Pub Date : 2023-10-20DOI: 10.5604/01.3001.0053.9247
Elżbieta Szczepanek, Łukasz Banaszek, Małgorzata Szczepanek, Monika Rudzińska, Kazimierz Niemczyk
Introduction: Paralysis of the nerves supplying the larynx leading to the vocal fold paralysis may have iatrogenic, proliferative, idiopathic or post-traumatic etiology. The most common etiology is iatrogenic, including a complication of the removal of paraganglioma tumors. One of the therapeutic options for vocal cord paralysis in the course of nerve damage is reinnervation of the larynx. One of the most frequently used reinnervation techniques is the anastomosis of the recurrent laryngeal nerve with the cervical ansa, usually ipsilateral or, less often, contralateral. Case presentation: The description concerns a 41-year-old patient with right-sided laryngeal paralysis after removal ofa paraganglioma of the parapharyngeal space, the area of the jugular foramen and the skull base who underwent laryngeal reinnervation using a contralateral cervical ansa. Conclusion: Laryngeal reinnervation procedure involving anastomosis of the recurrent laryngeal nerve with the contralateral cervical ansa allows recovery of the vocal fold function in a situation when the ipsilateral cervical ansa is damaged. This reinnervation involves taking a much longer section of the cervical ansa than in cases of ipsilateral reconstruction. Moreover this method requires creating a tunnel under the prelaryngeal muscles and passing the cervical ansa over the trachea or larynx.
{"title":"Kontralateralna reinerwacja krtani u pacjenta z prawostronnym porażeniem fałdu głosowego – opis przypadku","authors":"Elżbieta Szczepanek, Łukasz Banaszek, Małgorzata Szczepanek, Monika Rudzińska, Kazimierz Niemczyk","doi":"10.5604/01.3001.0053.9247","DOIUrl":"https://doi.org/10.5604/01.3001.0053.9247","url":null,"abstract":"Introduction: Paralysis of the nerves supplying the larynx leading to the vocal fold paralysis may have iatrogenic, proliferative, idiopathic or post-traumatic etiology. The most common etiology is iatrogenic, including a complication of the removal of paraganglioma tumors. One of the therapeutic options for vocal cord paralysis in the course of nerve damage is reinnervation of the larynx. One of the most frequently used reinnervation techniques is the anastomosis of the recurrent laryngeal nerve with the cervical ansa, usually ipsilateral or, less often, contralateral. Case presentation: The description concerns a 41-year-old patient with right-sided laryngeal paralysis after removal ofa paraganglioma of the parapharyngeal space, the area of the jugular foramen and the skull base who underwent laryngeal reinnervation using a contralateral cervical ansa. Conclusion: Laryngeal reinnervation procedure involving anastomosis of the recurrent laryngeal nerve with the contralateral cervical ansa allows recovery of the vocal fold function in a situation when the ipsilateral cervical ansa is damaged. This reinnervation involves taking a much longer section of the cervical ansa than in cases of ipsilateral reconstruction. Moreover this method requires creating a tunnel under the prelaryngeal muscles and passing the cervical ansa over the trachea or larynx.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"53 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135514442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-30DOI: 10.5604/01.3001.0053.9051
Marek Rogowski
Introduction: Chronic tinnitus is one of the most common symptoms accompanying hearing disorders. Epidemiological studies have shown that approximately 3% of the population of with symptoms require treatment. There is no available therapy to treat the cause. Current therapeutic strategies require rigorous scientific evaluation.Objective: The aim of the review is to present contemporary recommendations for treating chronic tinnitus based on the principles of EBM.Methods: The basis for those study is the current diagnostic and therapeutic guidelines of European, American and Japanese scientific societies and a literature review of the PubMed and Cochrane Library databases.Results: Tinnitus usually accompanies hearing loss, but the critical element is the distress resulting from chronic exposure to tinnitus. This results in constant level of psychosomatic overload of the body. In addition to counseling, the recommended course of action is psychotherapeutic intervention, particularly cognitive-behavioral therapy and hearing improvement methods.Conclusions: Based on contemporary research positively assessed according to EBM criteria and current global diagnostic and therapeutic guidelines, it should be concluded that a significant reduction in the annoyance of tinnitus and an improvement in the quality of life of patients is provided by cognitive-behavioral therapy preceded by properly conducted therapeutic advice (counseling) and appropriate hearing intervention.
