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Tytuł:
Report from the analysis of implementiation of 4th Head and Neck Cancer Awareness Week in Department of Otolaryngology in Międzyleski Hospital in Warsaw
Autorzy:
Dżaman, Karolina
Piskadło–Zborowska, Karolina
Pietniczka–Załęska, Mirosława
Powiązania:
https://bibliotekanauki.pl/articles/1398499.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
European Head and Neck Cancer Awareness Week
head and neck tumors
Opis:
Introduction: The aim of the study was to analyze the profile of patients who reported for free screening examinations during the 4th European Head and Neck Cancer Awareness Week to the Department of Otolaryngology, Miedzylesie Specialist Hospital, Warsaw, Poland. Material and methods: We enrolled 225 patients, aged 26-92 years (mean, 63 years). There were 149 women (66%) and 76 men (34%). All patients filled out a survey regarding risk factors of head and neck cancer (HNC), including symptoms and lifestyle characteristics. Subsequently, all participants underwent a complete laryngological examination. Results: Among the studied patients, we found the following lifestyle-related risk factors of HNC: tobacco use (22%), alcohol use more than 1 time per week (12%), oral sex (17%), multiple sexual partners (10%), rare dental checkups (24%), and dental prostheses (45%). The most frequent symptoms that prompted the patients to report for screening exams were as follows: chronic hoarseness (64%), xerostomia (39%), dysphagia (37%), nasal congestion (6%), and neck tumor (5%). Further imaging studies were ordered in 15 patients (7%), fiberoscopy in 25 (11%), and lesion excision in 18 (8%). Among the studied patients, 17 were referred for further oncological treatment, of whom 14 had benign tumors and 4 malignant tumors. Conclusions: The Head and Neck Cancer Awareness campaign increased the awareness of HNC, and it should systematically encompass people at increased risk. By implementing this program in our department, we were able to detect and initiate early treatment in 7.5% of the screened people. However, appropriate workup and treatment require funding and therefore systemic measures should be taken to enable a wide implementation of such screening programs.
Źródło:
Polish Journal of Otolaryngology; 2017, 71, 6; 35-39
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Clinical manifestation of malignant lymphomas of the head and neck region
Autorzy:
Bojanowska-Poźniak, Katarzyna
Nurkowska, Monika
Danilewicz, Marian
Pietruszewska, Wioletta
Powiązania:
https://bibliotekanauki.pl/articles/1398500.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
malignant lymphoma
head and neck neoplasm
extranodal lymphoma
Opis:
Introduction: Malignant lymphoma (ML) is a neoplasm caused by clonal expansion of undifferentiated B, T and NK-lymphoid cells. WHO classification divides lymphomas into two main types, i.e. Hodgkin lymphoma (HL), and non-Hodgkin lymphoma (NHL), with numerous subtypes. The majority of MLs are localized in lymph nodes, but extranodal locations are also possible. MLs represent approximately 3-5% of all malignant neoplasms in Poland, but their incidence has been increasing in recent years, especially in young patients. The objective of the study was to evaluate clinical manifestations and diagnostic process in patients with malignant lymphomas of the head and neck region as diagnosed in the Department of Otorhinolaryngology of the Medical University of Lodz in years 2013-2017. Material and method: 30 patients diagnosed with malignant lymphomas of the head and neck region at the Departbadament of Otorhinolaryngology of the Medical University of Lodz in 2013-2017. Results: The study group consisted of 8 cases of nodal lymphomas and 22 cases of extranodal lymphomas. In 29 cases B-cell lymphomas were diagnosed. The most common symptoms included lymphadenopathy or neck tumor. Other symptoms were associated with the location of tumors in particular body organs. The diagnosis was based on histopathological examination of biopsy (needle or surgical) samples. Conclusion: Malignant lymphomas should be taken into account during differential diagnosis of the tumor or lymphadenopathy of the neck. The diagnosis is difficult because of the nonspecificity of symptoms and the need for interdisciplinary cooperation of many specialists.
