Pub Date : 2022-03-10DOI: 10.5604/01.3001.0015.7962
M. Skóra, Katarzyna Starska-Kowarska
Introduction: The Healthy Hearing Program is part of the international Healthy Athletes program. The main assumption of the program is the systematic assessment of the condition of hearing in athletes with various levels of intellectual disability. Aim: The aim of the study is to present the results of hearing screening tests of Polish competitors participating in Special Olympics in comparison to the results obtained from the same tests of foreign sportsmen. Material and methods: This is a retrospective, multicenter study describing 8 years of hearing screening in athletes with intellectual disabilities. The study includes a group of 9,405 players aged between 7 and 69, with intellectual disabilities of various degrees, participating in national and international sports competitions in 2009–2016. The group size of Polish competitors is 863, and the group of competitors from other countries (OWHOC) is 8,542. The assessment is based on the study of otoacoustic emission, tympanometry, and tonal audiometry. Results: Otoacoustic emission tests of Polish competitors revealed normal results for 17.3% in the right ear and 14.4% in the left ear. The results were similar for the group of foreign players: right ear – 15.1% and left ear – 11.7%. A correct tympanometry result was obtained for the right ear in 61.5%, and the left ear in 57.5% of Polish competitors. Foreign competitors obtained 69.5% of correct tympanometry results on both sides. The audiometric norm (0–20 dB) was obtained in the right ear in 16.7%, and in the left ear in 15.2% of Polish athletes. Foreigners obtained the correct result of audiometric examination on the right in 13.5%, and on the left in 11.5% of cases. Conclusions: The research indicates more frequent hearing disorders in people with intellectual disabilities compared to the population of people without disabilities. Conductive hearing loss is more frequent in comparison to non-disabled population. Screening of athletes participating in Special Olympics represents an important element in improving their health potential. The Healthy Hearing Program allows to train medical staff to effectively communicate with people with disabilities, as well as to run practical audiological examinations. It also allows to examine Special Olympics players, analyze their test results, and identify athletes with disabilities who require further assistance and help. The results of Polish athletes compared to foreign ones are similar.
{"title":"Evaluation of hearing screening of Polish athletes with intellectual disability participating in Special Olympics Healthy Hearing Program","authors":"M. Skóra, Katarzyna Starska-Kowarska","doi":"10.5604/01.3001.0015.7962","DOIUrl":"https://doi.org/10.5604/01.3001.0015.7962","url":null,"abstract":"Introduction: The Healthy Hearing Program is part of the international Healthy Athletes program. The main assumption of the program is the systematic assessment of the condition of hearing in athletes with various levels of intellectual disability. Aim: The aim of the study is to present the results of hearing screening tests of Polish competitors participating in Special Olympics in comparison to the results obtained from the same tests of foreign sportsmen. Material and methods: This is a retrospective, multicenter study describing 8 years of hearing screening in athletes with intellectual disabilities. The study includes a group of 9,405 players aged between 7 and 69, with intellectual disabilities of various degrees, participating in national and international sports competitions in 2009–2016. The group size of Polish competitors is 863, and the group of competitors from other countries (OWHOC) is 8,542. The assessment is based on the study of otoacoustic emission, tympanometry, and tonal audiometry. Results: Otoacoustic emission tests of Polish competitors revealed normal results for 17.3% in the right ear and 14.4% in the left ear. The results were similar for the group of foreign players: right ear – 15.1% and left ear – 11.7%. A correct tympanometry result was obtained for the right ear in 61.5%, and the left ear in 57.5% of Polish competitors. Foreign competitors obtained 69.5% of correct tympanometry results on both sides. The audiometric norm (0–20 dB) was obtained in the right ear in 16.7%, and in the left ear in 15.2% of Polish athletes. Foreigners obtained the correct result of audiometric examination on the right in 13.5%, and on the left in 11.5% of cases. Conclusions: The research indicates more frequent hearing disorders in people with intellectual disabilities compared to the population of people without disabilities. Conductive hearing loss is more frequent in comparison to non-disabled population. Screening of athletes participating in Special Olympics represents an important element in improving their health potential. The Healthy Hearing Program allows to train medical staff to effectively communicate with people with disabilities, as well as to run practical audiological examinations. It also allows to examine Special Olympics players, analyze their test results, and identify athletes with disabilities who require further assistance and help. The results of Polish athletes compared to foreign ones are similar.\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":"71285722","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 : 2022-03-04DOI: 10.5604/01.3001.0015.7905
Paulina Lipińska, Natalia Tuz-Hrycyna, A. Rzepakowska
Total laryngectomy removes the larynx and separates the oral and nasal cavities from the lower respiratory tract. In the process of speech therapy of laryngectomiezed patients, the main element is the voice rehabilitation, and the olfactory functions are often neglected. The work contains contemporary literature review on the methods of olfactory function assessment, techniques of its stimulation and the possibility of monitoring the progress of rehabilitation.
