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    Wyświetlanie 1-8 z 8
    Tytuł:
    Drainage or paracentesis
    Autorzy:
    Zielnik-Jurkiewicz, Beata
    Powiązania:
    https://bibliotekanauki.pl/articles/1400310.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    middle ear
    paracentesis
    ventilation tube
    otitis media
    ear effusion
    complications
    Opis:
    Tympanostomy tube insertion and tympanic membrane incision are two the most frequently performed surgical procedures in otolaryngology, especially in children. The tympanic membrane incision - paracentesis, or myringotomy – is an incision of the tympanic membrane for diagnostic purposes or to allow drainage of pathological secretion from the tympanic cavity. Tympanostomy tube insertion involves incision made in the tympanic membrane and insertion of a ventilation tube (various types and for various periods of time) to improve hearing and aeration of the tympanic cavity. Procedures are performed through the ear canal (transcanal approach), under local or general anesthesia. Complications may occur in some cases of paracentesis and tympanostomy tube insertion.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2017, 6, 2; 1-7
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Glomus tympanicum – clinical characteristics and surgical management
    Autorzy:
    Łukawska-Popieluch, Izabela
    Bartoszewicz, Robert
    Morawski, Krzyztof
    Niemczyk, Kazimierz
    Powiązania:
    https://bibliotekanauki.pl/articles/1399741.pdf
    Data publikacji:
    2018
    Wydawca:
    Index Copernicus International
    Tematy:
    glomus tympanicum
    middle ear
    diagnosis
    Opis:
    Objective: The aim was to determine the clinical characteristics and analysis of surgical treatment of patients with glomus tympanicum hospitalized in the Department of Otorhinolaryngology. Material and methods: Between 2000 and 2015, 27 patients were hospitalized. Age ranged 28-79 years old. The study analyzed data from the clinical examination and the type of surgical technique. Results: The most common symptoms were tinnitus and hearing loss. Resection of the tumor was performed by anterior tympanotomy in 3 (11,1 %), CWU mastoidectomy in 21 (77,8 %), CWD mastoidectomy in 1 (3,7 %), lateral petrosectomy in 2 (7,4 %) patients. Conclusion: Glomus tympanicum have a quite characteristic clinical picture with dominant symptoms of tinnitus, hearing loss and reddening of the tympanic membrane in otoscopic examination. This type of tumors require surgical treatment. Surgical access depends on the size of the tumor in the tympanic cavity. Most of these tumors can be removed using antromastoidectomy, with posterior tympanotomy and hypotympanotomy.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2018, 7, 1; 8-15
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Congenital cholesteatomas
    Autorzy:
    Narożny, Waldemar
    Kuczkowski, Jerzy
    Stankiewicz, Czesław
    Powiązania:
    https://bibliotekanauki.pl/articles/1401793.pdf
    Data publikacji:
    2015
    Wydawca:
    Index Copernicus International
    Tematy:
    congenital cholesteatoma
    middle ear
    etiology
    treatment
    overview
    Opis:
    Congenital cholesteatoma is a rare ear disorder. The most common presentation is a pearly and white mass, visible with an intact tympanic membrane in individuals with no previous history of ear discharge, ear surgery or perforation of tympanic membrane. Based on a careful overview of literature, authors of this article present: the most probable theories of the cause of development of congenital cholesteatoma, diagnostic criteria of congenital cholesteatoma, its most common clinical symptoms, preoperative studies, methods of surgical treatments and goals of postoperative proceedings. Furthermore, authors present a comparison of histological, molecular and clinical features of congenital and acquired cholesteatomas.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2015, 4, 2; 78-83
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Endolymphatic Hydrops, Evaluated Using 3T MRI in Patients with Clinically Confirmed Meniere Disease
    Autorzy:
    Jasińska, Agnieszka
    Wnuk, Emilia
    Pierchała, Katarzyna
    Niemczyk, Kazimierz
    Powiązania:
    https://bibliotekanauki.pl/articles/1399638.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    endolymphatic hydrops
    inner ear magnetic resonanse
    Méniere’s disease
    Opis:
    Ménière’s disease (MD) is characterised by intermittent episodes of vertigo with fluctuating sensorineural hearing loss, tinnitus and aural fullness. Despite numerous studies, the etiology of this disorder remains poorly understood and thus diagnostic criteria are mainly clinical. Development and progress in magnetic resonance imaging (MRI) techniques, in 2007, has enabled visualisation of endolymphatic hydrops, which was the milestone achievement. We present two cases of patients with clinically confirmed MD with a set of audiological, otoneurological examinations and MRI performed. Structures of the inner ear were visualized using contrast-enhanced MR imaging after a 4-hour delayed intravenous gadolinium administration. The cochlea and vestibule were evaluated separately and classified using Barath grading scale. Endolymphatic hydrops in the clinically affected ears were confirmed using MRI. Due to disabling and intractable MD, a decision about vestibular neurectomy was made.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2019, 8, 3; 20-23
