Pub Date : 2022-06-01DOI: 10.5604/01.3001.0015.8663
W. Narożny, J. Kot, A. Skorek, D. Tretiakow
Our work aimed to review the literature about sudden sensorineural hearing loss (SSNHL) treatment and the approach to this problem during the COVID-19 pandemic. Current knowledge on SSNHL was sought and presented based on literature published in English-language journals from the Master Journal List. We searched for articles in the MEDLINE, PubMed, and Scopus databases. Sudden sensorineural hearing loss (SSNHL) is a relatively common pathology in otolaryngology. The American Academy of Otolaryngology-Head and Neck Surgery published guidelines for managing SSNHL, specifying systemic and intratympanic (IT) steroid therapy and hyperbaric oxygen therapy (HBOT) as the optional adjunctive treatment. However, due to the COVID-19 pandemic, the standard treatment of SSNHL needed to be verified to identify possible interference of virus infection with pharmacological and hyperbaric therapy. The general use of standard treatment of SSNHL with steroids and HBO according to internationally approved guidelines should ensure safe medical procedures due to epidemiological restrictions. Potential relations between COVID-19 and SSNHL, as well as concomitant use of anticoagulants, should be investigated.
{"title":"Treatment of SSNHL in the COVID-19 pandemic – time for changes","authors":"W. Narożny, J. Kot, A. Skorek, D. Tretiakow","doi":"10.5604/01.3001.0015.8663","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8663","url":null,"abstract":"Our work aimed to review the literature about sudden sensorineural hearing loss (SSNHL) treatment and the approach to this problem during the COVID-19 pandemic. Current knowledge on SSNHL was sought and presented based on literature published in English-language journals from the Master Journal List. We searched for articles in the MEDLINE, PubMed, and Scopus databases. Sudden sensorineural hearing loss (SSNHL) is a relatively common pathology in otolaryngology. The American Academy of Otolaryngology-Head and Neck Surgery published guidelines for managing SSNHL, specifying systemic and intratympanic (IT) steroid therapy and hyperbaric oxygen therapy (HBOT) as the optional adjunctive treatment. However, due to the COVID-19 pandemic, the standard treatment of SSNHL needed to be verified to identify possible interference of virus infection with pharmacological and hyperbaric therapy. The general use of standard treatment of SSNHL with steroids and HBO according to internationally approved guidelines should ensure safe medical procedures due to epidemiological restrictions. Potential relations between COVID-19 and SSNHL, as well as concomitant use of anticoagulants, should be investigated.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71286654","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 : 2022-05-31DOI: 10.5604/01.3001.0015.8948
Aleksandra Romanowicz, K. Kwaśniewski, W. Brzoznowski, D. Tretiakow, Ł. Plichta, A. Skorek
Introduction: Anosmia is the loss of the ability to detect one or more smells which can affect 3–20% of the population. The disorder divides into two types: congenital and acquired. Aim: The objective of the study is to demonstrate the differences in social adaptation, quality of life and clinical features between patients with congenital and acquired anosmia. Material and methods: Survey that contained questions about the quality of life, taste disorders, genesis of anosmia, perception from the trigeminal nerve, etc. was provided at the beginning of the COVID-19 pandemic thus the vast majority of patients did not suffer from COVID-19 at that time. People affected by hyposmia were removed from our research. A level of P < 0.05 was used to determine statistical significance. Results: A total of 331 patients completed the survey. Patients with acquired anosmia rated their quality of life lower than patients with congenital anosmia in EQ-VAS. As many as 44.6% of people with acquired anosmia claimed that their quality of life decreased mainly in the aspect of feeling pleasure, whereas 40.7% of people with congenital anosmia claimed that none of the aspects of their life decreased. Taste disorders rarely occur in the group of people with congenital anosmia in comparison to the group of people with acquired anosmia (11.5% vs 38.7%). Trigeminal nerve dysfunction two times more often accompanies acquired anosmia than congenital anosmia. Conclusion: People with acquired anosmia tolerate anosmia worse than people with congenital anosmia. Congenital anosmia significantly differs from acquired anosmia. More research in the field of anosmia needs to be conducted.