{"title":"What are the current research results based on EBM recommendations and what they do not recommend in the treatment of chronic tinnitus?","authors":"Marek Rogowski","doi":"10.5604/01.3001.0053.9051","DOIUrl":"https://doi.org/10.5604/01.3001.0053.9051","url":null,"abstract":"Introduction: Chronic tinnitus is one of the most common symptoms accompanying hearing disorders. Epidemiological studies have shown that approximately 3% of the population of with symptoms require treatment. There is no available therapy to treat the cause. Current therapeutic strategies require rigorous scientific evaluation.Objective: The aim of the review is to present contemporary recommendations for treating chronic tinnitus based on the principles of EBM.Methods: The basis for those study is the current diagnostic and therapeutic guidelines of European, American and Japanese scientific societies and a literature review of the PubMed and Cochrane Library databases.Results: Tinnitus usually accompanies hearing loss, but the critical element is the distress resulting from chronic exposure to tinnitus. This results in constant level of psychosomatic overload of the body. In addition to counseling, the recommended course of action is psychotherapeutic intervention, particularly cognitive-behavioral therapy and hearing improvement methods.Conclusions: Based on contemporary research positively assessed according to EBM criteria and current global diagnostic and therapeutic guidelines, it should be concluded that a significant reduction in the annoyance of tinnitus and an improvement in the quality of life of patients is provided by cognitive-behavioral therapy preceded by properly conducted therapeutic advice (counseling) and appropriate hearing intervention.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135040893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-30DOI: 10.5604/01.3001.0053.9173
Mohammed Radef Dawood, Abbas Hamad, Mohanad Hussien
Background: Chronic rhinosinusitis (CRS) is a common disease encountered in otorhinolaryngology field, however, there is no consensus about its definitive diagnostic method. Nasal endoscopy and sinus CT scan are successfully used as diagnostic modalities. Aim: To evaluate the correlation between nasal endoscopy as compared to sinus CT in CRS diagnosis. Material and methods: A prospective randomized study, in which, 80 patients attended outpatient ENT clinic, from March 2018 to April 2019, whom met the diagnostic criteria of CRS guidelines, were recruited, and the diagnostic modalities were; nasal endoscopy using Lund-Kennedy scoring system, followed with sinus CT scan using Lund-Mackay scoring system within 1 week. Both modalities were compared, with focus on pathological findings, as well as, the specificity, sensitivity, positive predictive value and negative predictive values, in addition, to the anatomic variations data. All the above-mentioned respective parameters were statistically analyzed. Results: Nasal obstruction (92.5%), maxillary sinus (82.5%) with mucosal thicken opacity (83.75%) by CT scan, and muco- -purulent middle meatus discharge (73.75%) by nasal endoscopy. The association between diagnostic endoscopy and CT scan had P value = 0.001 by Student-t-test, and r = 0.734 by Pearson`s correlation coefficient. Diagnostic accuracy of nasal endoscopy was 95%, sensitivity was 91.6 % (95% CI 87.38–93.67%), specificity was 88.3% (95% CI 85.91–89.59%), while positive predictive value 81.7% and negative predictive value was 79.87%. Conclusion: Strong and statistical correlation between the nasal endoscopic and sinus CT findings, also between nasal obstruction symptom and nasal endoscopy, while, no significant difference on anatomical variants data.
