首页 > 最新文献

Polish Otorhinolaryngology Review最新文献

英文 中文
Diagnostic difficulties with COVID-19 in a patient after total laryngectomy 1例全喉切除术后患者COVID-19诊断困难
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.5604/01.3001.0014.9012
Joanna Czech, P. Burduk, M. Wierzchowska
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.
冠状病毒病(COVID-19)由SARS-CoV-2病毒引起,通常表现为不同程度的流感样症状,随后可能导致急性呼吸窘迫(ARDS)。呼吸道分泌物样本中的病毒遗传物质可通过基本诊断测试确定。由于呼吸道病程的改变,全喉切除术后患者在诊断SARS-CoV-2感染时需要特别注意。我们报告了一例喉切除术后患者,根据采样地点的不同,获得了不同的COVID-19测试结果。
{"title":"Diagnostic difficulties with COVID-19 in a patient after total laryngectomy","authors":"Joanna Czech, P. Burduk, M. Wierzchowska","doi":"10.5604/01.3001.0014.9012","DOIUrl":"https://doi.org/10.5604/01.3001.0014.9012","url":null,"abstract":"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.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71284957","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}
引用次数: 1
The role of speech language pathologist in rehabilitation after total laryngectomy 语言病理学家在全喉切除术后康复中的作用
Q4 Medicine Pub Date : 2020-12-30 DOI: 10.5604/01.3001.0014.6346
Natalia Tuz-Hrycyna
This paper presents the role of a clinical speech therapist in a team of specialists involved in the treatment and rehabilitation of people after total laryngectomy. Particular attention was paid to the necessity of cooperation in a group of specialists and the stages of the rehabilitation process of the substitute voice and smell were presented.
本文介绍了临床语言治疗师在全喉切除术后治疗和康复的专家团队中的作用。特别注意到在一组专家中进行合作的必要性,并介绍了替代声音和气味的康复过程的各个阶段。
{"title":"The role of speech language pathologist in rehabilitation after total laryngectomy","authors":"Natalia Tuz-Hrycyna","doi":"10.5604/01.3001.0014.6346","DOIUrl":"https://doi.org/10.5604/01.3001.0014.6346","url":null,"abstract":"This paper presents the role of a clinical speech therapist in a team of specialists involved in the treatment and rehabilitation of people after total laryngectomy. Particular attention was paid to the necessity of cooperation in a group of specialists and the stages of the rehabilitation process of the substitute voice and smell were presented.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47611451","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}
引用次数: 0
40 - anniversary (1980-2020) of the establishment of the Oncological Section of the Polish Society of Otorhinolaryngologists and Head and Neck Surgeons 波兰耳鼻喉科和头颈外科医师协会肿瘤科成立40周年(1980-2020年)
Q4 Medicine Pub Date : 2020-12-29 DOI: 10.5604/01.3001.0014.6217
A. Bruzgielewicz, E. Osuch-Wójcikiewicz, D. Kaczmarczyk, K. Niemczyk
The Oncology Section of the Polish Society of Otorhinolaryngologists Head and Neck Surgeons is one of the oldest sections of the PSOHNS, it was established by a resolution of the General Meeting of the PSOHNS in Poznań on 22nd September 1980 upon request of prof. Stanisław Iwankiewicz, who became its Chairman. On 12th December 1981, the 1st Conference of the Section was held in Wrocław, laryngeal cancer was the topic. During its 40th anniversary, the Oncology Section organized 3 conferences and 17 symposia, bringing pride to the entire Society, and promoted the latest scientific trends in the approach to head and neck cancer. With the development of basic sciences, genetic and molecular tests as well as new diagnostic and therapeutic methods, the topics of the meetings gradually expanded to include new sections and issues in ENT oncology.