简介:嗅觉缺失症是一种丧失检测一种或多种气味能力的疾病，影响3-20%的人群。这种疾病分为先天性和后天两种类型。目的:研究先天性和获得性嗅觉缺失患者在社会适应、生活质量和临床特征方面的差异。材料和方法:在新冠肺炎大流行之初就进行了调查，调查内容包括生活质量、味觉障碍、嗅觉缺失的发生、三叉神经感知等问题，绝大多数患者当时并未患新冠肺炎。受低体温影响的人被排除在我们的研究之外。以P < 0.05为差异有统计学意义。结果:共331例患者完成调查。在EQ-VAS中，获得性嗅觉缺失患者对生活质量的评价低于先天性嗅觉缺失患者。高达44.6%的获得性嗅觉缺失患者声称他们的生活质量主要在感觉愉悦方面下降，而40.7%的先天性嗅觉缺失患者声称他们的生活质量在任何方面都没有下降。与获得性嗅觉缺失患者相比，先天性嗅觉缺失患者很少发生味觉障碍(11.5% vs 38.7%)。三叉神经功能障碍伴随获得性嗅觉障碍的发生率是先天性嗅觉障碍的两倍。结论:获得性嗅觉障碍患者对嗅觉障碍的耐受性较先天性嗅觉障碍患者差。先天性嗅觉缺失与后天性嗅觉缺失有显著差异。嗅觉缺失领域还需要进行更多的研究。
{"title":"Multi-level comparison of congenital and acquired anosmia","authors":"Aleksandra Romanowicz, K. Kwaśniewski, W. Brzoznowski, D. Tretiakow, Ł. Plichta, A. Skorek","doi":"10.5604/01.3001.0015.8948","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8948","url":null,"abstract":"Introduction: Anosmia is the loss of the ability to detect one or more smells which can affect 3–20% of the population. The disorder divides into two types: congenital and acquired. Aim: The objective of the study is to demonstrate the differences in social adaptation, quality of life and clinical features between patients with congenital and acquired anosmia. Material and methods: Survey that contained questions about the quality of life, taste disorders, genesis of anosmia, perception from the trigeminal nerve, etc. was provided at the beginning of the COVID-19 pandemic thus the vast majority of patients did not suffer from COVID-19 at that time. People affected by hyposmia were removed from our research. A level of P < 0.05 was used to determine statistical significance. Results: A total of 331 patients completed the survey. Patients with acquired anosmia rated their quality of life lower than patients with congenital anosmia in EQ-VAS. As many as 44.6% of people with acquired anosmia claimed that their quality of life decreased mainly in the aspect of feeling pleasure, whereas 40.7% of people with congenital anosmia claimed that none of the aspects of their life decreased. Taste disorders rarely occur in the group of people with congenital anosmia in comparison to the group of people with acquired anosmia (11.5% vs 38.7%). Trigeminal nerve dysfunction two times more often accompanies acquired anosmia than congenital anosmia. Conclusion: People with acquired anosmia tolerate anosmia worse than people with congenital anosmia. Congenital anosmia significantly differs from acquired anosmia. More research in the field of anosmia needs to be conducted.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71286669","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 : 2022-05-08DOI: 10.5604/01.3001.0015.8252
Ido Amir, Hanna Gilat, U. Alkan
Obstructive sleep apnea (OSA) is a common clinical entity, impacting millions of people worldwide. This condition stems from abnormal anatomical and physiological features, leading to intermittent upper airway collapse during sleeping hours. It has been well established that patients suffering from OSA are at increased risk for adverse cardiovascular outcomes if not properly diagnosed and treated in time. Aside from non-invasive treatments, such as positive airway pressure (PAP) masks, several surgical modalities have been shown to successfully reduce the severity and frequency of upper airway collapse. However, because different pathological mechanisms play a role in the pathophysiology of each patient’s condition, a more individualized approach is needed. One such mechanism is epiglottic collapse, which has been yet to be adequately studied and understood. Furthermore, the volume of medical literature addressing the role of epiglottic collapse in OSA and its association with different treatment outcomes is scarce. In this review of the literature, our aim was to present the current existing knowledge regarding epiglottic collapse, its role in the pathophysiology of OSA and the management of OSA associated with epiglottic collapse. We conclude that further research is needed in order to formulate quality evidence-based clinical guidelines regarding the issue at hand.
