outcomes and complications of OK-432 treatment in patients with recurrent thyroglossal duct cyst after surgery. Material and methods: This study is designed as a case series with planned data collection at Tohoku Medical and Pharmaceutical University and Fukase Clinic. Five patients with recurrent thyroglossal duct cyst after surgery received this therapy between January 2014 and February 2020 on an outpatient basis, without hospitalization. OK-432 solution was injected into the lesion using an 18- or 27-gauge needle, depending on the location and size of the lesion, as well as on possible complications. Results: Lesions showed marked reduction or total shrinkage in all patients, with no local scarring or deformity at the injection site. Side effects manifested as local pain at the site of injection and fever (37.5–38.5°C) observed in three patients, but the symptoms resolved within a few days. Conclusions: Since OK-432 therapy is simple, easy, safe and effective, it can be used as an alternative to surgery in the treatment of recurrent thyroglossal duct cyst after surgery.
Źródło:
Polish Journal of Otolaryngology; 2021, 75, 6; 28-32
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The impact of intraoperative antiseptic nasal irrigation during endoscopic sinus surgery on early postoperative results
Autorzy:
Rot, Piotr
Szczygielski, Kornel
Skrzypiec, Łukasz
Jurkiewicz, Dariusz
Powiązania:
https://bibliotekanauki.pl/articles/1397287.pdf
Data publikacji:
2021
Wydawca:
Index Copernicus International
Tematy:
anti-infective agents
endoscopic sinus surgery
sinusitis
treatment
Opis:
The main objective of the study was to determine the validity of intraoperative antiseptic treatment during endoscopic sinus surgery and the impact of such a treatment on the postoperative outcomes. Fifty-five patients with chronic sinusitis, qualified for surgical treatment were enrolled into the trial. It was designed as a prospective, randomized, blinded study. The surgical procedures were performed on both sides, in the same scope. In the next stage, after opening, one side was flushed with saline solution, and the other side with octenidine solution. The analysis showed a statistically significant reduction in postoperative crusting measured using the Lund-Kennedy scale between the test and the control group. Intraoperative lavage of the paranasal sinuses in both control and study group showed an effect on decreasing the total number of positive postoperative cultures relative to preoperative ones. Study showed a beneficial effect of the intervention consisting in rinsing with Octenisept on the reduction of crusting in the postoperative assessment.
Źródło:
Polish Journal of Otolaryngology; 2021, 75, 4; 27-32
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Surgical treatment in children with otosclerosis and congenital stapes fixation: our experience and outcome
Autorzy:
Sobolewska, Aleksandra
Clarós, Pedro
Powiązania:
https://bibliotekanauki.pl/articles/1397795.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
stapedotomy
stapes surgery
congenital stapes fixation
congenital stapes ankylosis
juvenile otosclerosis
children
pediatric stapes surgery
Opis:
Aim: To evaluate outcomes of stapes surgery in children with congenital stapes fixation and juvenile otosclerosis. Methods: A retrospective chart review was performed from 1987 to 2013 to identify patients under 18 years old who underwent a stapes surgery. Patients' age, gender, pre- and postoperative audiograms, intraoperative findings including aetiology of stapes fixation, prosthesis type, and complications were analysed. Results: 18 children (6 - 17 years old), all with bilateral conductive hearing loss were identified and 34 stapes surgeries were performed (two patients underwent surgery only on one side). The cause of fixation included juvenile otosclerosis in 88% and congenital stapes fixation in 12%. The mean pre-operative air-bone gap (ABG) was 36,24 dB (SD: 10,86) compared to a postoperative mean ABG of 7,74 (SD: 3,3) (p < 0.000). The profound sensorineural hearing loss was not observed in long-term follow-up. Conclusions: Paediatric stapes surgery has comparable results to stapedectomy in adults regardless of the cause of stapes fixation; however, the better hearing outcome was observed for cases of juvenile otosclerosis rather than congenital stapes fixation.