波兰耳鼻喉科头颈外科医师协会肿瘤科是PSOHNS最古老的部门之一,应Stanisław Iwankiewicz教授的要求,于1980年9月22日在波兹纳瓦召开的PSOHNS大会上通过决议成立,Iwankiewicz教授成为其主席。1981年12月12日,本分会第一次会议在Wrocław召开,主题是喉癌。在成立40周年之际,肿瘤科组织了3次会议和17次专题讨论会,为整个学会带来了骄傲,并促进了头颈癌治疗方法的最新科学趋势。随着基础科学、遗传和分子检测以及新的诊断和治疗方法的发展,会议的主题逐渐扩大,包括耳鼻喉肿瘤学的新领域和问题。
{"title":"40 - anniversary (1980-2020) of the establishment of the Oncological Section of the Polish Society of Otorhinolaryngologists and Head and Neck Surgeons","authors":"A. Bruzgielewicz, E. Osuch-Wójcikiewicz, D. Kaczmarczyk, K. Niemczyk","doi":"10.5604/01.3001.0014.6217","DOIUrl":"https://doi.org/10.5604/01.3001.0014.6217","url":null,"abstract":"The Oncology Section of the Polish Society of Otorhinolaryngologists Head and Neck Surgeons is one of the oldest sections of the PSOHNS, it was established by a resolution of the General Meeting of the PSOHNS in Poznań on 22nd September 1980 upon request of prof. Stanisław Iwankiewicz, who became its Chairman. On 12th December 1981, the 1st Conference of the Section was held in Wrocław, laryngeal cancer was the topic. During its 40th anniversary, the Oncology Section organized 3 conferences and 17 symposia, bringing pride to the entire Society, and promoted the latest scientific trends in the approach to head and neck cancer. With the development of basic sciences, genetic and molecular tests as well as new diagnostic and therapeutic methods, the topics of the meetings gradually expanded to include new sections and issues in ENT oncology.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"9 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2020-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71284014","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}
引用次数: 0
Schwannoma of the posterior pharyngeal wall- case report 咽后壁神经鞘瘤一例报告
Q4 Medicine Pub Date : 2020-12-29 DOI: 10.5604/01.3001.0014.6218
P. Torchalla, Małgorzata A Czesak, Ewa Osuch Wójcikiewicz, K. Niemczyk
Authors present a case report of 46 years old men with tumor of the posterior pharyngeal wall. Based on the clinical examination and MRI, the patient was qualified for surgical treatment. The patient underwent tumor resection under general anesthesia. Due to the histopathological examination of the obtained material, the diagnosis of ancient schwannoma was made.
作者报告一例46岁男性咽后壁肿瘤。根据临床检查和核磁共振成像,该患者符合手术治疗条件。病人在全身麻醉下接受了肿瘤切除术。由于对获得的材料进行了组织病理学检查,诊断为古代神经鞘瘤。
{"title":"Schwannoma of the posterior pharyngeal wall- case report","authors":"P. Torchalla, Małgorzata A Czesak, Ewa Osuch Wójcikiewicz, K. Niemczyk","doi":"10.5604/01.3001.0014.6218","DOIUrl":"https://doi.org/10.5604/01.3001.0014.6218","url":null,"abstract":"Authors present a case report of 46 years old men with tumor of the posterior pharyngeal wall. Based on the clinical examination and MRI, the patient was qualified for surgical treatment. The patient underwent tumor resection under general anesthesia. Due to the histopathological examination of the obtained material, the diagnosis of ancient schwannoma was made.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49589014","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}
引用次数: 0
Professor Władysław Dobrzaniecki (1897-1941) and his contribution to the development of otorhinolaryngology Władysław Dobrzaniecki教授(1897-1941)及其对耳鼻喉科发展的贡献
Q4 Medicine Pub Date : 2020-12-28 DOI: 10.5604/01.3001.0014.5924
A. Bruzgielewicz, R. Bartoszewicz, Walentyna Krupowies, K. Niemczyk
Many eminent surgeons provided excellent foundations for the establishment and development of otorhinolaryngology, head and neck surgery. One of them was professor Władysław Dobrzaniecki. Of the 66 items written by W. Dobrzaniecki, 26 works concerned issues related to the head and neck. These works show that the main topic was plastic surgery, both aesthetic and reconstructive after extensive oncological operations. The scientific and professional career of such a talented surgeon was suddenly interrupted. At the age of 44, he was murdered by the Nazis, in Lviv on July 4, 1941, along with other professors.