Źródło:
Polish Journal of Otolaryngology; 2017, 71, 6; 14-21
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:
Updated National Comprehensive Cancer Network guidelines for treatment of head and neck cancers 2010-2017
Autorzy:
Wierzbicka, Małgorzata
Napierała, Joanna
Powiązania:
https://bibliotekanauki.pl/articles/1398501.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
head and neck cancers treatment guidelines
biological therapy
personalized treatment
recommendations
Opis:
Introduction: The diagnostic and therapeutic recommendations have been changing over the years to improve treatment outcomes and quality of life of Head and Neck Cancer (HNC) patients. Aim: The aim of this study was to present currently recommended Head and Neck Cancer treatment guidelines based on the literature review with particular emphasis on novel approaches the NCCN algorithms. Material and methods: The review of literature covering articles published in the last five years and pointing out essential changes in HNC treatment regarding evidence based medicine. The study focused on the analysis of novel approaches for the particular primaries, the implementation of biological therapies and personalized cancer therapies. Results: Updates in the oncological NCCN guidelines for all ENT primaries except major salivary glands and subglottis are based on knowledge derived from the basic sciences, clinical trials and the best evidence available currently. The latest recommendations emphasize value of biological therapies use.
Źródło:
Polish Journal of Otolaryngology; 2017, 71, 6; 1-6
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Immunotherapy of head and neck squamous cell carcinoma (HNSCC). Immune checkpoint blockade
Autorzy:
Przybylski, Krzysztof
Majchrzak, Ewa
Weselik, Liucija
Golusiński, Wojciech
Powiązania:
https://bibliotekanauki.pl/articles/1398281.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
head and neck squamouscell carcinoma
immunotherapy
CTLA - 4
PD - 1
nivolumab
pembrolizumab
Opis:
Treating patients with squamous cell carcinoma of the head and neck is a significant problem. There is an increase in the incidence of malignant neoplasms in this region. Surgery, radiotherapy and chemotherapy are often not sufficient methods of treatment. Thorough analysis of processes occurring in the tumor microenvironment has allowed to distinguish three stages that make up the reaction of the human body to hostile antigens, which are tumor antigens. Understanding these mechanisms has resulted in the introduction of a new term immune-oncology. It is an area of cancer treatment that focuses on use of the patient’s immune system to combat the disease. Immunotherapy has had positive effects in cancer patients. The use of immune checkpoint inhibitors, such as anti-CTLA-4 and PD-1 monoclonal antibodies has enabled the modulation of T cell functions, consequently eliminating immunosuppression in the tumor microenvironment. Clinical trials were conducted using nivolumab and ipilimumab, which confirmed their clinical usefulness. The approval by FDA of nivolumab in treatment of recurrent and metastatic squamous cell carcinoma of the head and neck has increased the overall survival time of patients as well as disease free survival. Statistical data indicate an advantage of immunotherapy over other treatment methods at an advanced stage of cancer. This work aims to discuss basic issues related to immunotherapy, in particular immunotherapy in patients with squamous cell carcinoma of the head and neck.
Źródło:
Polish Journal of Otolaryngology; 2018, 72, 6; 10-16
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Effect of copper(II) the activity of glutathione peroxidase in patients with head and neck cancer
Autorzy:
Malinowska, Katarzyna
Morawiec-Sztandera, Alina
Majsterek, Ireneusz
Kaczmarczyk, Dariusz
Powiązania:
https://bibliotekanauki.pl/articles/1398625.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
pyrazole complex
glutathione peroxidase
head and neck cancer
Opis:
Introduction: Head and neck squamous cell carcinoma (HNSCC) accounts for about 6% of all malignant cancers. In the epidemiology of oral cavity neoplasm, important risk factors include: tobacco smoking, alcohol abuse, bad oral hygiene, papilloma virus infection, riboflavin and iron deficiency. Objective: The objective of the investigation was a synthesis of Cu(II) complex and the evaluation of antioxidative enzymatic barrier in red blood cells of patients with head and neck tumor as well as in the control group. Materials and methods: For the investigation conduction, a consent of Bioethics Committee number RNN/142/09/KB was obtained. Blood for the examination was obtained from the patients of the Dapartment of Head and Neck Neoplasms Surgery Medical University of Łódź. The experiment was conducted on the group of 40 patients with HNSCC and 40 healthy people, using spectrophotometric method, glutathione peroxidase was marked. Results: The investigation was conducted on the hemolysate obtained from the patients that were divided into two groups – a study group (1 and 2), which consisted of patients diagnosed with head and neck cancer and a control group (1 and 2) – healthy people. A significant statistical result for GPX occurred in control-1 and study-1 group with complex compound Cu(II) (p<0,001). Conclusions: Presented research prove, that complex compound Cis-dichlorobis(N1-hydroxymethyl-3methylpyrazole-κN2)copper (II) has an impact on the activity of the antioxidative GPX enzyme.
