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    Wyświetlanie 1-14 z 14
    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:
    Management of foreign bodies in the ear, nose and throat in children: a review of 829 cases from Northern Anatolia
    Autorzy:
    Aksakal, Ceyhun
    Powiązania:
    https://bibliotekanauki.pl/articles/1397347.pdf
    Data publikacji:
    2020
    Wydawca:
    Index Copernicus International
    Tematy:
    children
    ear
    foreign bodies
    nose
    pharynx
    Opis:
    Objective: The aim of this study was to evaluate cases of of ear, nose and pharyngeal (ENT) foreign body (FB) in pediatric patients referred to the pediatric emergency department of the Department of Otorhinolaryngology in Tokat State Hospital (Turkey). Methods: The paper comprises a retrospective study of all ENT foreign bodies presented to the pediatric emergency Department of Otorhinolaryngology in Tokat State Hospital (Turkey) between January 1, 2012 and December 31, 2018. Subject to evaluation were also demographic and clinical characteristics of the patients, types and anatomic locations of FBs, locations of FB by age groups, the method used to remove FBs and the distribution of FB cases by months. Results: A total of 829 FB cases were evaluated in this study. The mean age of patients was 47.8 ± 31.4 months. Of all patients, 404 (48.5%) were male, and 425 (51.2%) were female. The nose (58.7%) and the ear (20.2%) were the most common anatomical locations followed by mouth/pharynx/tonsil (12.3%), esophagus (6.2%) and the laryngotracheobronchial tree (2.4%). The most common FBs in different locations were beads in the nose (30.8%), beads in the ear (32.1%), fishbones in the mouth/pharynx/tonsil (56.8%), nuts and peanuts in laryngotracheobronchial tree (70%) and a coin/disc battery in the esophagus (80.7%). Conclusion: FB in ENT is among the emergency conditions that require different diagnostic and treatment approaches based on anatomic localizations. Proper vision, adequate equipment and immobilization are important in the removal of ENT foreign bodies in children.
    Źródło:
    Polish Journal of Otolaryngology; 2020, 74, 6; 35-40
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    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:
    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:
    Acoustic neuroma as first sign of inner ear functional disorders
    Autorzy:
    Bielińska, Marzena
    Owczarek, Kalina
    Nowosielska-Grygiel, Joanna
    Olszewski, Jurek
    Pietkiewicz, Piotr
    Powiązania:
    https://bibliotekanauki.pl/articles/1398592.pdf
    Data publikacji:
    2016
    Wydawca:
    Index Copernicus International
    Tematy:
    neuroma
    vestibulocochlear nerve
    inner ear functional disorders
    Opis:
    Introduction. The aim of this work was to describe acoustic neuromas as the first signs of inner ear functional disorders. Material and methods. The study covered 3,456 audiological and otoneurological patients, who were treated in the Department of Otolaryngology, Laryngological Oncology, Audiology and Phoniatrics Military Medical Academy University Teaching Hospital in Lodz within the period of 2011–2016. Among the studied subjects, an acoustic neuroma on the vestibulocochlear nerve was diagnosed in 13 cases (5,16%), including 9 women and 4 men. Each patient underwent a medical interview and an objective examination with static and dynamic tests, pure tone audiometry and speech audiometry tests, impedance audiometry tests, characteristics of tinnitus, videonystagmography and auditory brainstem evoked potentials (ABR) in crack. In each case of an incorrect ABR recording, contrast-enhanced MRI was performed. Study results. The conducted tests showed an incorrect ABR recording in 252 patients (7,29%, including 54,37% women and 45,63% men). In the performed contrast-enhanced MRI, 13 patients (5,16%), including 3,57% women and 1,59% men, had an image typical to neuroma of the vestibulocochlear nerve. Each one of the studied patients showed signs and symptoms typical to an acoustic neuroma such as hypoacusia and balance disorders, tinnitus in 12 subjects, headaches in the temporal and occipital area in 4 subjects, trigeminal neuralgia symptoms in 2 subjects and vision problems like scotoma and blurred vision reported by 1 patient. Conclusion. Each case of sensorineural hearing loss, particularly unilateral sensorineural hearing loss, requires expanded hearing tests and auditory brainstem evoked potentials tests. An incorrect brainstem evoked potentials recording such as: an elongated latency of the 5th wave, an elongated interlatency of 1–2-3 and 1–2–3–4 waves, requires a contract-enhanced magnetic resonance imaging to diagnose cerebellopontine angle tumours.