许多著名的外科医生为耳鼻喉科、头颈外科的建立和发展提供了良好的基础。其中一位是Władysław Dobrzaniecki教授。在W. Dobrzaniecki写的66篇文章中,有26篇是关于头颈部的。这些作品表明,主要的主题是整形外科,既美学和重建后广泛的肿瘤手术。这位才华横溢的外科医生的科学和职业生涯突然中断了。1941年7月4日,44岁的他和其他教授一起在利沃夫被纳粹杀害。
{"title":"Professor Władysław Dobrzaniecki (1897-1941) and his contribution to the development of otorhinolaryngology","authors":"A. Bruzgielewicz, R. Bartoszewicz, Walentyna Krupowies, K. Niemczyk","doi":"10.5604/01.3001.0014.5924","DOIUrl":"https://doi.org/10.5604/01.3001.0014.5924","url":null,"abstract":"Many eminent surgeons provided excellent foundations for the establishment and development of otorhinolaryngology, head and neck surgery. One of them was professor Władysław Dobrzaniecki. Of the 66 items written by W. Dobrzaniecki, 26 works concerned issues related to the head and neck. These works show that the main topic was plastic surgery, both aesthetic and reconstructive after extensive oncological operations. The scientific and professional career of such a talented surgeon was suddenly interrupted. At the age of 44, he was murdered by the Nazis, in Lviv on July 4, 1941, along with other professors.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71283867","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}
引用次数: 0
Cervical Cystic Hygroma in an Older Adult: A case study 老年人宫颈囊性水肿一例
Q4 Medicine Pub Date : 2020-12-28 DOI: 10.5604/01.3001.0014.5925
M. Piłkowski, J. Komorski, Jan Nienartowicz, K. Nelke
Cystic hygromas are very uncommon malformations in adults. In most of the cases, they present as a painless, fluctuant swelling, usually located in the neck region. They tend to grow extensively if not removed. Cystic hygromas can range from 1 mm to several centimeters in size and are filled with clear- to straw-colored fluid. Surgical treatment remains the gold-standard treatment for these tumors. In some cases they can be misdiagnosed with branchial cysts, swollen lymph nodes or other pathologies. When this malformation is present in the prevertebral fascia its surgical treatment is challenging, and some Authors advise its conservative treatment, which is in a great risk of its reoccurence. Because of potential malignant transformation in some percentage of branchial cyst cases, a similar situation was suspected. The present report describes a case of cystic hygroma of the left side of the neck in a 92-year-old female adult and its clinical, radiologic and operative features.
囊性水瘤在成人中是非常罕见的畸形。在大多数情况下,它们表现为无痛,波动的肿胀,通常位于颈部区域。如果不去除,它们会大面积生长。囊性水瘤大小可从1毫米到几厘米不等,充满透明至淡黄色的液体。手术治疗仍然是治疗这些肿瘤的金标准。在某些情况下,它们可能被误诊为鳃裂囊肿、淋巴结肿大或其他病理。当这种畸形出现在椎前筋膜时,手术治疗是具有挑战性的,一些作者建议保守治疗,这有很大的复发风险。由于有一定比例的鳃裂囊肿有潜在的恶性转化,我们怀疑有类似的情况。本文报告一位92岁女性成人左颈部囊性水瘤的病例及其临床、影像学和手术特征。
{"title":"Cervical Cystic Hygroma in an Older Adult: A case study","authors":"M. Piłkowski, J. Komorski, Jan Nienartowicz, K. Nelke","doi":"10.5604/01.3001.0014.5925","DOIUrl":"https://doi.org/10.5604/01.3001.0014.5925","url":null,"abstract":"Cystic hygromas are very uncommon malformations in adults. In most of the cases, they present as a painless, fluctuant swelling, usually located in the neck region. They tend to grow extensively if not removed. Cystic hygromas can range from 1 mm to several centimeters in size and are filled with clear- to straw-colored fluid. Surgical treatment remains the gold-standard treatment for these tumors. In some cases they can be misdiagnosed with branchial cysts, swollen lymph nodes or other pathologies. When this malformation is present in the prevertebral fascia its surgical treatment is challenging, and some Authors advise its conservative treatment, which is in a great risk of its reoccurence. Because of potential malignant transformation in some percentage of branchial cyst cases, a similar situation was suspected. The present report describes a case of cystic hygroma of the left side of the neck in a 92-year-old female adult and its clinical, radiologic and operative features.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71283918","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}
引用次数: 0