背景:慢性鼻窦炎(CRS)是耳鼻喉科的常见病，但目前尚无明确的诊断方法。鼻内窥镜和鼻窦CT扫描成功地作为诊断手段。目的:探讨鼻内窥镜与CT在CRS诊断中的相关性。材料与方法:前瞻性随机研究，纳入2018年3月至2019年4月在耳鼻喉科门诊就诊、符合CRS指南诊断标准的患者80例，诊断方式为;鼻内窥镜检查采用Lund-Kennedy评分系统，1周内进行鼻窦CT扫描，采用Lund-Mackay评分系统。对两种方法进行比较，重点关注病理结果，以及特异性、敏感性、阳性预测值和阴性预测值，以及解剖变异数据。对上述各项参数进行统计分析。结果:CT表现为鼻塞(92.5%)，上颌窦(82.5%)伴黏膜增厚混浊(83.75%)，鼻内镜表现为黏膜化脓性中道分泌物(73.75%)。诊断性内窥镜检查与CT扫描的相关性经学生t检验P值= 0.001,Pearson相关系数r = 0.734。鼻内窥镜诊断准确率为95%，敏感性为91.6% (95% CI 87.38 ~ 93.67%)，特异性为88.3% (95% CI 85.91 ~ 89.59%)，阳性预测值为81.7%，阴性预测值为79.87%。结论:鼻内窥镜与鼻窦CT表现、鼻塞症状与鼻内窥镜表现具有较强的统计学相关性，而解剖变异数据无显著差异。
{"title":"Endoscopic finding versus CT nose and paranasal sinuses appearance in chronic rhinosinusitis; A comparative study","authors":"Mohammed Radef Dawood, Abbas Hamad, Mohanad Hussien","doi":"10.5604/01.3001.0053.9173","DOIUrl":"https://doi.org/10.5604/01.3001.0053.9173","url":null,"abstract":"Background: Chronic rhinosinusitis (CRS) is a common disease encountered in otorhinolaryngology field, however, there is no consensus about its definitive diagnostic method. Nasal endoscopy and sinus CT scan are successfully used as diagnostic modalities. Aim: To evaluate the correlation between nasal endoscopy as compared to sinus CT in CRS diagnosis. Material and methods: A prospective randomized study, in which, 80 patients attended outpatient ENT clinic, from March 2018 to April 2019, whom met the diagnostic criteria of CRS guidelines, were recruited, and the diagnostic modalities were; nasal endoscopy using Lund-Kennedy scoring system, followed with sinus CT scan using Lund-Mackay scoring system within 1 week. Both modalities were compared, with focus on pathological findings, as well as, the specificity, sensitivity, positive predictive value and negative predictive values, in addition, to the anatomic variations data. All the above-mentioned respective parameters were statistically analyzed. Results: Nasal obstruction (92.5%), maxillary sinus (82.5%) with mucosal thicken opacity (83.75%) by CT scan, and muco- -purulent middle meatus discharge (73.75%) by nasal endoscopy. The association between diagnostic endoscopy and CT scan had P value = 0.001 by Student-t-test, and r = 0.734 by Pearson`s correlation coefficient. Diagnostic accuracy of nasal endoscopy was 95%, sensitivity was 91.6 % (95% CI 87.38–93.67%), specificity was 88.3% (95% CI 85.91–89.59%), while positive predictive value 81.7% and negative predictive value was 79.87%. Conclusion: Strong and statistical correlation between the nasal endoscopic and sinus CT findings, also between nasal obstruction symptom and nasal endoscopy, while, no significant difference on anatomical variants data.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135040700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-22DOI: 10.5604/01.3001.0053.8524
Bartosz Wójcik, Karolina Loga, Kasper Kuna, Anna Papis-Ubych, Magdalena Świderek, Hanna Niewiarowska, Justyna Wilczyńska, Łukasz Kuncman, Jacek Fijuth, Leszek Gottwald
Introduction: Implementation of even the most advanced radiotherapy techniques is still associated with a risk of damaging healthy tissues and organs by ionizing radiation. Structural and functional abnormalities of the thyroid gland have been reported in patients after radiotherapy administered for head and neck cancers (HNC). Aim: Ultrasound evaluation of changes in thyroid volume, characteristics of blood flow in the right inferior thyroid artery (ITA) and vascular invasion (VI) of the thyroid gland in patients radically irradiated due to primary HNC. Material and methods: The study group consisted of 20 patients who underwent ultrasound examinations at three time points: prior to commencing radiotherapy (I), in the first week after completion of radiotherapy (II) and after another 3–6 months (III). Results: The mean radiation dose absorbed by the thyroid gland was 54.95 6.95 Gy. The mean thyroid volume measured at the first time point was 17.14 (13.74–23.43) cm3 and this result turned out to be higher as compared to measurements obtained in the second and third examinations: 15.92 (12.51–20.35) cm3 with p<0.001; 15.01 (11.16–18.92) cm3 with p<0.001, respectively. Thyroid volume from the second examination was also greater than in the third examination (p<0.001). Evaluation conducted at time point II showed an increase in the following vascular flow parameters: peak systolic velocity (PSV), pulsatility index (PI) and resistivity index (RI) measured in the ITA, as well as an increase in thyroid VI in comparison to results from time point I. Furthermore, a decrease of the above-mentioned values was observed at time point III as compared to time point II. However, the ultrasound vascular characteristics measured in the ITA and VI of the thyroid gland were still higher on examination III when compared to the initial values. Conclusions: We have observed that radiotherapy leads to a decrease in thyroid volume, which is found to be progressing for at least 3–6 months after treatment completion. Post-radiotherapy changes in vascular parameters of the ITA and VI value measured on Doppler ultrasound partially resolve within 3–6 months after the end of radiation treatment.