{"title":"Surgery for Epiglottic Collapse in OSA Patients","authors":"Ido Amir, Hanna Gilat, U. Alkan","doi":"10.5604/01.3001.0015.8252","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8252","url":null,"abstract":"Obstructive sleep apnea (OSA) is a common clinical entity, impacting millions of people worldwide. This condition stems from abnormal anatomical and physiological features, leading to intermittent upper airway collapse during sleeping hours. It has been well established that patients suffering from OSA are at increased risk for adverse cardiovascular outcomes if not properly diagnosed and treated in time. Aside from non-invasive treatments, such as positive airway pressure (PAP) masks, several surgical modalities have been shown to successfully reduce the severity and frequency of upper airway collapse. However, because different pathological mechanisms play a role in the pathophysiology of each patient’s condition, a more individualized approach is needed. One such mechanism is epiglottic collapse, which has been yet to be adequately studied and understood. Furthermore, the volume of medical literature addressing the role of epiglottic collapse in OSA and its association with different treatment outcomes is scarce. In this review of the literature, our aim was to present the current existing knowledge regarding epiglottic collapse, its role in the pathophysiology of OSA and the management of OSA associated with epiglottic collapse. We conclude that further research is needed in order to formulate quality evidence-based clinical guidelines regarding the issue at hand.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48109964","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 : 2022-04-08DOI: 10.5604/01.3001.0015.8211
M. Wiatr, R. Bartoszewicz, K. Niemczyk, Kamila Szpak, A. Wiatr
Introduction: Otosclerosis is characterized by the presence of abnormal resorption and recalcification of the endochondral layer of the temporal bone, which is not observed in healthy subjects. The result of the alternating occurrence of both processes is the appearance of disorganized and, over time, dense, sclerotic bone tissue underlying the clinical manifestation of the otosclerotic process. Aim: The aim of the work is the chemical analysis of otosclerotic foci of the stapes superstructure with the use of a scanning electron microscope. Material and methods: Patients operated for the first time due to otosclerosis were analyzed. The removed stirrup suprastructures were examined in a Scanning Electron Microscope (SEM) using microanalytical techniques (WDXS – Wavelength-dispersive X-ray spectroscopy TEXS – Transition Element X-ray Spectrometer) and diffraction techniques (2D EBSD – Electron Backscatter Diffraction). Results: In patients with a short medical history, a statistically significant difference in calcium (Ca) concentration was found between the anterior and posterior cruses of stapes. Along with the duration of the disease, a statistically significant difference in calcium (Ca) concentration was observed between the stapes head and its cruses. In the course of the disease, degradation of the microstructure of the stapes bone tissue was observed in a scanning electron microscope. Conclusions: (A) As the otosclerotic process progresses, significant changes in the chemical composition between the individual parts of the stapes superstructure are observed; (B) The observed biochemical changes are accompanied by changes in the microstructure of bone tissue observed in SEM.