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Cochlear Implantation in Children with Congenital Inner Ear Malformations
    Autorzy:
    Abbas, Azzam Muhsin
    Hamed, Mustafa Salman
    Ahmed, Ahmed Salah
    Powiązania:
    https://bibliotekanauki.pl/articles/27317603.pdf
    Data publikacji:
    2022-12-15
    Wydawca:
    Index Copernicus International
    Tematy:
    cochlear implantation
    congenital inner ear malformation
    facial nerve anomalies
    Opis:
    Introduction: Cochlear Implantation has proven beneficial in patients with profound congenital hearing impairments. Performing cochlear implantation in patients with inner ear malformation has always been a matter of dispute as congenitally deaf ears may have anatomical malformations and thus meet difficulties during operation. Therefore, it is important to focus on problems and complications encountered by surgeons performing such operations. Aim: To evaluate problems and surgical difficulties encountered in patients with congenital inner ear malformation, who underwent cochlear implantation. Material and methods: A series of 21 pediatric cochlear implant (CI) patients with known inner ear malformations determined on computed tomography (CT) of the temporal bone who underwent cochlear implantation in the Department of Otolaryngology of Martyr Ghazi Al-Hariri and AL-Yarmouk Teaching Hospital, Baghdad, Iraq, from January 2018 to January 2021. The study aimed to determine intraoperative adverse effects of these anomalies regarding electrode array insertion depths, predisposition to cerebrospinal fluid (CSF) leak through the cochleostomy, and associated facial nerve anomalies that can create problems with access to scala tympani. Results: The most common inner ear anomalies were wide vestibular aqueduct (15 patients, which makes 71.4%), incomplete partitions (5 patients, 23.8%), and common cavity (1 patient, 4.8%). As concerns CSF leak, the most common was CSF ooze (11 patients, 52.4%), CSF gusher (6 patients, 28.6%), and no CSF leak (4 patients, 19%). Among facial nerve anomalies there was only one case (4.8%) of abnormal position (more superficial and not injured) and 20 cases (95.2%) in which no anomaly was detected. As concerns electrode insertion depth, full insertion was achieved in 17 patients (81%), while incomplete insertion in 4 patients (19%). Conclusion: Cochlear implant can be successfully and safely inserted in patients with selected congenital inner ear anomalies. Surgery can be challenging in certain cases of gusher and facial nerve abnormalities, but proper radiology and good surgical technique will help avoid complications.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2022, 11, 4; 1-12
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Inner ear malformations – overview, current classifications, challenges in management
    Autorzy:
    Haber, Karolina
    Konopka, Wiesław
    Amernik, Katarzyna
    Mierzwiński, Józef
    Powiązania:
    https://bibliotekanauki.pl/articles/1399247.pdf
    Data publikacji:
    2020
    Wydawca:
    Index Copernicus International
    Tematy:
    brainstem implant
    cochlear implant
    imaging tests
    inner ear malformations
    Opis:
    Introduction: Some patients with profound sensorineural hearing loss have inner ear malformations. Initially, those were believed to be a contradiction to cochlear implantation. However, with the advance of cochlear implant surgery and technology, it has become possible to treat this group of patients. However, cochlear implantation in the case of inner ear malformations can be associated with numerous surgical difficulties and possible complications. Purpose: The paper aims to present: (1) modern classification of inner ear malformations, (2) surgical and clinical challenges related to all types of malformations, and (3) cases of inner ear malformations identified in the authors’ centers. Material and methods: Of 111 children enrolled for cochlear implantation in three clinical centers, a group of patients with malformations of the inner ear was selected. We analyzed: preoperative imaging studies of patients performed prior to cochlear implantation, hearing tests, surgical protocols of cochlear implantation, results of intraoperative measurements and intraoperative imaging studies. We discuss what is currently believed to be the leading classification of inner ear malformations. Results: In 19/111 (17%) children, we diagnosed severe inner ear malformations in 35 ears. In 13/19 (68%) patients the malfor mations were bilateral and symmetrical, while 6/19 (32%) patients had different malformations in the right and left ear or one-sided malformation. All inner ear malformations described in the classification were found, except for rudimentary oto cyst. The most common are: cochlear hypoplasia, incomplete partition, and enlarged vestibular aqueduct. Discussion: Severe inner ear malformations are a major diagnostic and clinical challenge in children qualified for cochlear implantation. They can preclude or considerably complicate cochlear implantation and postoperative care. Inner ear malformations are found in imaging studies even in 20 to 30% of patients with profound hearing loss.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2020, 9, 3; 1-11