Nasal allergen challenge - an important tool in diagnosis of rhinologic disease 鼻过敏原挑战-鼻内科疾病诊断的重要工具
Q4 Medicine Pub Date : 2020-12-19 DOI: 10.5604/01.3001.0014.6068
M. Arcimowicz, E. Krzych-Fałta
The nasal allergen challenge (NAC) is used in the diagnosis of rhinitis. The primary use of NAC is to confirm allergy to a specific inhaled allergen. NAC reproduces the allergic reaction of the nasal mucosa under standardized and controlled conditions that occurs after direct intranasal administration of allergens. As the only used method for assessing the degree of allergy, it mimics the body’s natural response to the sensitizing factor in the early and late stages of an allergic reaction. NAC is used in the diagnosis of chronic, occupational and local rhinitis, as well as in the differential diagnosis of rhinitis and ophthalmic symptoms. Under conditions similar to natural exposure, it determines the relationship between the allergen and symptoms of allergic rhinitis, especially in the case of difficulties in interpreting the results of skin tests and the serum concentration of specific IgE. It is a truly valuable tool in determining the indications for immunotherapy and the selection of allergens for desensitization therapy. It also serves as a method of monitoring the effectiveness of immunotherapy and pharmacotherapy. For scientific purposes, NAC is used to study the mechanisms of an allergic reaction and the influence of various factors on its course. It is considered safe, but requires appropriate instruments and qualified personnel.
鼻过敏原激发(NAC)用于鼻炎的诊断。NAC的主要用途是确认对特定吸入过敏原的过敏。NAC是在标准化和可控的条件下,在鼻内直接给予过敏原后发生的鼻黏膜过敏反应的再现。作为评估过敏程度的唯一方法,它模拟了人体在过敏反应的早期和晚期对致敏因子的自然反应。NAC用于慢性、职业性和局部鼻炎的诊断,以及鼻炎和眼部症状的鉴别诊断。在类似于自然暴露的条件下,它确定了过敏原与变应性鼻炎症状之间的关系,特别是在难以解释皮肤试验结果和血清特异性IgE浓度的情况下。它是一个真正有价值的工具,在确定免疫治疗的适应症和选择过敏原脱敏治疗。它还可以作为监测免疫治疗和药物治疗有效性的方法。出于科学目的,NAC被用于研究过敏反应的机制以及各种因素对其过程的影响。它被认为是安全的,但需要适当的仪器和合格的人员。
{"title":"Nasal allergen challenge - an important tool in diagnosis of rhinologic disease","authors":"M. Arcimowicz, E. Krzych-Fałta","doi":"10.5604/01.3001.0014.6068","DOIUrl":"https://doi.org/10.5604/01.3001.0014.6068","url":null,"abstract":"The nasal allergen challenge (NAC) is used in the diagnosis of rhinitis. The primary use of NAC is to confirm allergy to a specific inhaled allergen. NAC reproduces the allergic reaction of the nasal mucosa under standardized and controlled conditions that occurs after direct intranasal administration of allergens. As the only used method for assessing the degree of allergy, it mimics the body’s natural response to the sensitizing factor in the early and late stages of an allergic reaction. NAC is used in the diagnosis of chronic, occupational and local rhinitis, as well as in the differential diagnosis of rhinitis and ophthalmic symptoms. Under conditions similar to natural exposure, it determines the relationship between the allergen and symptoms of allergic rhinitis, especially in the case of difficulties in interpreting the results of skin tests and the serum concentration of specific IgE. It is a truly valuable tool in determining the indications for immunotherapy and the selection of allergens for desensitization therapy. It also serves as a method of monitoring the effectiveness of immunotherapy and pharmacotherapy. For scientific purposes, NAC is used to study the mechanisms of an allergic reaction and the influence of various factors on its course. It is considered safe, but requires appropriate instruments and qualified personnel.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71283961","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}
引用次数: 0
Modern diagnostics of early glottic cancer 早期声门癌的现代诊断
Q4 Medicine Pub Date : 2020-12-07 DOI: 10.5604/01.3001.0014.5706
A. Rzepakowska
This article is a review of literature and a summary of the current guidelines in the diagnosis of hypertrophic vocal foldssuspected of malignancy. It gives a detailed overview both of initial diagnosis, as well as the methods of in-depth intraoperative diagnostics and proposals for careful evaluation during post-treatment follow-up examinations.