{"title":"Effect of disease duration on the distribution of otosclerotic foci within the stapes based on scanning electron microscopy analysis","authors":"M. Wiatr, R. Bartoszewicz, K. Niemczyk, Kamila Szpak, A. Wiatr","doi":"10.5604/01.3001.0015.8211","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8211","url":null,"abstract":"Introduction: Otosclerosis is characterized by the presence of abnormal resorption and recalcification of the endochondral layer of the temporal bone, which is not observed in healthy subjects. The result of the alternating occurrence of both processes is the appearance of disorganized and, over time, dense, sclerotic bone tissue underlying the clinical manifestation of the otosclerotic process.\u0000Aim: The aim of the work is the chemical analysis of otosclerotic foci of the stapes superstructure with the use of a scanning electron microscope.\u0000Material and methods: Patients operated for the first time due to otosclerosis were analyzed. The removed stirrup suprastructures were examined in a Scanning Electron Microscope (SEM) using microanalytical techniques (WDXS – Wavelength-dispersive X-ray spectroscopy TEXS – Transition Element X-ray Spectrometer) and diffraction techniques (2D EBSD – Electron Backscatter Diffraction).\u0000Results: In patients with a short medical history, a statistically significant difference in calcium (Ca) concentration was found between the anterior and posterior cruses of stapes. Along with the duration of the disease, a statistically significant difference in calcium (Ca) concentration was observed between the stapes head and its cruses. In the course of the disease, degradation of the microstructure of the stapes bone tissue was observed in a scanning electron microscope.\u0000Conclusions: (A) As the otosclerotic process progresses, significant changes in the chemical composition between the individual parts of the stapes superstructure are observed; (B) The observed biochemical changes are accompanied by changes in the microstructure of bone tissue observed in SEM.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47345121","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 : 2022-03-28DOI: 10.5604/01.3001.0015.8113
D. Irfandy, Hirowati Ali, Effy Huriyati, B. J. Budiman, Hafni Bachtiar, E. Wahyudi
Introduction: Chronic rhinosinusitis (CRS) is an inflammation of the nasal mucosa and paranasal sinuses that is present for more than 12 weeks. The pathogenesis of allergic CRS includes mucosal edema and causes sinus ostial obstruction, which. It leads to the infection of the paranasal sinuses. Interleukin- 5 (IL-5) is a cytokine and acts in eosinophil and basophil biology. It is the main effector unit of allergic reactions. Aim: This study aimed to determine IL-5 levels in allergic and nonallergic chronic rhinosinusitis patients. Material and methods: A comparative analytic cross-sectional study was used. A total of 10 allergic chronic and 10 nonallergic chronic rhinosinusitis patients took part in this study. The real-time polymerase chain reaction (RT-PCR) method was used to determine gene expression. Data were analyzed with SPSS. A p-value below 0.05 was considered statistically significant. Results: IL-5 gene expression in non-allergic chronic rhinosinusitis was higher than in allergic chronic rhinosinusitis. IL-5 gene expression was not significant between chronic non-allergic and allergic chronic rhinosinusitis (p > 0.05). There was an elevated IL-5 gene expression in non-allergic chronic rhinosinusitis, but it was not significant compared to chronic allergic rhinosinusitis.
{"title":"Interleukin-5 Levels in Chronic Rhinosinusitis Patients With and Without Allergy","authors":"D. Irfandy, Hirowati Ali, Effy Huriyati, B. J. Budiman, Hafni Bachtiar, E. Wahyudi","doi":"10.5604/01.3001.0015.8113","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8113","url":null,"abstract":"Introduction: Chronic rhinosinusitis (CRS) is an inflammation of the nasal mucosa and paranasal sinuses that is present for more than 12 weeks. The pathogenesis of allergic CRS includes mucosal edema and causes sinus ostial obstruction, which. It leads to the infection of the paranasal sinuses. Interleukin- 5 (IL-5) is a cytokine and acts in eosinophil and basophil biology. It is the main effector unit of allergic reactions. Aim: This study aimed to determine IL-5 levels in allergic and nonallergic chronic rhinosinusitis patients. Material and methods: A comparative analytic cross-sectional study was used. A total of 10 allergic chronic and 10 nonallergic chronic rhinosinusitis patients took part in this study. The real-time polymerase chain reaction (RT-PCR) method was used to determine gene expression. Data were analyzed with SPSS. A p-value below 0.05 was considered statistically significant. Results: IL-5 gene expression in non-allergic chronic rhinosinusitis was higher than in allergic chronic rhinosinusitis. IL-5 gene expression was not significant between chronic non-allergic and allergic chronic rhinosinusitis (p > 0.05). There was an elevated IL-5 gene expression in non-allergic chronic rhinosinusitis, but it was not significant compared to chronic allergic rhinosinusitis.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71286489","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 : 2022-03-25DOI: 10.5604/01.3001.0015.8100
