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    Wyświetlanie 1-5 z 5
    Tytuł:
    Sjögrens syndrom – the review of the latest diagnostic guidelines essential for otolaryngologists
    Autorzy:
    Kruk, Karolina
    Rzepakowska, Anna
    Osuch-Wójcikiewicz, Ewa
    Niemczyk, Kazimierz
    Powiązania:
    https://bibliotekanauki.pl/articles/1399442.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    autoimmune sialadenitis
    dry mouth
    dryness syndrome
    sicca syndrome
    Sjögren syndrome
    Opis:
    Sjogren’s syndrome (SS) is a complex connective tissue disease with autoimmune background and high clinical, radiological and molecular heterogeneity. SS is typically manifested by sicca syndrome, characterized by dry eyes and dry mouth due to autoimmune-induced inflammation of the lacrimal and salivary glands. Complications of sicca syndrome are dental caries, oral candidiasis, dysosmia, dysgeusia, difficulties in swallowing and chewing. SS may coexist with other diseases of rheumatoid and autoimmune etiology. SS is linked to an 16-fold increased risk of non-Hodgkin lymphoma. Early diagnosis results in appropriate treatment and may slow down the course of the disease and limit extraglandular involvement. Due to diverse clinical phenotypes and symptomatology, establishing of the diagnosis is often difficult. In 2016 the AmericanEuropean Consensus Group (AECG) and European League Against Rheumatism (EULAR) proposed a classification system that defines SS as a systemic disease. Diagnostic tools in establishing SS diagnosis are serological tests, ultrasonography, Schirmer’s test, unstimulated whole saliva flow rate and Ocular Staining Score. The complete curing of SS is still not possible. As a complex multisystem disease, SS requires multidisciplinary cooperation and individual diagnostic and therapeutic approaches in patients. Therapy is focused on the treatment of symptoms and prophylaxis of complications. The laryngological treatment of oral cavity symptoms in SS include supervision of proper oral hygiene habits and adequate fluids supplementation. The EULAR Sjögren’s syndrome disease activity index (ESSDAI) and Clinical Oral Dryness Score(CODS) are used to monitor disease progression and treatment effectiveness.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2019, 8, 2; 1-6
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Chronic cough: new concepts and therapeutic possibilities
    Autorzy:
    Arcimowicz, Magdalenia
    Niemczyk, Kazimierz
    Powiązania:
    https://bibliotekanauki.pl/articles/1401753.pdf
    Data publikacji:
    2016
    Wydawca:
    Index Copernicus International
    Tematy:
    cough
    chronic cough
    upper airway cough syndrome
    Cough Hypersensitivity Syndrome
    diagnosis
    therapy
    Opis:
    Cough is the most common symptom of the upper and lower airway diseases. In its nature, cough is a defence re-flex mechanism of the respiratory tract that is used to clear the upper and lower airways. Chronic cough, defined as cough lasting for more than 8 weeks, is reported in 3–40% of the general population and has an important impact on patients’ quality of life, by causing anxiety, physical discomfort, social isolation and personal emabarrassment, be-ing an often medical complaint and one of the most common reasons for outpatient visits. Upper airway cough syn-drome, asthma, eosinophilic bronchitis and gastroesophageal reflux diseases account for most chronic cough after excluding somking, angiotensin-converting enzyme inhibitor use and chronic bronchitis. Many patients have more than one reason for chronic cough. Some complex diagnostic procedures, in many individuals are necessary to rec-ognized the cause/causes of chronic cough and to establish the accurate diagnosis, which implies a higher chance of effective treatment. Despite detailed diagnostic procedures, in many cases, the efficacy of chronic cough treatment is questionable and ambiguous. We observe not always satisfactory response to therapy. There are some coughs that seem refractory despite an extensive work-up. The possibility of hypersenitive cough reflex response, defining pa-tients with Cough Hypersensitivity Syndrome has been proposed to explain these cases, rather resistant to cough treatment, previously known as idioapthic cough or refractory, unexplained cough. The concept of Cough Hypersen-sitivity Syndrome helps us to understand the mechanisms underlying cough and provides better therapeutic options to treat chronic cough, like neuromodulating drugs, and speech therapy.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2016, 5, 1; 22-29
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Usher syndrome as the most frequent cause of coexisting sight and hearing disorders genetically determined
    Autorzy:
    Jamróz, Barbara
    Pabian, Maria
    Lachowska,, Magdalena
    Niemczyk, Kazimierz
    Powiązania:
    https://bibliotekanauki.pl/articles/1401752.pdf
    Data publikacji:
    2016