{"title":"Olfactory function after total laryngectomy – the review of rehabilitation efficacy and methods","authors":"Paulina Lipińska, Natalia Tuz-Hrycyna, A. Rzepakowska","doi":"10.5604/01.3001.0015.7905","DOIUrl":"https://doi.org/10.5604/01.3001.0015.7905","url":null,"abstract":"Total laryngectomy removes the larynx and separates the oral and nasal cavities from the lower respiratory tract. In the process of speech therapy of laryngectomiezed patients, the main element is the voice rehabilitation, and the olfactory functions are often neglected. The work contains contemporary literature review on the methods of olfactory function assessment, techniques of its stimulation and the possibility of monitoring the progress of rehabilitation.\u0000\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49565817","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 : 2022-03-04DOI: 10.5604/01.3001.0015.7904
M. Dawood, Zaidon Sufyan Mohammed
Introduction: Various nasal saline solutions have been widely used following endoscopic sinus surgery. Irrigation solutions minimize synechia formation, improve mucosal healing and enhance the removal of infective debris and crusts. Aim: This study aims to compare the efficacy of hypertonic and isotonic saline solutions in nasal irrigation following, endoscopic sinus surgery. Material and methods: Forty patients who underwent endoscopic sinus surgery were randomly and evenly sorted into: group “A”, which received hypertonic saline nasal irrigation, and group “B”, which received isotonic nasal irrigation The outcomes were assessed for mucociliary clearance (MCT), Lund-Kennedy endoscopic score for crusts and mucosal edema, while nasal obstruction, nasal discharge and facial pain were analyzed by SNOT22, whereby their severity was assessed by means of visual analog score. The patients were followed up for 3 weeks. Results: There was a significant difference in improvement in both groups. Group “A” MCT value on day 7 was P = 0.023, day 14 P = 0.002, and day 21 P = 0.009: for mucosal edema P = 0.009, P = 0.001, P = 0.025; and, for crusts P = 0.015, P = 0.010, P = 0.011: and, for nasal obstruction P = 0.006, P = 0.0001, P = 0.0001 respectively; and for nasal discharge and facial pain P = 0.010, P = 0.047, and P = 0.0062, P = 0.028 for days 14, and 21, respectively. Conclusion: Better results in MCT, nasal mucosal edema, crusts, nasal obstruction, discharge, and facial pain/pressure were achieved with the usage of hypertonic saline nasal irrigation.
鼻内窥镜鼻窦手术后广泛使用各种鼻盐水溶液。冲洗溶液可以减少粘连的形成，改善粘膜愈合，并增强感染性碎片和结痂的清除。目的:比较高渗盐水和等渗盐水在内镜鼻窦手术后鼻腔冲洗中的效果。材料与方法:将40例鼻窦内窥镜手术患者随机均匀分为:A组接受高渗生理盐水鼻冲洗，B组接受等渗鼻冲洗。对两组患者进行粘膜睫状体清除率(mucociliary clearance, MCT)、结痂和粘膜水肿的lundd - kennedy内镜评分，鼻塞、流鼻涕和面部疼痛采用SNOT22分析，并用视觉模拟评分评估其严重程度。随访3周。结果:两组患者改善程度差异有统计学意义。A组第7天MCT值P = 0.023，第14天P = 0.002，第21天P = 0.009:粘膜水肿P = 0.009, P = 0.001, P = 0.025;结痂P = 0.015, P = 0.010, P = 0.011;鼻塞P = 0.006, P = 0.0001, P = 0.0001;第14天、第21天鼻溢液和面部疼痛P = 0.010、P = 0.047、P = 0.0062、P = 0.028。结论:高渗盐水鼻冲洗对MCT、鼻黏膜水肿、结痂、鼻塞、鼻分泌物、面部疼痛/压力均有较好的治疗效果。
{"title":"Comparative study between the uses of hypertonic saline versus isotonic saline nasal Irrigation following endoscopic sinus surgery","authors":"M. Dawood, Zaidon Sufyan Mohammed","doi":"10.5604/01.3001.0015.7904","DOIUrl":"https://doi.org/10.5604/01.3001.0015.7904","url":null,"abstract":"Introduction: Various nasal saline solutions have been widely used following endoscopic sinus surgery. Irrigation solutions minimize synechia formation, improve mucosal healing and enhance the removal of infective debris and crusts. Aim: This study aims to compare the efficacy of hypertonic and isotonic saline solutions in nasal irrigation following, endoscopic sinus surgery. Material and methods: Forty patients who underwent endoscopic sinus surgery were randomly and evenly sorted into: group “A”, which received hypertonic saline nasal irrigation, and group “B”, which received isotonic nasal irrigation The outcomes were assessed for mucociliary clearance (MCT), Lund-Kennedy endoscopic score for crusts and mucosal edema, while nasal obstruction, nasal discharge and facial pain were analyzed by SNOT22, whereby their severity was assessed by means of visual analog score. The patients were followed up for 3 weeks. Results: There was a significant difference in improvement in both groups. Group “A” MCT value on day 7 was P = 0.023, day 14 P = 0.002, and day 21 P = 0.009: for mucosal edema P = 0.009, P = 0.001, P = 0.025; and, for crusts P = 0.015, P = 0.010, P = 0.011: and, for nasal obstruction P = 0.006, P = 0.0001, P = 0.0001 respectively; and for nasal discharge and facial pain P = 0.010, P = 0.047, and P = 0.0062, P = 0.028 for days 14, and 21, respectively. Conclusion: Better results in MCT, nasal mucosal edema, crusts, nasal obstruction, discharge, and facial pain/pressure were achieved with the usage of hypertonic saline nasal irrigation.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71286125","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 : 2022-01-21DOI: 10.5604/01.3001.0015.6420
Zuzanna Przekop, M. Milewska, D. Szostak-Węgierek
The occurrence of dysphagia and malnutrition in patients with head and neck cancers is associated with sequelae that negatively affect the treatment process and its effectiveness. Therefore, it is important to perform screening of dysphagia and malnutrition in this group of patients. Screening tests should be quick to perform, easy to use, and cost-effective. The methods used should be validated on the target group of patients. For patients with head and neck tumours, such validation is provided by four dysphagia screening questionnaires and nine malnutrition screening questionnaires.