Źródło:
Polish Journal of Otolaryngology; 2019, 73, 2; 23-28
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Auditory ossicles in Scanning Electron Microscopy
Autorzy:
Wiatr, Agnieszka
Składzień, Jacek
Wiatr, Maciej
Powiązania:
https://bibliotekanauki.pl/articles/1397399.pdf
Data publikacji:
2020-05-12
Wydawca:
Index Copernicus International
Tematy:
middle ear surgery
ossicular chain
Scanning Electron Microscope
Opis:
Introduction: Knowledge about the physiology of a healthy middle ear is essential for understanding the activity and mechanics of the ear as well as the basics of ossiculoplasty. Trauma of the epithelial lining of the tympanic cavity as well as the ossicular chain may be the result of chronic inflammation and surgery. Depending on the observed changes of the middle ear lining, there are several types of distinguished chronic inflammatory changes: simple, with cholesteatoma, with the formation of inflammatory granulation tissue, in course of specific diseases. Purpose: The aim of the article is presentation of the microstructure and vasculature of the ossicular chain in the Scanning Electron Microscope. Particular attention is drawn to the anatomical aspects of the structure and connections of auditory ossicles as vital elements for reconstruction of the conduction system of the middle ear. Material and method: The analysis covered auditory ossicles standardly removed in accordance with the methodology of the investigated surgical procedures. The preparations were evaluated in a scanning electron microscope. Results: The exposure of bone surface promotes deep erosion. The advanced process of destruction of bone surface in the case of chronic otitis media correlates with a significant degree of damage to both the lining covering the auditory ossicles and that surrounding articular surfaces. Conclusions: (1) The ossicles in the image of the Scanning Electron Microscope are covered with lining. It passes from the surface of the ossicles to the vascular bundles, forming vascular sheaths; (2) Damage to lining continuity on the surface of the auditory ossicles promotes the rapid destruction of bone tissue in the inflammatory process; (3) The dimensions of the individual ossicles are respectively: malleus – 8.36 +/- 0.01, incus – 8.14 +/- 0.0, stapes – 3.23 +/- 0.01 mm. Behavior of the anatomical length of ossicular chain during tympanoplasty appears to be essential to maintaining adequate vibration amplitude of the conductive system of the middle ear.
Źródło:
Polish Journal of Otolaryngology; 2020, 74, 4; 1-7
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Functional outcomes of tympanoplasty surgery
Autorzy:
Matuszewska, Izabela
Burduk, Paweł
Kaźmierczak, Wojciech
Janiak-Kiszka, Joanna
Powiązania:
https://bibliotekanauki.pl/articles/1398626.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
chronic otitis media
Tympanoplasty
pure tone audiometry
Opis:
Objective: We reviewed functional outcomes of tympanoplasty. Study design: The results of tympanoplastic surgery are changing in time. We present late treatment outcomes among different types of tympanoplasty. Methods: Eighty-six patients who underwent tympanoplasty were enrolled in the study. The results of pure tone audiometry performed 7 days before, then at 3 months, 1 year, and 3 years after the surgery were assessed. Type II tympanoplasty involved implantation of a partial ossicular replacement prosthesis and type III tympanoplasty involved reconstruction with a total ossicular replacement prosthesis and the use of autogenous homogenous material. Statistical analysis was performed. Results: With all four types of tympanoplasty, hearing improvement was achieved at 3 months and 1 year after surgery based on the magnitude of the mean ABG reduction (p<0.001). In patients who underwent type I, type III, and type IV tympanoplasty, the ABG reduction at 3 years after surgery was maintained at the level reported at 3 months and 1 year after surgery (p<0.001). In patients who underwent type II tympanoplasty, however, the mean ABG value was increased at all tested frequencies (p<0.05). The mean ABG values reported 3 years after type II and type III tympanoplasty were similar. Conclusions: Based on the results over time, hearing improvement seems to be less durable after reconstruction with the partial ossicular replacement prosthesis procedure compared to the total ossicular replacement prosthesis procedure.