这篇文章是一篇文献回顾和目前的诊断指南的总结肥大的声带疑似恶性肿瘤。它给出了详细的概述,既初步诊断,以及深入的术中诊断的方法,并建议在治疗后的随访检查中仔细评估。
{"title":"Modern diagnostics of early glottic cancer","authors":"A. Rzepakowska","doi":"10.5604/01.3001.0014.5706","DOIUrl":"https://doi.org/10.5604/01.3001.0014.5706","url":null,"abstract":"This article is a review of literature and a summary of the current guidelines in the diagnosis of hypertrophic vocal folds\u0000suspected of malignancy. It gives a detailed overview both of initial diagnosis, as well as the methods of in-depth intraoperative diagnostics and proposals for careful evaluation during post-treatment follow-up examinations.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"9 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2020-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47066200","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}
引用次数: 0
Dysphagia among patients after total laryngectomy:diagnostic and therapeutic procedures 全喉切除术后患者的吞咽困难:诊断和治疗方法
Q4 Medicine Pub Date : 2020-12-04 DOI: 10.5604/01.3001.0014.5705
Barbara Jamróz, J. Chmielewska-Walczak, Magdalna Milewska
Dysphagia concerns 10–89% patients after total laryngectomy; to a greater extent, it concerns patients receiving complementary radiotherapy. The disease mechanism is associated with anatomical changes after surgery (scope of 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 lingual pumping, 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 can be helpful such as: EAT 10, SSQ, MDADI, DHI), clinical swallowing assessment and instrumental examinations: primarily videofluoroscopy but also endoscopic evaluation of swallowing. In selected cases, multifrequency manometry is necessary. 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), conservative methods (e.g. botulinum toxin injection of the upper esophageal sphincter, speech therapy, nutritional treatment) and supportive methods such as consultation with a psychologis 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.
10-89%的患者在全喉切除术后出现吞咽困难;在更大程度上,它与接受辅助放疗的患者有关。发病机制与手术后的解剖改变(手术范围)或辅助治疗的并发症(口干、神经病变、组织肿胀等)有关。上述变化导致:咽侧壁活动能力下降,舌部收缩,吞咽反射减弱,食管上括约肌开口减弱,环咽肌收缩,组织纤维化,咽假憩室形成等。其结果是:食物经鼻、口腔反流,食物粘在中下咽,延长丸剂运输时间。气管食管瘘形成后,可能有胃内容物误吸。上述变化大大降低了术后患者的生活质量。诊断方案包括:医学访谈(问卷调查可能有帮助,如:EAT 10, SSQ, mddi, DHI),临床吞咽评估和仪器检查:主要是视频透视检查,也包括内镜下吞咽评估。在某些情况下,多频测压是必要的。治疗方法包括:手术方法(如球囊扩张食管上括约肌、环咽肌切开术、咽丛神经切除术、切除咽假憩室)、保守方法(如食管上括约肌肉毒杆菌毒素注射、言语治疗、营养治疗)和支持方法(如咨询心理物理治疗师、临床营养师)。在选择特定的治疗方法之前,应先进行诊断过程,确定与声音形成和吞咽相关的功能障碍的机制。
{"title":"Dysphagia among patients after total laryngectomy:\u0000diagnostic and therapeutic procedures","authors":"Barbara Jamróz, J. Chmielewska-Walczak, Magdalna Milewska","doi":"10.5604/01.3001.0014.5705","DOIUrl":"https://doi.org/10.5604/01.3001.0014.5705","url":null,"abstract":"Dysphagia concerns 10–89% patients after total laryngectomy; to a greater extent, it concerns patients receiving complementary radiotherapy. The disease mechanism is associated with anatomical changes after surgery (scope of 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 lingual pumping, 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 can be helpful such as: EAT 10, SSQ, MDADI, DHI), clinical swallowing assessment and instrumental examinations: primarily videofluoroscopy but also endoscopic evaluation of swallowing. In selected cases, multifrequency manometry is necessary. 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), conservative methods (e.g. botulinum toxin injection of the upper esophageal sphincter, speech therapy, nutritional treatment) and supportive methods such as consultation with a psychologis 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.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"9 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2020-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71283809","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}
引用次数: 0
Neurootological manifestations of Lyme borreliosis 莱姆病的神经根学表现