Źródło:
Polish Journal of Otolaryngology; 2016, 70, 6; 20-25
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The impact of radiotherapy on the quality of life in patients with early-stage clinical head and neck cancer
Autorzy:
Milecki, Jakub
Żmijewska-Tomczak, Małgorzata
Osmola, Krzysztof
Wierzbicka, Małgorzata
Powiązania:
https://bibliotekanauki.pl/articles/23203207.pdf
Data publikacji:
2021-05-07
Wydawca:
Index Copernicus International
Tematy:
head and neck cancer
Quality of life
radiotherapy
Opis:
Introduction: Radiotherapy (RT) for patients with head and neck squamous cell carcinoma (HNSCC) affects vital functions related to the irradiation volume of the head and neck region and, in addition, has a negative impact on social functioning, thereby significantly impairing patients’ quality of life (QoL). Aim: The aim of this study was to assess changes in the quality of life in patients with head and neck cancer treated with curative RT at 12 months after completion of RT. The aim of this study was to assess the differences between the baseline QoL of patients with early clinical stage HNSCC and at 12 months after curative/radical RT. Material and methods: The prospective clinical study included 92 patients in good general condition (ECOG 0–1 – Eastern Cooperative Oncology Group performance status), without regional or distant metastases, diagnosed with pathomorphologically confirmed early-stage head and neck squamous cell carcinoma treated with definitive RT. All patients participating in the study signed an informed consent form. QoL was assessed using the standard EORTC QLQ-C30 and QLQH&N35 questionnaires. In addition, information on clinical aspects and data relating to socio-demographic factors were obtained from each patient. Statistical analysis was performed using a statistical package (SPSS 17.0). T-test was used for dependent and independent samples. A general linear model was used for repeated measures. Results: Patients’ QoL deteriorated significantly after definitive RT. Worse QoL Core-30 scores in patients 12 months after the end of RT, compared with baseline QoL, before the start of RT, were observed in domains such as physical performance, fulfillment of life roles, cognitive functioning, loss of appetite, fatigue and constipation. For the QLQ-H&N35 questionnaires, patients 12 months after the end of RT reported problems in relation to aspects of life such as senses, mouth opening, dry mouth, thick saliva, pain, and weight loss. Conclusion: RT, even in early clinical stage head and neck cancer, has a negative impact on QoL, despite modern treatment techniques.