Źródło:
Polish Journal of Otolaryngology; 2016, 70, 6; 12-19
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Use of piezoelectric instruments in larynx surgery
Autorzy:
Jurek, Olga
Wójtowicz, Piotr
Krzeski, Antoni
Powiązania:
https://bibliotekanauki.pl/articles/1398485.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
piezoelectric knife
cartilages of larynx
thyroidectomy
open partial laryngectomy
larynx stenosis
Opis:
Objective: The aim of the study was to estimate usability of the piezoelectric knife in larynx surgery. Prove that the piezoelectric staff can be used to do any different shape incision within the larynx cartilages. Material and methods: 35 patients hospitalized in our Department in 2014–2016 were enrolled in our study. 24 patients went vertical partial laryngectomy and 1 patient went horizontal partial laryngectomy because of larynx cancer. 5 patients went partial laryngectomy because of low stage of piriformis recess cancer. Piezoelectric staff was used to do thyroidectomy and resection of thyroid cartilage suspected of carcinomatosis infiltration. The rest 4 patients had done widening of larynx lumen due to larynx stenosis or slenderness. The piezoelectric tool was used to do different incision or resection within the larynx cartilages in case of widening lumen of the larynx. Results: The larynx cartilages, especially thyroid cartilage could be cut in different shapes using piezoelectric tools. The usage of this equipment causes the minimal loss and small destruction of local healthy tissues. Conclusions: The Piezoelectric instrument is useful instrument suit to operate within larynx cartilages. Exchangeable tip available in different shapes enables different resections of cartilages. Using the piezoelectric staff we can remove pathological tissue with minimal local destruction. Our observation shows that larynx operation with a usage of the piezoelectric knife is safe and effective. Current English literature does not describe usage piezoelectric tools in larynx surgery. It is essential to do more observation about that type of operations.
Źródło:
Polish Journal of Otolaryngology; 2017, 71, 5; 1-4
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Impact of surgery in otosclerosis on the non-operated ear
Autorzy:
Wiatr, Agnieszka
Job, Katarzyna
Składzień, Jacek
Wiatr, Maciej
Powiązania:
https://bibliotekanauki.pl/articles/1397275.pdf
Data publikacji:
2021
Wydawca:
Index Copernicus International
Tematy:
otosclerosis
Carhart's notch
stapedotomy
non-operated ear
Opis:
Backgrounds Otosclerosis is an underlying disease of the bony labyrinth. The hearing loss is most often of conductive nature, in some cases the involvement of the bony part of the cochlea results in mixed hearing loss. Aims: The aim of the analysis was to answer the question whether a surgery on one of the ears affects the state of the other ear in the course of otosclerosis. Methods The analysis included 140 patients hospitalized and operated on between 2010 - 2016. Only patients who had not had a surgical operation within the middle ear due to otosclerosis prior to the study were included in it. An audiological assessment was performed with the use of pure tone threshold audiometry taking into account. Results In the group of patients with no Carhart's notch, the mean threshold of bone conduction was statistically lower than before the procedure for the frequencies of 500, 1000 Hz and statistically equal for the frequency of 2000 Hz. The same analysis in the group of patients with Carhart's notch present in the pre-surgical tonal audiogram of the non-operated ear showed a statistically significant lower value of the post-surgical threshold bone conduction value. Conclusion It was confirmed the possibility of improving the hearing of the non-operated ear after the stapedotomy of the opposite ear, in the author's own studies by an average of 5 dB in the low-frequency range.