E. Brożek-Mądry, Z. Steć, Z. Burska, A. Krzeski
Aim: The aim of this study was to assess the effect of nasal irrigation with isotonic sodium chloride and sodium bicarbonate solution in the form of Zatoxin Rinse kit on the process of postopera-tive wound healing and resolution of inflammation in patients who undergo surgery of the nasal cavity or paranasal sinuses. Moreover, our study also compared the effectiveness of na-sal irrigation with Zatoxin Rinse kit to the use of saline spray, when applied for 4 weeks after nasal septum surgery. Material and methods: Multicenter observational studies were conducted with the use of a questionnaire which was filledout on two consecutive visits, scheduled with a 1-month interval. These questionnaires applied to patients who underwent endoscopic surgical intervention in the nasal cavity and paranasal sinuses and were therefore qualified for this study. The study group included 71 patients (mean age: 42.87 ± 13.22 years; 29 female and 42 male) suffering from the following disorders: chronic rhinosinusitis (CRS) with polyps, n = 25; CRS without polyps, n = 19; de-viated septum, n = 27. The control group included 7 patients with deviated septum (using saline nasal products/seawater spray). Based on the questionnaire results and ENT examina-tion, the severity of inflammation and effectiveness of wound healing were assessed with the use of: SNOT-22 (sino-nasal outcome score), Visual Analogue Scale (VAS) and endoscopic examination of nasal cavities. Results: The median value for results obtained from the SNOT-22 questionnaire was 38 points (IQR = 36) in CRS without polyps, 33 points (IQR = 24) in CRS with polyps and 26 points (IQR = 19) in deviated septum. The median values for all scores recorded in specific subgroups after 4 weeks of applying Zatoxin Rinse were as follows: patients with CRS with polyps: 7 points (IQR = 9.5), patients with CRS without polyps: 5 points (IQR = 13), patients with deviated septum: 6 points (IQR = 9). Postoperative nasal discharge was observed to be the most fre-quent in patients with CRS: among patients suffering from CRS with polyps, the median VAS scale result was 6 points (IQR = 4), while the median for patients diagnosed with CRS without polyps was 6 points (IQR = 5) and 3 points (IQR = 4) in the group with deviated septum. The feeling of impaired nasal patency in the postoperative period was reported to be the strongest in patients diagnosed with CRS without polyps: 8 points (IQR = 5), as com-pared to 5 points (IQR = 4.5) in patients with CRS with polyps and 5 points (IQR = 7) in the deviated septum group. Postoperative smell disorders were observed to be expressed as more severe among patients with CRS without polyps: 6 points (IQR = 4) and less severe in pa-tients with CRS with polyps: 4 points (IQR = 7). After 4 weeks of healing aided by irrigation of paranasal sinuses with the use of Zatoxin Rinse kit, patients from all subgroups experienced a statistically significant reduction in the severity of all parameters assessed
{"title":"Nasal irrigation with Zatoxin Rinse in postoperative care","authors":"E. Brożek-Mądry, Z. Steć, Z. Burska, A. Krzeski","doi":"10.5604/01.3001.0015.8100","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8100","url":null,"abstract":"Aim: The aim of this study was to assess the effect of nasal irrigation with isotonic sodium chloride and sodium bicarbonate\u0000solution in the form of Zatoxin Rinse kit on the process of postopera-tive wound healing and resolution of inflammation in\u0000patients who undergo surgery of the nasal cavity or paranasal sinuses. Moreover, our study also compared the effectiveness\u0000of na-sal irrigation with Zatoxin Rinse kit to the use of saline spray, when applied for 4 weeks after nasal septum surgery. Material and methods: Multicenter observational studies were conducted with the use of a questionnaire which was filledout\u0000on two consecutive visits, scheduled with a 1-month interval. These questionnaires applied to patients who underwent\u0000endoscopic surgical intervention in the nasal cavity and paranasal sinuses and were therefore qualified for this study.\u0000The study group included 71 patients (mean age: 42.87 ± 13.22 years; 29 female and 42 male) suffering from the following\u0000disorders: chronic rhinosinusitis (CRS) with polyps, n = 25; CRS without polyps, n = 19; de-viated septum, n = 27. The control\u0000group included 7 patients with deviated septum (using saline nasal products/seawater spray). Based on the questionnaire\u0000results and ENT examina-tion, the severity of inflammation and effectiveness of wound healing were assessed with the use\u0000of: SNOT-22 (sino-nasal outcome score), Visual Analogue Scale (VAS) and endoscopic examination of nasal cavities.