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    Wyświetlanie 1-9 z 9
    Tytuł:
    The role of speech language pathologist in rehabilitation after total laryngectomy
    Autorzy:
    Tuz-Hrycyna, Natalia
    Powiązania:
    https://bibliotekanauki.pl/articles/1399302.pdf
    Data publikacji:
    2020
    Wydawca:
    Index Copernicus International
    Tematy:
    laryngectomy
    rehabilitation
    speech therapist
    substitute voice
    Opis:
    This review presents the role of a clinical speech therapist in a team of specialists involved in the treatment and rehabilitation of patients after total laryngectomy. Special attention was given to the need for cooperation in the group of specialists. The stages of rehabilitation of the substitute voice and smell were presented.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2020, 9, 4; 29-32
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Vertical partial frontolateral laryngectomy with simultaneous pedunculated sternothyroid muscle flap reconstruction of the vocal fold – surgical procedure and treatment outcomes
    Autorzy:
    Jurek-Matusiak, Olga
    Wójtowicz, Piotr
    Szafarowski, Tomasz
    Krzeski, Antoni
    Powiązania:
    https://bibliotekanauki.pl/articles/1398184.pdf
    Data publikacji:
    2018
    Wydawca:
    Index Copernicus International
    Tematy:
    Glottic cancer
    vertical partial laryngectomy
    sternothyroid muscle flap
    Opis:
    Purpose of the study: The aim of the study was to present the treatment outcomes after vertical partial laryngectomy with or without pedunculated sternothyroid muscle flap reconstruction following the resection of neoplasm-infiltrated vocal fold. The procedure was used in a patient with glottic cancer. Oncological outcomes, morphology of neo-vocal fold and the act of swallowing were evaluated. Material and methods: 45 patients with T1-T2 glottic cancer were subjected to vertical partial laryngectomy with 26 patients undergoing a procedure with pedunculated sternothyroid muscle flap reconstruction and the remaining 19 patients undergoing a procedure without such a reconstruction. Two female and 43 male patients aged 35-82 years (mean age of 62.5 years) were enrolled in the study. Local tumor spread and the condition of reconstructed vocal fold were assessed in sequential videofiberoscopy examination conducted each month after surgery whereas the regional spread was assessed in ultrasound scans. Postoperative aspiration was graded according to the Pearson’s scale. Results: Six patients experienced local recurrence while 2 patients experienced regional recurrence of the tumor. The pedunculated sternothyroid muscle flap neo-fold was structurally resemblant of the non-affected vocal fold. Episodic, daily dysphagia was observed in 1 patient while normal act of swallowing with no Pearson’s scale symptoms was observed in the remaining 44 patients. No necrosis of pedunculated flap was observed. Conclusions: Vertical partial laryngectomy with or without pedunculated sternothyroid muscle flap reconstruction is a good method for the treatment of low- or intermediate-stage glottic cancer, especially when endoscopic access to the tumor is limited and when CO2 laser cannot be used. No significant functional disorders were observed in operated larynges.
    Źródło:
    Polish Journal of Otolaryngology; 2018, 72, 1; 23-29
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Total Laryngectomy for Treatment of T4 Laryngeal Cancer: Trends and Survival Outcomes
    Autorzy:
    Badwal, Jaspreet Singh
    Powiązania:
    https://bibliotekanauki.pl/articles/1391950.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    Total laryngectomy
    laryngeal cancer
    T4 laryngeal cancer
    Opis:
    Introduction: Management of advanced laryngeal cancer has shown fluctuating trends during the last few decades. Though many extensive reports are available in the literature regarding survival outcomes for advanced laryngeal cancer, there is a paucity of elaborate systematic reviews giving a complete picture of facts and figures. The present analysis brings to attention the most relevant data in a focused and up to date format, for simpler interpretation of evidence-based inference. Objective: To present the trends in the treatment of T4 laryngeal cancer over the past few decades and analyze survival outcomes for different treatment modalities in the management of T4 laryngeal cancer by way of systematic review. Methods : An electronic search was conducted using the terms “total laryngectomy”, “T4 laryngeal cancer”, “survival outcomes” in combination with the following search strategy : Search block Laryngeal cancer - "Laryngeal Neoplasms"[Mesh] OR ((Laryngeal[tiab] OR larynx[tiab] OR "Larynx"[Mesh]) AND (“Neoplasms”[Mesh] OR neoplasm* [tiab] OR tumor* [tiab] OR tumour* [tiab] OR cancer* [tiab] OR malignancy* [tiab] OR carcinoma* [tiab] OR neoplasm* [tiab] OR oncology* [tiab])); Search block Total laryngectomy - "Laryngectomy"[Mesh] OR total laryngectomy*[tiab] OR total laryngopharyngectomy*[tiab] OR total pharyngolaryngectomy*[tiab]; Search block T4 - t4[tiab]. Clinical studies were retrieved from the electronic databases of PubMed, EMBASE, SCOPUS and Cochrane Library. 304 articles had been published till June 2017, which included prospective studies, randomized controlled trials, retrospective studies, and smaller descriptive studies. References of the selected studies were further searched for relevant articles. Apart from this, a search was conducted on Google Scholar to obtain related articles. Results: Numerous studies, as mentioned in this review, provide authentic evidence in relation to the efficacy and outcome of surgical treatment for T4 laryngeal cancer. To address the problem of heterogeneity with regards to patient selection, numerous reports pertaining to T4 patients exclusively have been included. Conclusion: Total laryngectomy remains the gold standard for management of T4a laryngeal cancer. After the unparalleled oncological outcomes of more than a century, the technique has stood the test of time. An exhaustive review of the literature has been presented, discussing the trends in the treatment of advanced laryngeal cancer across different continents. However, it must be specified that the purpose of the study is not to prove one treatment protocol to be superior to the other but to bring out patterns of adherence to protocols and guidelines as suggested by multidisciplinary consensus reports and the consequent outcomes.
    Źródło:
    Polish Journal of Surgery; 2019, 91, 3; 30-37
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Use of piezoelectric instruments in larynx surgery
    Autorzy:
    Jurek, Olga
    Wójtowicz, Piotr
    Krzeski, Antoni
    Powiązania:
    https://bibliotekanauki.pl/articles/1398485.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    piezoelectric knife
    cartilages of larynx
    thyroidectomy
    open partial laryngectomy
    larynx stenosis
    Opis:
    Objective: The aim of the study was to estimate usability of the piezoelectric knife in larynx surgery. Prove that the piezoelectric staff can be used to do any different shape incision within the larynx cartilages. Material and methods: 35 patients hospitalized in our Department in 2014–2016 were enrolled in our study. 24 patients went vertical partial laryngectomy and 1 patient went horizontal partial laryngectomy because of larynx cancer. 5 patients went partial laryngectomy because of low stage of piriformis recess cancer. Piezoelectric staff was used to do thyroidectomy and resection of thyroid cartilage suspected of carcinomatosis infiltration. The rest 4 patients had done widening of larynx lumen due to larynx stenosis or slenderness. The piezoelectric tool was used to do different incision or resection within the larynx cartilages in case of widening lumen of the larynx. Results: The larynx cartilages, especially thyroid cartilage could be cut in different shapes using piezoelectric tools. The usage of this equipment causes the minimal loss and small destruction of local healthy tissues. Conclusions: The Piezoelectric instrument is useful instrument suit to operate within larynx cartilages. Exchangeable tip available in different shapes enables different resections of cartilages. Using the piezoelectric staff we can remove pathological tissue with minimal local destruction. Our observation shows that larynx operation with a usage of the piezoelectric knife is safe and effective. Current English literature does not describe usage piezoelectric tools in larynx surgery. It is essential to do more observation about that type of operations.