{"title":"Ultrasound evaluation of changes in thyroid volume and selected parameters on Doppler examination in radically irradiated patients with primary cancers of the head and neck region - preliminary report","authors":"Bartosz Wójcik, Karolina Loga, Kasper Kuna, Anna Papis-Ubych, Magdalena Świderek, Hanna Niewiarowska, Justyna Wilczyńska, Łukasz Kuncman, Jacek Fijuth, Leszek Gottwald","doi":"10.5604/01.3001.0053.8524","DOIUrl":"https://doi.org/10.5604/01.3001.0053.8524","url":null,"abstract":"Introduction: Implementation of even the most advanced radiotherapy techniques is still associated with a risk of damaging healthy tissues and organs by ionizing radiation. Structural and functional abnormalities of the thyroid gland have been reported in patients after radiotherapy administered for head and neck cancers (HNC). Aim: Ultrasound evaluation of changes in thyroid volume, characteristics of blood flow in the right inferior thyroid artery (ITA) and vascular invasion (VI) of the thyroid gland in patients radically irradiated due to primary HNC. Material and methods: The study group consisted of 20 patients who underwent ultrasound examinations at three time points: prior to commencing radiotherapy (I), in the first week after completion of radiotherapy (II) and after another 3–6 months (III). Results: The mean radiation dose absorbed by the thyroid gland was 54.95 6.95 Gy. The mean thyroid volume measured at the first time point was 17.14 (13.74–23.43) cm3 and this result turned out to be higher as compared to measurements obtained in the second and third examinations: 15.92 (12.51–20.35) cm3 with p<0.001; 15.01 (11.16–18.92) cm3 with p<0.001, respectively. Thyroid volume from the second examination was also greater than in the third examination (p<0.001). Evaluation conducted at time point II showed an increase in the following vascular flow parameters: peak systolic velocity (PSV), pulsatility index (PI) and resistivity index (RI) measured in the ITA, as well as an increase in thyroid VI in comparison to results from time point I. Furthermore, a decrease of the above-mentioned values was observed at time point III as compared to time point II. However, the ultrasound vascular characteristics measured in the ITA and VI of the thyroid gland were still higher on examination III when compared to the initial values. Conclusions: We have observed that radiotherapy leads to a decrease in thyroid volume, which is found to be progressing for at least 3–6 months after treatment completion. Post-radiotherapy changes in vascular parameters of the ITA and VI value measured on Doppler ultrasound partially resolve within 3–6 months after the end of radiation treatment.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135717936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-22DOI: 10.5604/01.3001.0053.7426
Chetachi Soribe, Anitta Sisily Joseph, Magdalena Ostrowska, Maciej Wróbel
Introduction: Among foreign bodies ingested by adults across the world, the most common is a fishbone foreign body. It’s most common location of impaction often being within the throat in areas such as the tonsils, tongue base, vallecular area, pyriform fossa, and cricopharyngeal area. Aim: To present the case of the fishbone embedded in the rare location, our clinical management and summarised approach to fishbone that migrates outside of the oesophagus. Case report: 76-year-old female was admitted to the hospital with a fishbone foreign body that was retained in the hypopharynx with abscess formation in the thyroid gland. The patient was treated successfully with direct rigid pharyngolaryngoscopy. Discussion: In most cases fishbone foreign bodies are easy to manage with a direct approach. Impacted fishbones may be more challenging as they can migrate deeply and can cause further complications requiring endoscopic approaches and even open surgery. Conclusions: It is important to examine and diagnose a patient accurately to reduce future complications of embedded foreign bodies. The proposed summary of management can be useful.