Źródło:
Polish Journal of Otolaryngology; 2021, 75, 5; 1-8
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Retrospective evaluation of risk factors for oral cavity and oropharynx cancers in patients under the program of head and neck cancers prevention
Autorzy:
Kowalski, Andrzej
Olszewski, Jurek
Zielińska-Bliźniewska, Hanna
Powiązania:
https://bibliotekanauki.pl/articles/1397748.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
Head and Neck Cancer Prophylaxis Program
oral cavity
oropharynx cancer
risk factors
Opis:
Introduction: The aim of the study was to analyze the risk factors for oral cavity and pharyngeal cancer in people examined under the Head and Neck Cancer Prophylaxis Program. Material and methods: The study was conducted in a total of 300 patients, including 186 women and 114 men, as part of the Head and Neck Cancer Prevention Program in 2014–2018. Before the laryngological examination, the patients completed a demographic and medical questionnaire regarding the risk factors of head and neck cancer, including education, reported disease symptoms, smoking addiction, number of cigarettes smoked daily, alcohol consumption, frequency of visits in a dental office, oral hygiene measures, number of sexual partners, oral sex, family medical history of head and neck cancer. Results: The subjects reported the following symptoms: hoarseness 43.33%, difficulty swallowing 21.33%, pain or mouth burning 20.33% and other symptoms were observed in 46.33%. The main dental symptoms were: bleeding from the gums during teeth brushing in 48.89%, dry mouth 45.56%. Currently 20.33% of respondents smoke, whereas 54% of patients smoked in the past. In the analyzed material, the majority (80%) consumed alcoholic beverages. 27.67% of respondents admitted having oral sex, including 24.73% of women and 32.46% of men. After performing the extended diagnostics, the tumor was found in 10% of the subjects. C onclusions: Statistical significance of differences was found: between hoarseness and alcohol consumption, both in women and in men, between hoarseness and smoking in women, between difficulty in swallowing and smoking in women, between burning/pain in the mouth and smoking in men, between hoarseness and the cultivation of oral sex in men, between the difficulty of swallowing and the practice of oral sex in the studied men and between burning/pain in the oral cavity and the occurrence of malignancy.
Źródło:
Polish Journal of Otolaryngology; 2019, 73, 6; 24-31
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Antioxidative assessment of new trans-palladium (II) complexes in head and neck cancer
Autorzy:
Malinowska, Katarzyna
Kaczmarczyk, Dariusz
Zajdel, Radosław
Merecz-Sadowska, Anna
Olszewski, Jurek
Majczyk, Małgorzata
Nowak-Zduńczyk, Alicja
Zielińska-Bliźniewska, Hanna
Powiązania:
https://bibliotekanauki.pl/articles/1397298.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
antioxidant enzymes
head and neck cancer
oxidative stress
Pd (II) complexes
reactive oxygen species
Opis:
Background: Head and neck neoplasms stand for 6% of all malignant neoplasms worldwide. Chemotherapy has limited use due to the biological properties of the tumor (in the majority of cases moderately and poorly differentiated squamous cell carcinoma). The fundamental molecule used in treatment is cisplatin and its derivates, that can be associated with fluorouracil. The new chemotherapeutic agents are not in common use during the treatment of head and neck malignancies. However, the use of low molecular weight complexes Pd (II) carries the potential of being more effective in therapy. Material and Methods: Fifty-one patients, 30 men and 21 women (aged 52.9 ± 12.1 years) with head and neck cancer were included in the study. Fifty-one healthy subjects, 31 men and 20 women, (aged 54.1 ± 14.7 years) years formed the control group. Antioxidant enzymes, superoxide dismutase, and catalase activities in erythrocytes were examined. Results: An increased level of antioxidant enzymes was seen in the blood samples from patients with head and neck cancer after incubation with Pd (II) complex. In the group we obtained a statistically significant result p = <0.001. Discussion: That project may contribute to the development of new, more efficient head and neck cancer treatment strategies. In our opinion, the results can be used in the future to develop a valuable prognostic marker of the disease. This is important because the initial phase of cancer is asymptomatic. The search for factors involved in pathogenesis translates into economic benefits and makes therapy more effectiveness through the reduction of treatment expenses.
Źródło:
Polish Journal of Otolaryngology; 2020, 74, 1; 23-28
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Asymptomatic radiological changes in computer tomography in children with head trauma
Autorzy:
Marciniak, Aleksandra
Mielnik-Niedzielska, Grażyna
Powiązania:
https://bibliotekanauki.pl/articles/1397807.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
child
maxillary sinus
radiography
Opis:
Introduction: Computed tomography is an important imaging technique in Emergency Units. Thanks to its popularity, radiological changes are found in healthy children more commonly. The aim of this paper is to evaluate the incidence of maxillary sinus radiological changes in children with head trauma who admitted to the Emergency Unit of the University Children Hospital in Lublin. Material and Methods: A retrospective analysis of computed tomography scans of children suffering from head trauma admitted to the Emergency Unit of the University Children Hospital in Lublin was carried out. A group of 425 patients was analyzed. Results: Maxillary findings were present in 81 cases (19.06%); in 38 patients (8.94%) the changes were unilateral, while in 43 (10.12%) they were bilateral. Maxillary mucosal thickening was the most common radiological abnormality, present in almost 12% of the investigated cases (approximately 62% of all revealed changes). Maxillary total opacification as an isolated finding was found in younger children only. Retention cysts and maxillary polyps were found with a similar low frequency as maxillary opacification but in elder children only. Discussion: Asymptomatic radiological changes in computed tomography scans are common. Maxillary mucosal thickening is the most frequent asymptomatic abnormality. Maxillary polyps and pseudocysts are rare in the paediatric population. Maxillary opacification suggests other more significant pathologies and requires further diagnostics. Physicians should avoid diagnosing patients with sinusitis without proper examination and based on radiological abnormalities only. Paediatric patients with revealed maxillary changes should remain under regular laryngological control.