Q4 Medicine Pub Date : 2020-11-03 DOI: 10.5604/01.3001.0014.4638
J. Wysocki
Introduction: The incidence of tick-borne diseases in Poland and Europe is increasing which is considered to be due to climate warming which promotes the growth of tick populations. Lyme borreliosis is the most prevalent leptospirosis in the US and Europe. Due to the potential for serious complications and the lack of specific prevention, diagnostic vigilance is essential so as to ensure early diagnosis and implementation of treatment. The main pathogen-transmitting vector is the tick species Ixodex ricinus. The suborder of ticks (Ixodida) belongs to the Acari subclass of arachnids. The natural reservoir of B. burgdorferi consists of small and medium-sized mammals and birds. Around ¾ of patients with Lyme disease report complaints and present disease symptoms within in the head and neck. The symptoms are diverse and may occur at all stages of the disease. These include headaches, neck pain and stiffness, sore throat, dizziness, cervical lymphadenopathy, otalgia, tinnitus, sudden hearing loss, and facial muscle paresis. Despite numerous papers being published on neurological manifestations of Lyme disease, the issues regarding the location of damage within the course of the auditory pathway and the balance system remain unanswered. In some cases hearing disorders may be due to central damage while others may be due to peripheral damage. Objective: The article provides an overview of reports on the clinical course and manifestation of Lyme borreliosis.
导言:波兰和欧洲的蜱传疾病发病率正在增加,这被认为是由于气候变暖,促进了蜱虫种群的增长。莱姆病是美国和欧洲最常见的钩端螺旋体病。由于潜在的严重并发症和缺乏具体的预防,诊断警惕是必不可少的,以确保早期诊断和实施治疗。主要病原传播媒介为蜱属蓖麻伊蚊。蜱亚目(硬蜱目)属于蛛形纲的蜱亚纲。伯氏疏螺旋体的天然宿主包括中小型哺乳动物和鸟类。约3 / 4的莱姆病患者报告头颈部出现主诉和疾病症状。症状多种多样,可能出现在疾病的所有阶段。这些症状包括头痛、颈部疼痛和僵硬、喉咙痛、头晕、颈部淋巴结病、耳痛、耳鸣、突发性听力丧失和面部肌肉麻痹。尽管发表了许多关于莱姆病神经学表现的论文,但关于听觉通路和平衡系统过程中损伤位置的问题仍未得到解答。在某些情况下,听力障碍可能是由于中枢损伤,而其他可能是由于周围损伤。目的:对莱姆病的临床病程及临床表现进行综述。
{"title":"Neurootological manifestations of Lyme borreliosis","authors":"J. Wysocki","doi":"10.5604/01.3001.0014.4638","DOIUrl":"https://doi.org/10.5604/01.3001.0014.4638","url":null,"abstract":"Introduction: The incidence of tick-borne diseases in Poland and Europe is increasing which is considered to be due to climate warming which promotes the growth of tick populations. Lyme borreliosis is the most prevalent leptospirosis in the US and Europe. Due to the potential for serious complications and the lack of specific prevention, diagnostic vigilance is essential so as to ensure early diagnosis and implementation of treatment. The main pathogen-transmitting vector is the tick species Ixodex ricinus. The suborder of ticks (Ixodida) belongs to the Acari subclass of arachnids. The natural reservoir of B. burgdorferi consists of small and medium-sized mammals and birds. Around ¾ of patients with Lyme disease report complaints and present disease symptoms within in the head and neck. The symptoms are diverse and may occur at all stages of the disease. These include headaches, neck pain and stiffness, sore throat, dizziness, cervical lymphadenopathy, otalgia, tinnitus, sudden hearing loss, and facial muscle paresis. Despite numerous papers being published on neurological manifestations of Lyme disease, the issues regarding the location of damage within the course of the auditory pathway and the balance system remain unanswered. In some cases hearing disorders may be due to central damage while others may be due to peripheral damage. \u0000Objective: The article provides an overview of reports on the clinical course and manifestation of Lyme borreliosis.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"9 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2020-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71284089","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}
引用次数: 0
期刊
Polish Otorhinolaryngology Review
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1