    Źródło:
    Polish Journal of Otolaryngology; 2017, 71, 5; 1-4
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Assessment of the functioning of patients with dysphagia after total laryngectomy
    Ocena funkcjonowania chorych z zaburzeniami połykania po operacji radykalnego usunięcia krtani
    Autorzy:
    Godlewska, Katarzyna
    Jamróz, Barbara
    Chmielewska-Walczak, Joanna
    Milewska, Magdalena
    Powiązania:
    https://bibliotekanauki.pl/articles/1066114.pdf
    Data publikacji:
    2020-10-27
    Wydawca:
    Wydawnictwo Uniwersytetu Śląskiego
    Tematy:
    laryngektomia całkowita
    jakość życia
    VFSS
    MDADI
    total laryngectomy
    quality of life
    Opis:
    Celem pracy była ocena funkcjonowania chorych z zaburzeniami połykania po operacji radykalnego usunięcia krtani. Do badania wstępnie zakwalifikowano 20 pacjentów, będących dłużej niż 6 miesięcy po całkowitym usunięciu krtani, wymagających przeprowadzenia badania wideofluoroskopowego (VFSS) ze względu na zgłaszane zaburzenia połykania. Grupę ostateczną stanowiło 10 osób (8 mężczyzn i 2 kobiety). Procedura badania obejmowała: zebranie wywiadu, wykonania pełnego badania VFSS oraz wypełnienie przez pacjenta kwestionariusza MDADI. Najczęściej stwierdzanymi problemami były: brak kontaktu nasady języka z tylną ścianą gardła, zaburzenia obróbki oralnej kęsa oraz ruchy pompujące języka. Chorzy oceniali nisko swoją jakość życia. Obecność lub brak regurgitacji treści pokarmowych do nosa znacznie wpływał na funkcjonowanie pacjentów. Zgłaszanie przez chorych zaburzeń połykania oraz problemów z wytworzeniem głosu i mowy zastępczej jest wskazaniem do dalszej diagnostyki (np. VFSS). Dobór skutecznej metody terapeutycznej może wpłynąć na poprawę jakości życia tych osób.
    The aim of the study was to evaluate the functioning of patients with swallowing disorders after total laryngectomy. The study initially included 20 patients who were more than 6 months after total laryngectomy, requiring videofluoroscopy (VFSS) due to reported dysphagia. The final group consisted of 10 people (8 men and 2 women). The examination procedure included conducting an interview, performing a full VFSS examination and completing the MDADI questionnaire by the patient. The most common problems found in the group were the lack of contact of the base of tongue with the posterior wall of the throat, disturbances in bolus formation and pumping movements of the tongue. The patients assessed their quality of life as low. The presence or absence of nasal food regurgitation significantly influenced the functioning of patients. Patients’ reports of swallowing disorders and problems with the production of voice and substitute speech are indications for further diagnosis (e.g. VFSS). The choice of an effective therapeutic method may improve the quality of life of these people.
    Źródło:
    Logopedia Silesiana; 2020, 9; 1-21
    2300-5246
    2391-4297
    Pojawia się w:
    Logopedia Silesiana
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Impact of the laryngeal nerves anatomy on the intraoperative neuromonitoring results in surgery of thyroid gland and functional results after partial laryngectomies
    Autorzy:
    Berger, Greta
    Kosztyła - Hojna, Bożena
    Chyczewski, Lech
    Powiązania:
    https://bibliotekanauki.pl/articles/1392222.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    recurrent laryngeal nerve (RLN)
    superior laryngeal nerve (SLN)
    thyroidectomy
    partial laryngectomy
    neuromonitoring
    Opis:
    The aim of this work was to describe, interpret and highlight the impact of neuroanatomy in the region of the larynx on intraoperative neuromonitoring (IONM) during thyroidectomy. A rich network of anastomoses of the recurrent laryngeal nerve (RLN) and superior laryngeal nerve (SLN) may have impact on the results of thyroidectomy and partial laryngectomy. Intraoperative neuromonitoring is a useful tool in the armamentarium of a head and neck surgeon but it will never replace profound knowledge of surgical anatomy and good surgical technique.