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Meniere Disease p. 1. Diagnosis criteria, signs and symptoms of Meniere Disease (MD) – comment to updated guidelines and own experiences
    Autorzy:
    Niemczyk, Kazimierz
    Pierchała, Katarzyna
    Bartoszewicz, Robert
    Jasińska, Agnieszka
    Powiązania:
    https://bibliotekanauki.pl/articles/1399343.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    hearing loss
    inner ear
    Meniere’s disease
    tinnitus
    tone audiometry
    vertigo
    Opis:
    We present an overview of current diagnostic and therapeutic guidelines on Ménière’s disease. Over the last five years, four studies on this subject have been published. In 2015, five Societies including the Classification Committee of the Barany Society, Japan Society for Equilibrium Research, EAONO - European Academy of Otology and Neurotology, AAO-HNS - American Academy of Otorhinolaryngology - Head Neck Surgery, and Korean Balance Society have issued updated guidelines on the diagnosis and treatment of Ménière’s disease. Other multi-center publications have since been published as well such as the International consensus (ICON) on treatment of Ménière’s disease 2018, European Position Statement on Diagnosis, and Treatment of Meniere’s Disease, Diagnostic and therapeutic strategy in Ménière’s disease, Guidelines of the French Otorhinolaryngology - Head and Neck Surgery Society (SFORL) 2017. The above-listed recommendations include the most recent diagnostic advancements (e.g. inner ear MRI) and new electrophysiological tests, but also discuss other commonly used treatment modalities, result reporting and they take into account the quality of life of the patients following treatment. We present the main clinical challenges in managing Ménière’s disease, principles of diagnosis as well as the treatment introduced at our center. Finally, we discuss fundamental updates contained in the published papers.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2019, 8, 2; 12-17
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Second branchial cleft fistula in a child with genetically confirmed branchio-oto-renal (BOR) syndrome
    Autorzy:
    Remjasz, Agnieszka
    Clarós, Pedro
    Powiązania:
    https://bibliotekanauki.pl/articles/1399630.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    second branchial cleft fistula
    branchio-oto-renal syndrome
    BOR syndrome
    ear malformation
    neck fistula
    neck surgery
    genetic disorders
    Opis:
    Preface: Branchial cleft anomalies constitute 32% to 45% of all neck pathologies in the pediatric population. These disorders may be a part of a branchio-oto-renal (BOR) syndrome, characterized by branchial arch abnormalities, preauricular pits, hearing impairment, and various types of renal disorders. Usually, the treatment of a branchial fistula does not necessarily require extensive diagnostics before the treatment. However, in some cases, branchial cleft fistulas may occur together with other congenital disorders. A case report: The aim of this study is to present diagnostic and therapeutic difficulties in a 4-year old male patient with a complete second branchial cleft fistula and additional congenital, bilateral hearing loss. The course of the disease, diagnostic difficulties, and its treatment are presented. Genetic counseling finally confirmed the mutation of an EYA1 gene, responsible for the occurrence of BOR syndrome. The child undergone a total fistula resection without any complications during hospitalization or in the postoperative treatment. Summary: Presentation of this clinical case was intended primarily to remind that such defects may occur in the association with other anomalies, for example, deafness or renal disorders. When dealing with such patients, it is worth paying attention to the detailed examination and diagnostics, including genetic counseling, hearing tests or abdominal ultrasound. Special radiological imaging should also be performed in case of the unusual course of the fistula or probable proximity to vital structures, what is essential during qualification for surgery. Finally, we wanted to describe alternative methods of treatment for the standard surgical technique that may be used in a selected group of patients.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2019, 8, 1; 63-70
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-8 z 8

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