\u0000Results: The median value for results obtained from the SNOT-22 questionnaire was 38 points (IQR = 36) in CRS without\u0000polyps, 33 points (IQR = 24) in CRS with polyps and 26 points (IQR = 19) in deviated septum. The median values for all scores\u0000recorded in specific subgroups after 4 weeks of applying Zatoxin Rinse were as follows: patients with CRS with polyps: 7\u0000points (IQR = 9.5), patients with CRS without polyps: 5 points (IQR = 13), patients with deviated septum: 6 points (IQR = 9).\u0000Postoperative nasal discharge was observed to be the most fre-quent in patients with CRS: among patients suffering from\u0000CRS with polyps, the median VAS scale result was 6 points (IQR = 4), while the median for patients diagnosed with CRS\u0000without polyps was 6 points (IQR = 5) and 3 points (IQR = 4) in the group with deviated septum. The feeling of impaired\u0000nasal patency in the postoperative period was reported to be the strongest in patients diagnosed with CRS without polyps:\u00008 points (IQR = 5), as com-pared to 5 points (IQR = 4.5) in patients with CRS with polyps and 5 points (IQR = 7) in the deviated\u0000septum group. Postoperative smell disorders were observed to be expressed as more severe among patients with CRS\u0000without polyps: 6 points (IQR = 4) and less severe in pa-tients with CRS with polyps: 4 points (IQR = 7). After 4 weeks of healing\u0000aided by irrigation of paranasal sinuses with the use of Zatoxin Rinse kit, patients from all subgroups experienced a\u0000statistically significant reduction in the severity of all parameters assessed ","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71286455","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 : 2022-03-21DOI: 10.5604/01.3001.0015.8082
Maria Molga-Magusiak, Małgorzata A Czesak, Anna Furman, E. Osuch-Wójcikiewicz
Introduction: Myogenic sarcomas (MS) are malignant tumors of mesenchymal origin that include sarcomas of smooth muscle differentiation (leiomyosarcoma, LM) and skeletal muscle differentiation (rhabdomyosarcoma, RM). These neoplasms are extremely rare entities in larynx and often cause diagnostic difficulties. Case: We present a case of laryngeal myogenic sarcoma partially differentiated into LM, treated with a surgical resection and an adjuvant radiotherapy. This study presents management and treatment according to the current literature.
{"title":"Myogenic sarcoma of larynx – a case report and review of the literature","authors":"Maria Molga-Magusiak, Małgorzata A Czesak, Anna Furman, E. Osuch-Wójcikiewicz","doi":"10.5604/01.3001.0015.8082","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8082","url":null,"abstract":"Introduction: Myogenic sarcomas (MS) are malignant tumors of mesenchymal origin that include sarcomas of smooth muscle differentiation (leiomyosarcoma, LM) and skeletal muscle differentiation (rhabdomyosarcoma, RM). These neoplasms are extremely rare entities in larynx and often cause diagnostic difficulties. Case: We present a case of laryngeal myogenic sarcoma partially differentiated into LM, treated with a surgical resection and an adjuvant radiotherapy. This study presents management and treatment according to the current literature.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49618269","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 : 2022-03-21DOI: 10.5604/01.3001.0015.8098
Jagoda Kałużna, K. Miszczak, Natalia Tuz-Hrycyna, A. Rzepakowska, K. Niemczyk
Introduction: The challenges of modern medicine go beyond merely effective diagnostics and therapy for extension of human life, but must also strive to improve its quality. The benefits of multidisciplinary cooperation in patient care are now unquestionable and result in the dissemination of such a trend among most medical fields. Clinical speech therapists are valuable partners for otorhinolaryngologists in the treatment of many diseases of the head and neck region. Aim: The aim of this article is to present the role of the speech therapist at an otorhinolaryngology ward, as well as to analyze the current legal regulations that constitute the basis for such cooperation. In accordance with the legal regulations currently in force in Poland, the position of a speech therapist at the otolaryngology department is financed for the rehabilitation of patients with cochlear implant and brain stem implants. Unfortunately, the role of a speech therapist in other diseases including voice, speech, hearing and swallowing disorders within otorhinolaryngology wards has not yet been sanctioned, hence many patients continue to be deprived of comprehensive pre- and postoperative care. Conclusion: Speech therapy rehabilitation in ENT departments, apart from patients with hearing loss, is particularly important for patients with organic lesions of the larynx undergoing intra-laryngeal surgery as well as open surgery procedures, patients with neurogenic voice and/or swallowing disorders or as a result of iatrogenic dysfunction. Such therapy includes diagnostic and information activities as well as exercises to improve functions. Speech therapists contribute substantially to the comprehensive care of patients both in the preoperative and postoperative periods.