Źródło:
Polish Journal of Otolaryngology; 2021, 75, 2; 15-20
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Complications of radio- and radiochemotherapy in patients undergoing major salivary gland cancer surgery
Autorzy:
Kordzińska-Cisek, Izabela
Grzybowska-Szatkowska, Ludmiła
Powiązania:
https://bibliotekanauki.pl/articles/1397794.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
salivary gland tumours
radiotherapy
radiochemotherapy
radiation-induced reaction
Opis:
Purpose: The aim of this retrospective study was to present the prevalence of early and late radiation-induced reaction and factors affecting its formation and severity in patients after adjuvant radio- or radiochemotherapy in salivary gland cancer. Material and methods: A total of 113 patients with early and 91 with late radiation-induced reaction, irradiated in 2006-2016 were enrolled in the study. The frequency of acute mucosal radiation-induced reaction, time of onset, intensity, healing time, as well as the incidence of late radiation-induced reaction from the skin and subcutaneous tissue were analyzed. Factors that could influence the development and intensity of reaction were identified. Results: Acute severity and the presence of late radiation-induced reaction do not affect overall survival. Dosage in the tumor bed site, as well as the dosage in the nodal region, affect the severity of the acute radiation-induced mucosal reaction. The severity of the early radiation-induced reaction is higher in men, more advanced patients (higher T and N+ in TNM classification), irradiated into a larger area, and those in whom two-dimensional planning and complementary chemoradiotherapy were applied. The late reaction of the skin and subcutaneous tissue was dominated by patients irradiated in the nodal regions and those with a higher intensity of early radiation-induced reaction. Conclusions: Supplementary radiotherapy or radiochemotherapy in salivary gland cancer is associated with acceptable toxicity which has no effect on overall survival.
Źródło:
Polish Journal of Otolaryngology; 2019, 73, 3; 26-31
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Correlation of fine needle aspiration cytology with histopathology in patients undergoing thyroid surgery
Autorzy:
Singh, Parampreet
Gupta, Nitin
Dass, Arjun
Handa, Uma
Singhal, Surinder
Powiązania:
https://bibliotekanauki.pl/articles/1397291.pdf
Data publikacji:
2021
Wydawca:
Index Copernicus International
Tematy:
FNAC
histopathology
thyroid swelling
Opis:
Introduction: Thyroid swellings are one of the most common swellings in the neck. They pose a major problem in developing countries like India, considering the high endemicity for iodine deficiency disorders. Thyroid gland is affected in many conditions. Out of these, majority are benign while less than 5% are malignant. Multiple noninvasive and invasive diagnostic tests are available for the diagnosis of thyroid swelling. However, at present, FNAC is considered the gold standard investigation. Despite the high sensitivity and specificity, FNAC has its limitations. Histopathological examination of surgically excised thyroid swelling is the confirmatory gold standard to determine the pathology of the thyroid gland. Material and method: This prospective and observational study was conducted in the Department of Otorhinolaryngology (ENT) in collaboration with the Department of Pathology in a tertiary care hospital and medical school. A total of seventy patients were included. Results: The diagnosis on FNAC was correlated with histopathology. Statistical analysis showed FNAC had a sensitivity of 83.3%, specificity of 100%, positive predictive value of 100%, negative predictive value of 96.7%. However, the overall accuracy in this study was determined to be 95.71%. Results were found to be statistically significant (P < 0.05). Conclusions: The diagnostic role of FNAC in thyroid lesions is of utmost importance in making preoperative diagnosis. FNAC was found to be highly sensitive and specific for diagnosing thyroid lesions but the final HPE is considered as a gold standard.
Źródło:
Polish Journal of Otolaryngology; 2021, 75, 4; 33-39
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Endonasal Triangular Technique for nasal valve rhinoplasty: a ten year review
Autorzy:
Havea, Ngalufua'atonga
Tang, Cheryl
Rockey, Jason
Lynch, Angelica
Powiązania:
https://bibliotekanauki.pl/articles/1398205.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
Nasal
Valve
Rhinoplasty
Alar
Endonasal
Triangular
Technique
Surgery
Nose
Obstruction
Opis:
Introduction: The nasal valve is the main regulator of airflow in the nose. Consequently, the collapse of the nasal valve has a significant impact on nasal obstruction and hence quality-of-life of patients. Several nasal valve rhinoplasty techniques are being used, from cartilage grafts to endonasal resection of the upper lateral cartilage. We describe a new endonasal approach to nasal valve rhinoplasty, the Triangular Technique, and assess its efficacy and complication rate over ten years. Materials and Methods: A retrospective study of patients who underwent nasal valve rhinoplasty at three regional hospitals from Jan 2004 to May 2014 was conducted. Subjective reports were used to assess the improvement of nasal obstruction. A total of 24 patients were included. Results: Three months postoperatively, 19 patients reported improvement in nasal obstruction. Four patients required revision surgery. Two of these 4 patients had substantial symptom resolution post revision surgery. Ten patients were followed up for more than 5 years (range: 5.8 to 10.3 years), 9 of who reported continued satisfaction and none or minimal nasal obstruction after nasal valve rhinoplasty compared to before surgery. There were no reported complications. Discussion: The Triangular Technique is a straightforward endonasal technique to address collapsed nasal valves with minimal associated co-morbidities.