    Źródło:
    Polish Journal of Otolaryngology; 2016, 70, 5; 19-25
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Assessment and management of retraction pockets
    Autorzy:
    Alper, Cuneyt M
    Olszewska, Ewa
    Powiązania:
    https://bibliotekanauki.pl/articles/1398338.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    Retraction pocket
    middle ear
    tympanic membrane
    Eustachian tube
    Opis:
    This manuscript intends to review types, pathogenesis, associated risk factors, and potential methods of prevention and treatment of the retraction pockets in adults and children. The importance of retraction pockets (RP) lies in loss of original histological and anatomical structure which is associated with development of ossicular chain erosion, cholesteatoma formation and potentially life threatening complications of cholesteatoma. The trans-mucosal exchange each gas in the middle ear (ME) is towards equalizing its partial pressures with the partial pressure in the environment. MEs that have abnormalities in the volume and ventilation pathways in the epitympanic may be more susceptible to retraction pockets. Sustained pressure differences and/or inflammation leads to destruction of collagen fibers in the lamina propria. Inflammatory mediators and cytokines lead to release of collagenases result in viscoelastic properties of the lamina propria. The process of changes in the tympanic membrane structure may evolve to the cholesteatoma formation. There are many different staging systems that clinicians prioritize in their decision making in the management of RP. The authors discuss the management possibilities in different clinical situations: RP without and with ongoing or intermittent evidence of Eustachian Tube Dysfunction (ETD), presence of adenoid hypertrophy or re-growth of adenoids, presence or absence of effusion, invisible depth of RP without effusion. invisible depth of RP with effusion, ongoing RP after VT insertion, and finally suspicion of cholesteatoma in a deep RP with ME effusion. A decision algorithm regarding the management of TM retraction and retraction pockets is provided.
    Źródło:
    Polish Journal of Otolaryngology; 2017, 71, 1; 1-21
    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:
    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:
    The role of preoperative imaging for auditory implants in children
    Autorzy:
    Haber, Karolina
    Burzyńska-Makuch, Małgorzata
    Mierzwiński, Józef
    Powiązania:
    https://bibliotekanauki.pl/articles/1397250.pdf
    Data publikacji:
    2021
    Wydawca:
    Index Copernicus International
    Tematy:
    auditory brainstem implant
    cochlear implant
    cochlear ossification
    imaging studies
    inner ear malformations
    Opis:
    Introduction: Preoperative imaging, besides audiological evaluation, plays a major role in evaluation of candidacy for auditory implants, and in particular cochlear implants. It is essential to assess whether the basic criteria necessary for implantation are met. Diagnostic imaging is crucial not only in determining candidacy, but also determining the feasibility of cochlear implantation as it allow to anticipate surgical difficulties which could preclude or complicate the implantation of the device. The aim of the study is to present the protocol for the evaluation of preoperative imaging studies with particular focus on the factors potentially affecting clinical decisions in children qualified for cochlear implantation. Material and method: Preoperative imaging studies of 111 children performed prior to cochlear implantation were analyzed: high-resolution computed tomography (HRCT) of temporal bones and MRI. The assessment was made according to the presented protocol. Results: Pathologies and anomalies identified during the assessment of preoperative imaging studies significantly altered clinical decisions in 30% of patients. In the study group, in 17% of patients inner ear malformations were identified. 2.7% of children were disqualified from a cochlear implantation due to severe congenital inner ear malformations. 9% of the patients have had bacterial meningitis. In 50% of them difficulties related to complete or progressive cochlear ossification occurred. In 4.5% of patients less common surgical approaches other than mastoidectomy with a posterior tympanotomy were applied. Discussion: Preoperative imaging allow for the identification of significant pathologies and anomalies affecting qualification decisions and further treatment. HRCT and MRI are complementary to each other for preoperative imaging. The two modalities in combination allow accurate and optimal evaluation of the anatomical structures prior to implantation. Inner ear malformations and cochlear ossification following meningitis are relatively frequently encountered in children qualified for a cochlear implant.
    Źródło:
    Polish Journal of Otolaryngology; 2021, 75, 1; 23-35
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    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 1-14 z 14

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