{"title":"Speech therapy rehabilitation in an otorhinolaryngological\u0000patient against the Polish legal regulations","authors":"Jagoda Kałużna, K. Miszczak, Natalia Tuz-Hrycyna, A. Rzepakowska, K. Niemczyk","doi":"10.5604/01.3001.0015.8098","DOIUrl":"https://doi.org/10.5604/01.3001.0015.8098","url":null,"abstract":"Introduction: The challenges of modern medicine go beyond merely effective diagnostics and therapy for extension of\u0000human life, but must also strive to improve its quality. The benefits of multidisciplinary cooperation in patient care are now\u0000unquestionable and result in the dissemination of such a trend among most medical fields. Clinical speech therapists are\u0000valuable partners for otorhinolaryngologists in the treatment of many diseases of the head and neck region.\u0000Aim: The aim of this article is to present the role of the speech therapist at an otorhinolaryngology ward, as well as to analyze\u0000the current legal regulations that constitute the basis for such cooperation. In accordance with the legal regulations currently\u0000in force in Poland, the position of a speech therapist at the otolaryngology department is financed for the rehabilitation\u0000of patients with cochlear implant and brain stem implants. Unfortunately, the role of a speech therapist in other diseases\u0000including voice, speech, hearing and swallowing disorders within otorhinolaryngology wards has not yet been sanctioned,\u0000hence many patients continue to be deprived of comprehensive pre- and postoperative care.\u0000Conclusion: Speech therapy rehabilitation in ENT departments, apart from patients with hearing loss, is particularly important\u0000for patients with organic lesions of the larynx undergoing intra-laryngeal surgery as well as open surgery procedures,\u0000patients with neurogenic voice and/or swallowing disorders or as a result of iatrogenic dysfunction. Such therapy includes\u0000diagnostic and information activities as well as exercises to improve functions. Speech therapists contribute substantially to\u0000the comprehensive care of patients both in the preoperative and postoperative periods.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48318183","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 : 2022-03-10DOI: 10.5604/01.3001.0015.7964
S. Piotrowski, Marta Jagłowska
Osteomas of paranasal sinuses larger than 3 cm are classified as giant osteomas. A considerable size of these tumors may result in serious complications as well as pose a substantial surgical challenge. We present a case of an adult man with a giant osteoma of right frontal sinus. The neoplasm was removed in an open approach with incision along the brow bridge; an injury to the supraorbital nerve was avoided. The osteotomy was performed with piezosurgery. The anterial wall of the right frontal sinus was reconstructed with bone fragments bound together by titanium plates and mesh. The following discussion presents different possibilities of surgical removal of giant paranasal osteomas.