{"title":"Fishbone retaining in the hypopharynx with abscess formation in the thyroid gland - case report and literature review","authors":"Chetachi Soribe, Anitta Sisily Joseph, Magdalena Ostrowska, Maciej Wróbel","doi":"10.5604/01.3001.0053.7426","DOIUrl":"https://doi.org/10.5604/01.3001.0053.7426","url":null,"abstract":"Introduction: Among foreign bodies ingested by adults across the world, the most common is a fishbone foreign body. It’s most common location of impaction often being within the throat in areas such as the tonsils, tongue base, vallecular area, pyriform fossa, and cricopharyngeal area. Aim: To present the case of the fishbone embedded in the rare location, our clinical management and summarised approach to fishbone that migrates outside of the oesophagus. Case report: 76-year-old female was admitted to the hospital with a fishbone foreign body that was retained in the hypopharynx with abscess formation in the thyroid gland. The patient was treated successfully with direct rigid pharyngolaryngoscopy. Discussion: In most cases fishbone foreign bodies are easy to manage with a direct approach. Impacted fishbones may be more challenging as they can migrate deeply and can cause further complications requiring endoscopic approaches and even open surgery. Conclusions: It is important to examine and diagnose a patient accurately to reduce future complications of embedded foreign bodies. The proposed summary of management can be useful.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135716600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-22DOI: 10.5604/01.3001.0053.8515
Szymon Łagoda, Anna Własienko, Monika Jabłońska-Jesionowska, Ernest Kuchar
Introduction: Frenotomy is considered a safe procedure. The rare complications include bleeding, scarring and occasionally others such as those related to airway obstruction and hypovolemic shock. Case report: An 8-year-old boy with a history of tongue oedema and allergy underwent frenotomy under local anaesthesia. The patient was discharged home without any complications. The following day, a massive swelling of the tongue appeared, requiring hospitalisation. Revision surgery was immediately performed and haematoma was ruled out as a cause of the oedema. COVID-19 infection was detected. As the patient’s general condition had deteriorated, he was intubated and fed through a nasogastric tube. A subsequent pharmacological treatment using intravenous steroids and antihistamines was administered, causing the tongue swelling to gradually subside. The patient was extubated on the 4th day following his admission to hospital. Quincke’s oedema, allergic reaction to an inhalant or food allergens, and the local anaesthetics were excluded as possible causes of the oedema. The cause was not determined, though a hypothesis was put forward that it was related to the COVID-19 infection. The patient was discharged from hospital after 14 days in good general condition. Conclusion: A history of tongue swelling increases the risk of complications after frenotomy and requires an extended observation period
{"title":"Life-threatening non-angioneurotic swelling of the tongue as a complication of frenotomy in an eight-year-old boy.","authors":"Szymon Łagoda, Anna Własienko, Monika Jabłońska-Jesionowska, Ernest Kuchar","doi":"10.5604/01.3001.0053.8515","DOIUrl":"https://doi.org/10.5604/01.3001.0053.8515","url":null,"abstract":"Introduction: Frenotomy is considered a safe procedure. The rare complications include bleeding, scarring and occasionally others such as those related to airway obstruction and hypovolemic shock. Case report: An 8-year-old boy with a history of tongue oedema and allergy underwent frenotomy under local anaesthesia. The patient was discharged home without any complications. The following day, a massive swelling of the tongue appeared, requiring hospitalisation. Revision surgery was immediately performed and haematoma was ruled out as a cause of the oedema. COVID-19 infection was detected. As the patient’s general condition had deteriorated, he was intubated and fed through a nasogastric tube. A subsequent pharmacological treatment using intravenous steroids and antihistamines was administered, causing the tongue swelling to gradually subside. The patient was extubated on the 4th day following his admission to hospital. Quincke’s oedema, allergic reaction to an inhalant or food allergens, and the local anaesthetics were excluded as possible causes of the oedema. The cause was not determined, though a hypothesis was put forward that it was related to the COVID-19 infection. The patient was discharged from hospital after 14 days in good general condition. Conclusion: A history of tongue swelling increases the risk of complications after frenotomy and requires an extended observation period","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"307 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135717935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-22DOI: 10.5604/01.3001.0053.8510