    Wydawca:
    Index Copernicus International
    Tematy:
    usher syndrome
    retinitis pigmentosa
    genetically determined hearing loss
    Opis:
    Usher syndrome is the most frequent cause of coexisting sight and hearing disorders genetically determined. Depending on the type of the symptoms, we can single out 3 types of Usher syndrome. Among them the most ad-vanced changes are described in first type. In final stage it leads to deafness and blindness with possible balance dis-orders.This syndome is inherited in autosomal recessive way, but we have to note the occurence of genetical heterogeneity. It causes big diversity of symptoms intensification. Correct diagnosis is important in view of giving genetical advice and eventual diagnostic and terapeutic procedure.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2016, 5, 1; 41-46
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Effectiveness of two methods of rehabilitation in patients after vestibular neuronitis and vestibular neurectomy
    Autorzy:
    Makowska, Iwona
    Pierchała, Katarzyna
    Niemczyk, Kazimierz
    Powiązania:
    https://bibliotekanauki.pl/articles/1400476.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    acute vestibular syndrome
    training habituation
    training sensory conflict
    Sensory Organization Test
    Opis:
    Acute vestibular syndrome is a syndrome of clinical symptoms associated with sudden damage to the periphery of the vestibular organ. The most important element in the treatment of patients with vestibular syndrome is motor rehabilitation, which is beneficial for central compensatory processes. The aim of the study was to compare the effectiveness of two methods of rehabilitation (training habituation versus sensory conflicts) in patients after vestibular neuronitis and vestibular neurectomy. The material includes the results of the overall balance of the Sensory Organization Test and subjective assessment of the severity of dizziness before and after rehabilitation performed by various methods. Twenty subjects after vestibular neuritis (Group I) and 20 patients after vestibular neurectomy (Group II) were included in the study. In group I, the patients were admitted to the Otolaryngology Clinic Medical University of Warsaw Emergency Room with the diagnosis of vestibular neuritis. In group II, patients had vestibular neurectomy due to Meniere disease with strong untreated vertigo. Both types of rehabilitation lead to a significant improvement in the overall balance of the Sensory Organization Test and subjective assessment of the severity of vertigo irrespective of the extent of injury in the vestibular organ. Better results were obtained in the group after vestibular neuritis treated with sensory conflicts.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2017, 6, 4; 47-54
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Air-conducted cervical and ocular vestibular evoked miogenic potentials in patients with Susac’s syndrome
    Autorzy:
    Lachowska, Magdalena
    Zakrzewska-Pniewska, Beata
    Nojszewska, Monika
    Niemczyk, Kazimierz
    Powiązania:
    https://bibliotekanauki.pl/articles/1399904.pdf
    Data publikacji:
    2018
    Wydawca:
    Index Copernicus International
    Tematy:
    Susac’s syndrome
    branch retinal artery occlusion
    cochlea
    hearing loss
    microangiopathy
    vestibular nerve
    vertigo
    Opis:
    Aim: To evaluate acoustically evoked cervical and ocular vestibular miogenic potentials (AC cVEMP and oVEMP) in patients with Susac’s syndrome. We did not seek for a diagnostic replacement test in those patients, but we investigated if the combined application of AC cVEMP and oVEMPs might be helpful as an additional source of information about the disease. Material and methods: To record VEMPs, the EMG standardization method was used to continuously monitor and minimize the variability of the recordings. The stimuli were presented unilaterally one ear at a time. The waveforms were analyzed for the response, latency and amplitude. Susac’s syndrome is a rare disease and two patients were analyzed in this study. Results: In patient #1 stimulation resulted in responses on both sides with latencies within normal and symmetry limits for both c- and oVEMPs; however, the responses presented small amplitudes for cVEMPs. In patient #2, only cVEMPs were present. The P1 latencies were within normal values but amplitudes were low, in addition showing asymmetry between sides, with right side amplitude being smaller. Conclusion: The information provided by the combined application of AC cVEMP and oVEMP might be useful in the diagnostics of Susac’s syndrome revealing additional information about the affected vestibular system and be of help in the treatment and rehabilitation planning.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2018, 7, 2; 8-15
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-5 z 5

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