{"title":"Giant frontal sinus osteoma - case report and literature review","authors":"S. Piotrowski, Marta Jagłowska","doi":"10.5604/01.3001.0015.7964","DOIUrl":"https://doi.org/10.5604/01.3001.0015.7964","url":null,"abstract":"Osteomas of paranasal sinuses larger than 3 cm are classified as giant osteomas. A considerable size of these tumors may result in serious complications as well as pose a substantial surgical challenge. We present a case of an adult man with a giant osteoma of right frontal sinus. The neoplasm was removed in an open approach with incision along the brow bridge; an injury to the supraorbital nerve was avoided. The osteotomy was performed with piezosurgery. The anterial wall of the right frontal sinus was reconstructed with bone fragments bound together by titanium plates and mesh. The following discussion presents different possibilities of surgical removal of giant paranasal osteomas.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47161646","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 : 2022-03-10DOI: 10.5604/01.3001.0015.7969
Katarzyna Amernik, E. Jaworowska
Introduction: Congenital otogenic CSF leak is a rare cause of meningitis. The underlying reason may be a defect of the fundus of internal auditory meatus with pathological communication with the inner ear and CSF leak to middle ear space. This condition requires surgical closure. Case report: A 9-year-old boy with a history of recurrent meningitis – 3 episodes. During the last episode, β-2 transferrin test from ear fluid was positive. The patient complained of leakage of clear fluid through the nose on the right side. Otoscopy revealed a bulging tympanic membrane on the right side. The right ear was deaf with normal hearing on the left side. HRCT revealed congenital deformity of the right inner ear. Right side lateral petrosectomy with blind sac closure of the right external auditory canal was performed. During surgery there was an extensive CSF leak through the oval window niche due to a lack of the stapes footplate in the anterior part. Recovery was uneventful. After 24 months of follow up, no more leakage through the nose was observed. Control magnetic resonance performed one year after surgery showed no CSF in the mastoid cavity. Discussion: Inner ear malformations are a rare cause of meningitis, and the most common sites of congenital otogenic CSF leakage include the oval and round window. Surgical closure is the only solution in such cases. Several methods of sealing the inner ear space were described in the literature. Vestibular packing and stapedectomy were most frequently used. However, recurrences were stated in up to 1/2 of cases. Such a risk can be limited with lateral petrosectomy. For this reason, LP can be considered as the treatment of choice in congenital spontaneous otogenic cerebrospinal fluid leak. Conclusion: Every case of recurrent meningitis in children should be investigated with a suspicion of congenital ear malformation with spontaneous CSF leakage. Lateral petrosectomy is a safe and effective procedure for cases of otogenic CSF leak with a low risk of recurrence.
{"title":"Congenital spontaneous otogenic cerebrospinal fluid leak as a cause of recurrent meningitis in a 9-year-old child – case report and literature review","authors":"Katarzyna Amernik, E. Jaworowska","doi":"10.5604/01.3001.0015.7969","DOIUrl":"https://doi.org/10.5604/01.3001.0015.7969","url":null,"abstract":"Introduction: Congenital otogenic CSF leak is a rare cause of meningitis. The underlying reason may be a defect of the fundus of internal auditory meatus with pathological communication with the inner ear and CSF leak to middle ear space. This condition requires surgical closure. Case report: A 9-year-old boy with a history of recurrent meningitis – 3 episodes. During the last episode, β-2 transferrin test from ear fluid was positive. The patient complained of leakage of clear fluid through the nose on the right side. Otoscopy revealed a bulging tympanic membrane on the right side. The right ear was deaf with normal hearing on the left side. HRCT revealed congenital deformity of the right inner ear. Right side lateral petrosectomy with blind sac closure of the right external auditory canal was performed. During surgery there was an extensive CSF leak through the oval window niche due to a lack of the stapes footplate in the anterior part. Recovery was uneventful. After 24 months of follow up, no more leakage through the nose was observed. Control magnetic resonance performed one year after surgery showed no CSF in the mastoid cavity. Discussion: Inner ear malformations are a rare cause of meningitis, and the most common sites of congenital otogenic CSF leakage include the oval and round window. Surgical closure is the only solution in such cases. Several methods of sealing the inner ear space were described in the literature. Vestibular packing and stapedectomy were most frequently used. However, recurrences were stated in up to 1/2 of cases. Such a risk can be limited with lateral petrosectomy. For this reason, LP can be considered as the treatment of choice in congenital spontaneous otogenic cerebrospinal fluid leak. Conclusion: Every case of recurrent meningitis in children should be investigated with a suspicion of congenital ear malformation with spontaneous CSF leakage. Lateral petrosectomy is a safe and effective procedure for cases of otogenic CSF leak with a low risk of recurrence.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71285783","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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