Źródło:
Polish Journal of Otolaryngology; 2018, 72, 5; 45-50
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Functional endoscopic sinus surgery (FESS) in unilateral sinus disease
Autorzy:
Mielcarek-Kuchta, Daniela
Simon, Karolina
Kondratowicz, Dawid
Łukomska, Zofia
Rybak-Korytowska, Aleksandra
Powiązania:
https://bibliotekanauki.pl/articles/1398482.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
unilateral sinus disease
FESS
chronic rhinosinusitis
inverted papilloma
mycosis
Opis:
Background: Unilateral sinus disease (USD) occurs in 23 % of all cases. It is believed that it is mainly associated with cancer development. Retrospective data from large rhinological centers show that the most common USD is chronic rhinosinusitis (CRS), followed by mycosis, inverted papilloma and finally cancer, but only in a small percent of cases. The aim of the study: The analysis of USD in the group of patients who underwent FESS at the secondary referral center. Material and Method: The retrospective study of patients treated for USD in the Department of Otolaryngology in the Provincial Hospital in Poznan between June 2014 and June 2016. The analysis includes age, sex, the localization of lesions, histopathological and microbiological results, an extension of the surgery and treatment results. Results: Over the analyzed period of time, 415 FESS for chronic sinusitis were performed. In this group, 83 patients underwent surgery for USD. There were 35 women and 48 men.CRS was found in 48 cases, mycosis in nine cases, 12 patients were operated for non-malignant tumors, such as inverted papilloma (9), osteoma (2) and fibrosis tumor(1); seven patients had a choanal polyp and two of them had a foreign body in maxillary sinus – a tooth root lying loose. Four patients were diagnosed with a hypoplastic maxillary sinus and one patient suffered from frontal sinus pyocele. One side endoscopic opening of all sinuses was performed in the group with CRS, endoscopic medial maxillectomy was conducted in patients with inverted papilloma, and an isolated opening of the affected sinus was performed in the cases with mycosis. Conclusions: USD must be always suspected of malignant degeneration until proven otherwise. Endoscopic sinus surgery with the use of angled scope allows for the removal of even very extensive lesions. In our opinion, the extent of operation is determined by the nature of pathology. While extensive surgery is recommended in patients with inverted papilloma, a limited procedure should be performed in those with isolated mycosis.
