Pub Date : 2021-01-01DOI: 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.
{"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}
Pub Date : 2020-12-30DOI: 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.
{"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}
Pub Date : 2020-12-29DOI: 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.
{"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}
Pub Date : 2020-12-29DOI: 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.
{"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}
Pub Date : 2020-12-28DOI: 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.
{"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}
Pub Date : 2020-12-28DOI: 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.
{"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}
Pub Date : 2020-12-19DOI: 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.
{"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}
Pub Date : 2020-12-07DOI: 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 folds suspected 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.
{"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}
Pub Date : 2020-12-04DOI: 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.
{"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}