Źródło:
Polish Journal of Otolaryngology; 2019, 73, 5; 5-11
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Recommendations of the Main Board of the Polish Society of Otorhinolaryngologists, Head and Neck Surgeons for providing services during the COVID-19 pandemic for outpatient and hospital practices
Autorzy:
Wierzbicka, Małgorzata
Niemczyk, Kazimierz
Jaworowska, Ewa
Burduk, Paweł
Składzień, Jacek
Szyfter, Witold
Markowski, Jarosław
Powiązania:
https://bibliotekanauki.pl/articles/1397312.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
COVID-19
epidemy
head & neck
outpatient
surgery
Opis:
Recommendations of the Main Board of the Polish Society of Otorhinolaryngologists, Head and Neck Surgeons for providing services during the COVID-19 pandemic constitute the guidance to outpatient and hospital practices in all cases where contact with a patient whose status of COVID-19 is unknown. They have been created based on world publications and recommendations due to the current state of the COVID-19 pandemic. Justification for suspension of planned provision of services in the first phase of a pandemic was presented. The indication of the best medical practices for the time of stabilization, but with the persistence of the risk of COVID-19 infection in the population are discussed. The possibility of providing services in the following months of the pandemic is important. We provide the rationale for launching medical activities and indicate optimal practices until the consolidation of SARS COV-2 prevention and treatment methods.
Źródło:
Polish Journal of Otolaryngology; 2020, 74, 3; 1-5
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Virtual surgical planning and cone beam computed tomography in reconstruction of head and neck tumors – pilot study
Autorzy:
Krakowczyk, Łukasz
Piotrowska-Seweryn, Agnieszka
Szymczyk, Cezary
Wierzgoń, Janusz
Oleś, Krzysztof
Ulczok, Rafał
Donocik, Karolina
Dowgierd, Krzysztof
Maciejewski, Adam
Powiązania:
https://bibliotekanauki.pl/articles/1397270.pdf
Data publikacji:
2021
Wydawca:
Index Copernicus International
Tematy:
cone beam computed tomography
free flap
head and neck
reconstruction
virtual surgical planning
Opis:
Introduction: The aim of the study was to prove that a combination of visual surgical planning (VSP) and cone beam computed tomography (CBCT) is an optimal technique in fibular free flap reconstructions after complex tumor resections in the head and neck region and that it leads to better functional and aesthetic outcomes. Material and method: Six patients (3 females, 3 males) with head and neck tumors were included in the study. The region concerned midface in 2 cases and mandible in 4 patients. On the basis of computed tomography of the head, fibular free flap (FFF) reconstruction was planned with the VSP technique. The 3D-printed models were prepared. At the beginning of the operation and a few minutes after the reconstruction, an xCAT CBCT by XORAN was performed. Minor corrections of the angles of the reconstructed bony parts were made where needed. The time of the operation was assessed for each case. Functional and cosmetic results were evaluated in a 1-year follow-up. Results: The mean time of operation was 6 hours and 48 minutes, which was approximately 1hour and 40 minutes less than standard reconstructive surgery. Functional recovery was achieved in all patients. Aesthetic result was unsatisfactory for 2 patients due to insufficient soft tissue masses of FFF. Conclusions: The authors claim that intraoperative CBCT imaging, regardless of the cost, improves the accuracy of aesthetic outcome of reconstructive surgeries based on VSP, especially in the region of the midface and the mandible. Further studies on a higher number of subjects are required.