Źródło:
Polish Journal of Otolaryngology; 2017, 71, 5; 29-35
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Diagnosis and treatment of nasal and paranasal inverted papillomas – epidemiology and own experience
Autorzy:
Nowosielska-Grygiel, Joanna
Pietkiewicz, Piotr
Owczarek, Kalina
Olszewski, Jurek
Miłoński, Jarosław
Powiązania:
https://bibliotekanauki.pl/articles/1398495.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
inverted papilloma
endoscopic surgery
paranasal sinuses
Opis:
Introduction. The aim of this study was to analyse the occurrence of inverted papillomas of the nose and paranasal sinuses in patients that underwent endoscopic sinus surgery in our department. Material and methods. Between 2006 and 2016, 3,574 patients underwent surgery due to paranasal sinus diseases. Patients were qualified for surgery based on medical history, computed tomography, and laboratory tests. Data were gathered from medical files, and they included age, sex, and histopathological diagnosis. Results. Among 3,574 patients that underwent surgery due to chronic inflammatory changes, on histopathology, inverted papillomas were diagnosed in 80 patients, including 31 women (38.75%) and 49 men (61.25%). Most patients were aged 60-70 years (women, 12.5%; men, 15%) or 50-60 years (women, 5%; men, 21.25%). Between 2006 and 2016, the number of surgeries ranged from 264 (7.38%) in 2013 to 355 (9.93%) in 2016, and the number of inverted papillomas ranged from 4 in 2007 and 2015 (1.23%) to 12 in 2014 (3.87%). Over the last 4 years of the study period, the incidence of inverted papillomas increased. Conclusions. Among 3,574 patients operated on due to chronic inflammatory changes, on histopathology, inverted papillomas were diagnosed in 80 cases (2.23%); thus, all patients qualified for endoscopic surgery due to inflammatory or hypertrophic changes should undergo rhino-fiberoscopy. Recurrence of inverted papillomas was observed in 17.50%, typically in patients with nasal polyps that co-occurred with inverted papillomas. We regard rhino-fiberoscopy as the most valuable method for detecting tumour recurrence in patients after surgery for inverted papillomas ranged from 4 in 2007 and 2015 (1.23%) to 12 in 2014 (3.87%). Over the last 4 years of the study period, the incidence of inverted papillomas increased. Conclusions. Among 3,574 patients operated on due to chronic inflammatory changes, on histopathology, inverted papillomas were diagnosed in 80 cases (2.23%); thus, all patients qualified for endoscopic surgery due to inflammatory or hypertrophic changes should undergo rhino-fiberoscopy. Recurrence of inverted papillomas was observed in 17.50%, typically in patients with nasal polyps that co-occurred with inverted papillomas. We regard rhino-fiberoscopy as the most valuable method for detecting tumour recurrence in patients after surgery for inverted papillomas.
Źródło:
Polish Journal of Otolaryngology; 2017, 71, 6; 27-32
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Fungal sinusitis among patients with chronic rhinosinusitis who underwent endoscopic sinus surgery
Autorzy:
Leszczyńska, Joanna
Stryjewska-Makuch, Grażyna
Lisowska, Grażyna
Kolebacz, Bogdan
Michalak- Kolarz, Marta
Powiązania:
https://bibliotekanauki.pl/articles/1398296.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
fungal sinusitis
fungus ball
allergic fungal sinusitis
Opis:
Introduction: Fungal paranasal sinusitis can be either invasive or noninvasive. Saprophytic infections, fungus balls (FB) and allergic fungal rhinosinusitis are noninvasive (AFR). Materials and methods: The present study examined 521 patients who underwent endoscopic sinus surgery between January 2016 and April 2017 due to chronic paranasal sinusitis at the Department of Laryngology and Laryngological Oncology of the Upper Silesian Medical Centre in Katowice. The aim of the study was to analyze histopathological and microbiological material collected intraoperatively and to determine incidence and type of fungal infections among patients treated for chronic sinusitis. Results: Chronic fungal sinusitis was confirmed in 10 of 521 operated patients. The study group consisted of 9 females and 1 male. Histopathological examination revealed dead mycelium in 5 patients and colonies of Aspergillus spp. in 4, while microbiological examination revealed Candida albicans infection in 1 case. Allergy to inhalant allergens of fungal spores of Alternaria and Penicillium was confirmed in a 73-year-old patient, which, based on the whole clinical presentation, enabled to diagnose chronic allergic fungal sinusitis. The most common location of mycelium was maxillary sinus, followed by sphenoid sinus. Discussion: The most common form of noninvansive fungal sinusitis is the so-called fungus ball, which was also confirmed in our report (95% of the test subjects). AFRS is more likely to occur in warm, moist climates that favor the growth of fungi.
Źródło:
Polish Journal of Otolaryngology; 2018, 72, 4; 35-41
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł

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