Michał Żurek, Karolina Kazimierska, Jacek Sokołowski, Maria Makuszewska, Robert Bartoszewicz, Kazimierz Niemczyk
Introduction: Sigmoid sinus thrombosis (SST) is a rare intracranial complication of otitis media. The incidence of suppurative otitis media is estimated at about 6%, with a mortality rate of 5–10%. Aim: Presentation of the case of a 43-year-old female patient who was diagnosed with left-sided SST due to recurrence of chronic otitis media with cholesteatoma. Case report: Patient hospitalized due to recurrence of middle ear cholesteatoma. The patient had undergone bilateral Bondy operation in childhood because of cholesteatomas. Faulty surgical treatment and inadequate post-operative care resulted in a recurrence of the disease and the development of SST. On admission, radiological diagnostics were performed and confirmed the diagnosis. Broad-spectrum antibiotic therapy, antithrombotic therapy and a lateral petrosectomy were administered, achieving clinical improvement. Conclusions: Despite existing controversies in the choice of surgical technique, it is necessary to perform it indefectibly. Faulty performance is a risk factor for recurrence of the disease and development of complications.
{"title":"Sigmoid sinus thrombosis in patient after Bondy surgery - a case report","authors":"Michał Żurek, Karolina Kazimierska, Jacek Sokołowski, Maria Makuszewska, Robert Bartoszewicz, Kazimierz Niemczyk","doi":"10.5604/01.3001.0053.8510","DOIUrl":"https://doi.org/10.5604/01.3001.0053.8510","url":null,"abstract":"Introduction: Sigmoid sinus thrombosis (SST) is a rare intracranial complication of otitis media. The incidence of suppurative otitis media is estimated at about 6%, with a mortality rate of 5–10%. Aim: Presentation of the case of a 43-year-old female patient who was diagnosed with left-sided SST due to recurrence of chronic otitis media with cholesteatoma. Case report: Patient hospitalized due to recurrence of middle ear cholesteatoma. The patient had undergone bilateral Bondy operation in childhood because of cholesteatomas. Faulty surgical treatment and inadequate post-operative care resulted in a recurrence of the disease and the development of SST. On admission, radiological diagnostics were performed and confirmed the diagnosis. Broad-spectrum antibiotic therapy, antithrombotic therapy and a lateral petrosectomy were administered, achieving clinical improvement. Conclusions: Despite existing controversies in the choice of surgical technique, it is necessary to perform it indefectibly. Faulty performance is a risk factor for recurrence of the disease and development of complications.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135716598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-22DOI: 10.5604/01.3001.0053.8512
Nikodem Pietrzak, Katarzyna Wiktoria Jankowska, Oskar Rosiak, Wiesław Konopka
Introduction: Among the pediatric population, the most common cause of conductive hearing loss is exudative otitis media. If fluid is not present in the tympanic cavity, an assessment of the middle ear transmission system is recommended. Aim: To present a clinical case of atrophy of the long process of the incus in a 17-year-old patient with a 10-year history of conductive hearing loss, exhibiting an air-bone gap of 30 to 50 dB in the right ear qualified for exploratory tympanotomy. Literature review of internet databases to identify similar clinical cases. Material and methods: CARE guidelines were used to standardize the description of the clinical case. Surgical treatment included an exploratory tympanotomy using an endaural approach, visualizing atrophy of the long process of the incus and the connective tissue band connecting the stapes head to the lateral wall of the tympanic cavity. The eardrum was preserved. An ossiculoplasty was performed using autogenic materials – interposition of the incus. Internet databases PubMed and Scopus were searched using the search string „Incus atrophy” OR „Incus necrosis” AND NOT „Stapedectomy”. Results: On follow-up one month after surgery a hearing improvement was observed with a reduction in air-bone gap to 10–15 dB. No complications were observed. Discussion: Atrophy of the long process of unknown origin is a very rare cause of acquired conductive hearing loss. A review of literature revealed 8 manuscripts describing similar cases, which are presented and discussed in the manuscript. Ossiculoplasty in such cases might be performed using autogenic or artificial materials as partial ossicular prostheses or bone cement. Conclusions: Careful evaluation of imaging studies and hearing tests can often identify a defect in the conductive system; exploratory tympanotomy is often required. In cases such as the one presented, interposition of the incus might be a viable option.
