Temat: laryngektomia - Katalog OPAC zbiorów

Skocz do pozycji: 1.

Tytuł:: Rehabilitacja chorych po laryngektomii – wizja a realizacja
Autorzy:: Betlejewski, Stanisław
Ossowski, Roman
Sinkiewicz, Anna
Powiązania:: https://bibliotekanauki.pl/articles/1398857.pdf
Data publikacji:: 2007
Wydawca:: Index Copernicus International
Tematy:: rak krtani
laryngektomia caΠkowita
rehabilitacja kompleksowa
Opis:: Universality, early initiation, complexity and continuity – should be the main attributes of rehabilitation in patients after laryngectomy. The authors discuss the problem of universality and accessibility of rehabilitation in Poland. A great role in realization of this attributes played since 20 years the Polish Society of Laryngectomees. Till now the governmental help and the participation of the National Health Fund for the patients after laryngectomy is very limited. The early rehabilitation should be started before the operation and a particular note must be taken to the patient’s changed vital situation after the surgical treatment. The complexity of the rehabilitation must cover the whole spectrum of rehabilitation; it means voice and speech therapy, the improvement of respiratory system function, the problems of respiratory air conditioning and the psychological as well as social psychological aspects. The authors describe a model of such a complex rehabilitation that can be provided in health resorts. In the postoperative period the role of the laryngectomee clubs and associations is very important to assure the continuity of rehabilitation.
Źródło:: Polish Journal of Otolaryngology; 2007, 61, 3; 344-348
0030-6657
2300-8423
Pojawia się w:: Polish Journal of Otolaryngology
Dostawca treści:: Biblioteka Nauki

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Tytuł:: Przetoka skórno-gardłowa jako powikłanie po laryngektomii – wciąż aktualny problem kliniczny
Autorzy:: Betlejewski, Stanisław
Szymańska-Skrzypek, Anna
Powiązania:: https://bibliotekanauki.pl/articles/1398859.pdf
Data publikacji:: 2007
Wydawca:: Index Copernicus International
Tematy:: laryngektomia
powikΠania
przetoka skórno-gardΠowa
przeglàd piÊmiennictwa
Opis:: Background. Pharyngocutaneous fistula following laryngectomy is a serious complication, and its incidence varies from 4% to 65%. The study’s objective was to determine the incidence of post laryngectomy fistulas in patients operated in our department to establish whether specific factors predispose to fistula formation. Methods. A retrospective study was performed in 573 patients who underwent laryngectomy. Results. Between 1989 and 1999, 835 cases of laryngeal carcinoma were diagnosed, 690 were treated surgically, 573 of them underwent laryngectomy in our department. Of these patients, 545 (95,1%) had total laryngectomy, while 28 (4,9%) partial laryngectomy. In 538 cases the laryngectomy was combined with radical or functional neck dissection. The presence of early postoperative fistula was established in 65 of the 573 patients (11,3%). Our study could not verify reports that any specific factors were significantly related to fistula formation, the only factors that did show statistical significance were the preoperative patient’s general health status and the kind of postoperative antibiotic therapy. Conclusions. On the base of literature review, the authors compare results obtained in the last decade of the 20 century with results obtained earlier. Although the incidence of post-laryngectomy pharyngocutaneous fistulas decreased in comparison with the fistula rate observed earlier, the problem is still unresolved, and the fistulae remain a serious complication of larynx oncology surgery.
Źródło:: Polish Journal of Otolaryngology; 2007, 61, 3; 271-279
0030-6657
2300-8423
Pojawia się w:: Polish Journal of Otolaryngology
Dostawca treści:: Biblioteka Nauki

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