Źródło:
Polish Journal of Otolaryngology; 2021, 75, 2; 28-33
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Deep neck infections: review of 263 cases
Autorzy:
Adoviča, Alise
Veidere, Linda
Ronis, Marks
Sumeraga, Gunta
Powiązania:
https://bibliotekanauki.pl/articles/1398484.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
abscess
Airway obstruction
Head
Neck
Tooth diseases
Opis:
Objectives: In patients hospitalized due to deep neck infections (DNIs), to investigate the association between demographic parameters, etiology, and localization of abscesses and/or phlegmons, complications, comorbidities, treatment, and bacterial cultures. Methods: We analyzed data of 263 patients that were hospitalized from January 1, 2012, to December 31, 2015, due to deep neck space phlegmons and/or abscesses. We performed statistical analysis with the SPSS 22.0 software; statistical significance was set p<0.05. Results: Among the analyzed patients, dental infections were the most frequent, followed by acute phlegmonous pharyngitis. Submandibular space abscesses or phlegmons of the neck were the most frequent complications of these infections. Re-operation was performed in 19.8% of cases, and complications developed in 11% (mostly airway obstruction). DNI complications were less common in smokers than in non-smokers (OR=0.038, p=0.025). Discussion: In our study, dental infections accounted for 70.6% of DNI cases. Thus, our study explains why odontogenic DNIs are the most common DNI type studied in the literature. Poor oral health and odontogenic infections should not be underestimated because they can lead to uncommon but lethal diseases such as descending necrotizing mediastinitis, which requires aggressive surgical treatment and is associated with a mortality rate of 10%-40% despite treatment. The complication developed in 11.4% of cases. In conclusion, oral health and hygiene contribute to DNI development.
Źródło:
Polish Journal of Otolaryngology; 2017, 71, 5; 37-42
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Zastosowanie testu VHIT (Videonystagmography Head Impulse Test) w diagnostyce uszkodzeń kanałów półkolistych
Autorzy:
Olszewski, Jurek
Pietkiewicz, Piotr
Miłoński, Jarosław
Bielińska, Marzena
Powiązania:
https://bibliotekanauki.pl/articles/1398657.pdf
Data publikacji:
2010
Wydawca:
Index Copernicus International
Tematy:
test VHIT
czynność kanałów półkolistych
Opis:
Introduction: The aim of that work was to evaluate the usefulness of VHIT (Videonystagmography Head Impulse Test) in the diagnostics of injuries to the semicircular canals. Material and methods: The tests covered 58 patients aged 20-27, including 34 women and 24 men. Any deviations within the vestibular organs was excluded in the interview, otorhinolaryngological examination and full videonystagmographic test. The tests checked functions of the semicircular canals in the following way: in a sitting position and the head leaned forward at 30˚ the patient was looking at a motionless point while quick movements to the left or right were performed to stimulate a particular lateral semicircular canal. When the vertical semicircular canals were tested the head was inclined laterally to the right side at 45˚. Then similar movements were performed forwards (stimulation of the left anterior semicircular canal) and backwards (stimulation of the right posterior semicircular canal). When the head was leaned laterally to the left at 45˚ the right or left anterior semicircular canal was stimulated respectively. Functions of the canal were determined on the basis of gain (%). Results of the tests: In 58 patients the gain value for particular semicircular canals was normal, and the mean values presented as follows: the lateral semicircular canal: 11.9%±10.2, the anterior semicircular canal: 17.5%±11.6 and the posterior semicircular canal: 19.2%±13.5, whereas on the left side: 10.3%±7.9, 18.1%±11.1, 15.1%±12.3 respectively. In one man the gain value for the right posterior semicircular canal was found significantly above the standard value – 71%. Conclusion: VHIT showed much more sensitive than a full videonystagmographic test.
Źródło:
Polish Journal of Otolaryngology; 2010, 64, 7; 32-35
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
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

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