{"title":"Atrophy of the long process of the incus of unknown origin – a rare cause of acquired conductive hearing loss. Clinical case report and a mini-review of literature","authors":"Nikodem Pietrzak, Katarzyna Wiktoria Jankowska, Oskar Rosiak, Wiesław Konopka","doi":"10.5604/01.3001.0053.8512","DOIUrl":"https://doi.org/10.5604/01.3001.0053.8512","url":null,"abstract":"Introduction: Among the pediatric population, the most common cause of conductive hearing loss is exudative otitis media. If fluid is not present in the tympanic cavity, an assessment of the middle ear transmission system is recommended. Aim: To present a clinical case of atrophy of the long process of the incus in a 17-year-old patient with a 10-year history of conductive hearing loss, exhibiting an air-bone gap of 30 to 50 dB in the right ear qualified for exploratory tympanotomy. Literature review of internet databases to identify similar clinical cases. Material and methods: CARE guidelines were used to standardize the description of the clinical case. Surgical treatment included an exploratory tympanotomy using an endaural approach, visualizing atrophy of the long process of the incus and the connective tissue band connecting the stapes head to the lateral wall of the tympanic cavity. The eardrum was preserved. An ossiculoplasty was performed using autogenic materials – interposition of the incus. Internet databases PubMed and Scopus were searched using the search string „Incus atrophy” OR „Incus necrosis” AND NOT „Stapedectomy”. Results: On follow-up one month after surgery a hearing improvement was observed with a reduction in air-bone gap to 10–15 dB. No complications were observed. Discussion: Atrophy of the long process of unknown origin is a very rare cause of acquired conductive hearing loss. A review of literature revealed 8 manuscripts describing similar cases, which are presented and discussed in the manuscript. Ossiculoplasty in such cases might be performed using autogenic or artificial materials as partial ossicular prostheses or bone cement. Conclusions: Careful evaluation of imaging studies and hearing tests can often identify a defect in the conductive system; exploratory tympanotomy is often required. In cases such as the one presented, interposition of the incus might be a viable option.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135716597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-22DOI: 10.5604/01.3001.0053.8530
Valeriia Hrydnova, Mateusz Stępiński
Introduction: Among numerous acute inflammatory processes within the organs and structures of the neck, special attention is paid to the phlegmon, i.e. diffuse purulent infection of the soft tissues of the neck, which poses a serious threat to the life of the affected individual. Case report: Presented herein is a case study of a patient with severe odontogenic phlegmon accompanied by mixed systemic infection (sepsis) and pneumonia. The patient had undergone several surgical procedures. Respiratory and circulatory support with broad-spectrum antibiotic therapy (empirical followed by targeted) were administered in analgosedation within an ICU setting. Following the stabilization of vital signs, the treatment was continued within the Department of Laryngology. The authors have reviewed the available literature on the etiology, diagnostics, and treatment of severe, odontogenic infections of the soft tissues of the neck, with particular emphasis on infections caused by Streptococcus anginosus and Prevotella intermedia. Conclusions: The correct choice of management tactics in case of an advanced purulent inflammatory process within the cervicofacial region is of utmost importance for the treatment outcomes as well as for the saving of the patient’s life. Literature reports highlight the need for early detection and urgent surgical treatment of Streptococcus anginosus infections due to the aggressive course of infections caused by this pathogen species.