    Źródło:
    Polish Journal of Surgery; 2019, 91, 2; 30-37
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Renesans of supracricoid partial laryngectomy with crico-epiglotto-hyoidopexy or with crico -hyoidopexy – is it possible? Literature rewiev
    Autorzy:
    Berger, Greta
    Kosztła - Hojna, Bożena
    Reszeć, Joanna
    Chyczewski, Lech
    Powiązania:
    https://bibliotekanauki.pl/articles/1400473.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    Supracricoid partial laryngectomy
    Crico-epiglotto- hyoido pexy
    crico-hyoido pexy
    larynx cancer
    aspiration
    Opis:
    Supracricoid partial laryngectomy (SCPL) with crico-epiglotto-hyoidopexy (CHEP) or crico- hyoidopexy (CHP) is technically difficult. Although SCPL is effective in patients with laryngeal cancer, postoperative rehabilitation of speech and swallowing is needed for good functional outcomes. We discuss what patients can benefit from SCPL, with CHEP or CHP, and when these procedures are contraindicated.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2017, 6, 4; 14-23
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Dysphagia among patients after total laryngectomy: diagnostic and therapeutic procedures
    Autorzy:
    Jamróz, Barbara
    Chmielewska-Walczak, Joanna
    Milewska, Magdalna
    Powiązania:
    https://bibliotekanauki.pl/articles/1399294.pdf
    Data publikacji:
    2020
    Wydawca:
    Index Copernicus International
    Tematy:
    cricopharyngeal muscle
    dilation
    dysphagia
    FEES
    laryngeal cancer
    myotomy
    pharyngoesophageal segment
    substitute speech
    total laryngectomy
    videofluoroscopy
    Opis:
    Dysphagia concerns 10–89% patients after total laryngectomy; to a greater extent it regards patients receiving complementary radiotherapy. The disease mechanism is associated with anatomical changes after surgery (typeof surgery) or complications of adjuvant therapy (xerostomia, neuropathy, swelling of tissue, etc.). The above changes lead to: decreased mobility of the lateral walls of the pharynx and tongue retraction, the occurrence of tounge pumping movements, decreased swallowing reflex, weakening of the upper esophageal sphincter opening, contraction of the cricopharyngeal muscle, tissue fibrosis, formation of pharyngeal pseudodiverticulum, etc. As a result: regurgitation of food through the nose and oral cavity, food sticking in middle and lower pharynx, prolongation of bolus transit time. Upon the formation of tracheoesophageal fistula, there may be aspiration of gastric contents. The above changes considerably reduce patients’ quality of life after surgery. The diagnostic protocol includes: medical interview (questionnaires such as EAT 10, SSQ, MDADI, DHI can be helpful), clinical swallowing assessment and instrumental examinations: primarily videofluoroscopy but also endoscopic evaluation of swallowing. Selected cases also require high frequency manometry. The treatment options include: surgical methods (e.g. balloon dilatation of the upper esophageal sphincter, cricopharyngeal myotomy, pharyngeal plexus neurectomy, removal of the pharyngeal pseudodiverticulum), pharmacological treatment or conservative methods (e.g. botulinum toxin injection of the upper esophageal sphincter, speech therapy, nutritional treatment) and supportive methods such as consultation with a psychologist, physiotherapist, clinical dietitian). The selection of a specific treatment method should be preceded by a diagnostic process in which the mechanism of functional disorders related to voice formation and swallowing will be established.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2020, 9, 4; 23-28
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Diagnostic difficulties with COVID-19 in a patient after total laryngectomy
    Trudności diagnostyczne w rozpoznaniu COVID-19 u pacjenta po laryngektomii całkowitej
    Autorzy:
    Czech, Joanna
    Burduk, Paweł
    Wierzchowska, Małgorzata
    Powiązania:
    https://bibliotekanauki.pl/articles/1399027.pdf
    Data publikacji:
    2021-06-22
    Wydawca:
    Index Copernicus International
    Tematy:
    COVID-19
    laryngectomy
    lower respiratory tract
    SARS-CoV-2
    upper respiratory tract
    dolne drogi oddechowe
    górne drogi oddechowe
    laryngektomia
    Opis:
    Coronavirus disease (COVID-19) is caused by the SARS-CoV-2 virus and often presents with flu-like symptoms that can have varying degrees, which may subsequently lead to acute respiratory distress (ARDS). The genetic material of the virus in samples of respiratory secretions is identified by way of basic diagnostic tests. Due to the altered course of the respiratory tract, patients after total laryngectomy require special attention in the diagnosis of SARS-CoV-2 infection. We present a case of a patient after laryngectomy who obtained different results of COVID-19 tests depending on the site of sampling.
    Choroba COVID-19 wywoływana jest przez wirusa SARS-CoV-2 i często manifestuje się objawami grypopodobnymi, które mogą przebiegać z różnym nasileniem. W dalszej kolejności może prowadzić do ostrej niewydolności oddechowej (ARDS). Podstawowe testy diagnostyczne identyfikują materiał genetyczny wirusa w próbkach wydzielin z dróg oddechowych. Chorzy po laryngektomii całkowitej z uwagi na zmieniony przebieg dróg oddechowych wymagają szczególnej uwagi pod względem diagnostyki w kierunku zakażenia SARS-CoV-2. W naszej pracy przedstawiamy przypadek pacjenta po laryngektomii, u którego uzyskano różne wyniki testów w kierunku COVID-19 w zależności od miejsca pobrania próbek. Słowa kluczowe: SARS-CoV-2, laryngektomia, drogi oddechowe
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2021, 10, 2; 44-47
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-9 z 9

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