{"title":"A case of a patient with the severe, odontogenic phlegmon of the neck (caused by Streptococcus anginosus and Prevotella intermedia), withaccompanyingsystemic inflammation (sepsis) and pneumonia","authors":"Valeriia Hrydnova, Mateusz Stępiński","doi":"10.5604/01.3001.0053.8530","DOIUrl":"https://doi.org/10.5604/01.3001.0053.8530","url":null,"abstract":"Introduction: Among numerous acute inflammatory processes within the organs and structures of the neck, special attention is paid to the phlegmon, i.e. diffuse purulent infection of the soft tissues of the neck, which poses a serious threat to the life of the affected individual. Case report: Presented herein is a case study of a patient with severe odontogenic phlegmon accompanied by mixed systemic infection (sepsis) and pneumonia. The patient had undergone several surgical procedures. Respiratory and circulatory support with broad-spectrum antibiotic therapy (empirical followed by targeted) were administered in analgosedation within an ICU setting. Following the stabilization of vital signs, the treatment was continued within the Department of Laryngology. The authors have reviewed the available literature on the etiology, diagnostics, and treatment of severe, odontogenic infections of the soft tissues of the neck, with particular emphasis on infections caused by Streptococcus anginosus and Prevotella intermedia. Conclusions: The correct choice of management tactics in case of an advanced purulent inflammatory process within the cervicofacial region is of utmost importance for the treatment outcomes as well as for the saving of the patient’s life. Literature reports highlight the need for early detection and urgent surgical treatment of Streptococcus anginosus infections due to the aggressive course of infections caused by this pathogen species.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135716599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.5604/01.3001.0053.6903
Katarzyna Miszczak, Jagoda Łukowiak, Natalia Tuz-Hrycyna
Introduction: The past three years have seen the publication of numerous scientific studies from around the world, investigating the etiology, symptoms and complications of SARS CoV-2 virus infection, which causes COVID-19 disease. Until now, the long-term complications resulting from systemic dysfunction are unknown, but researchers are continually publishing the results of studies to date. Some of them already reliably show the various symptoms of the infection and their consequences. Furthermore, based on the course of the development of the infection and the associated management, scientists are predicting the complications of COVID-19. Aim: The aim of this article is to present the possible complications of SARS-CoV-2 virus infection from the perspective of speech therapy rehabilitation, based on a review of the worldwide literature. The sequelae of the infection shown herein are mainly related to disorders of all laryngeal functions, i.e. respiratory, protective and phonatory functions, as well as olfactory and/or taste disorders and language and communication disorders. Moreover, the article presents the possibilities of speech therapy rehabilitation for each of the disorders. Conclusions: Research indicates a number of symptoms and complications of COVID-19 infection, the vast majority of which relate to head and neck complications. The diagnosis and speech therapy of patients during the course of virus infection and during the post-infection recovery period is particularly important for the safety of patients and their comfort in life. Furthermore, it contributes to faster recovery, which seems particularly important in the case of active patients. In addition, multidisciplinary management in cooperation with doctors, physiotherapists and psychologists is necessary.
{"title":"Symptoms and complications of SARS-CoV-2virus infection in the aspect of speech therapyrehabilitation – literature review","authors":"Katarzyna Miszczak, Jagoda Łukowiak, Natalia Tuz-Hrycyna","doi":"10.5604/01.3001.0053.6903","DOIUrl":"https://doi.org/10.5604/01.3001.0053.6903","url":null,"abstract":"<b>Introduction:</b> The past three years have seen the publication of numerous scientific studies from around the world, investigating the etiology, symptoms and complications of SARS CoV-2 virus infection, which causes COVID-19 disease. Until now, the long-term complications resulting from systemic dysfunction are unknown, but researchers are continually publishing the results of studies to date. Some of them already reliably show the various symptoms of the infection and their consequences. Furthermore, based on the course of the development of the infection and the associated management, scientists are predicting the complications of COVID-19.</br></br> <b>Aim:</b> The aim of this article is to present the possible complications of SARS-CoV-2 virus infection from the perspective of speech therapy rehabilitation, based on a review of the worldwide literature. The sequelae of the infection shown herein are mainly related to disorders of all laryngeal functions, i.e. respiratory, protective and phonatory functions, as well as olfactory and/or taste disorders and language and communication disorders. Moreover, the article presents the possibilities of speech therapy rehabilitation for each of the disorders.</br></br> <b>Conclusions:</b> Research indicates a number of symptoms and complications of COVID-19 infection, the vast majority of which relate to head and neck complications. The diagnosis and speech therapy of patients during the course of virus infection and during the post-infection recovery period is particularly important for the safety of patients and their comfort in life. Furthermore, it contributes to faster recovery, which seems particularly important in the case of active patients. In addition, multidisciplinary management in cooperation with doctors, physiotherapists and psychologists is necessary.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136369684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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