{"title":"Screening for oropharyngeal dysphagia and malnutrition in patients with head and neck cancer a review of available tools","authors":"Zuzanna Przekop, M. Milewska, D. Szostak-Węgierek","doi":"10.5604/01.3001.0015.6420","DOIUrl":"https://doi.org/10.5604/01.3001.0015.6420","url":null,"abstract":"The occurrence of dysphagia and malnutrition in patients with head and neck cancers is associated with sequelae that negatively affect the treatment process and its effectiveness. Therefore, it is important to perform screening of dysphagia and malnutrition in this group of patients. Screening tests should be quick to perform, easy to use, and cost-effective. The methods used should be validated on the target group of patients. For patients with head and neck tumours, such validation is provided by four dysphagia screening questionnaires and nine malnutrition screening questionnaires.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71286176","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 : 2021-12-23DOI: 10.5604/01.3001.0015.6861
P. Kołodziejczyk, T. Gotlib, M. Kuźmińska, K. Niemczyk
Introduction: Neoplasms of the nasal cavities and paranasal sinuses always require urgent diagnostics tests to determine their malignancy and plan of the treatment. Both benign and malignant tumours have initially similar, unilateral symptoms nasal obstruction, bleeding, runny nose. Malignant neoplasms of the nasal cavities and paranasal sinuses are characterized by aggressive growth, fast infiltration of the surrounding structures (including the orbit and skull base) and metastasize to the regional lymph nodes. The prognosis of the patients survival the best improves the early diagnosis. Case report: In ou r case report, the unilateral lacrimation was not properly interpreted as a first tumour symptom. A dacryocy-storhinostomy was performed without prior diagnostic imaging, which significantly delayed the diagnosis.
{"title":"Sinonasal undifferentiated carcinoma a case report","authors":"P. Kołodziejczyk, T. Gotlib, M. Kuźmińska, K. Niemczyk","doi":"10.5604/01.3001.0015.6861","DOIUrl":"https://doi.org/10.5604/01.3001.0015.6861","url":null,"abstract":"Introduction: Neoplasms of the nasal cavities and paranasal sinuses always require urgent diagnostics tests to determine their malignancy and plan of the treatment. Both benign and malignant tumours have initially similar, unilateral symptoms nasal obstruction, bleeding, runny nose. Malignant neoplasms of the nasal cavities and paranasal sinuses are characterized by aggressive growth, fast infiltration of the surrounding structures (including the orbit and skull base) and metastasize to the regional lymph nodes. The prognosis of the patients survival the best improves the early diagnosis. Case report: In ou r case report, the unilateral lacrimation was not properly interpreted as a first tumour symptom. A dacryocy-storhinostomy was performed without prior diagnostic imaging, which significantly delayed the diagnosis.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48855450","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 : 2021-12-23DOI: 10.5604/01.3001.0015.6954
Przemysław Krawczyk, K. Niemczyk, A. Bruzgielewicz
Anemia is one of the most common comorbidities among patients qualified for surgical treatment. The number of those that is even greater in the group that underwent oncological treatment, both for chemotherapy and radiotherapy. Anemia is associated with higher risk of perioperative complications and decrease overall survival. Directed diagnostics let for patient general condition evaluation and finding causes of anemia development, which is crucial for introducing aimed therapy. Implementation of effective therapy support the improvement of patients quality of life and the results of oncological treatment in this group of patients.
{"title":"Anemia in patients with head and neck cancer current guidelines and literature review","authors":"Przemysław Krawczyk, K. Niemczyk, A. Bruzgielewicz","doi":"10.5604/01.3001.0015.6954","DOIUrl":"https://doi.org/10.5604/01.3001.0015.6954","url":null,"abstract":"Anemia is one of the most common comorbidities among patients qualified for surgical treatment. The number of those that is even greater in the group that underwent oncological treatment, both for chemotherapy and radiotherapy. Anemia is associated with higher risk of perioperative complications and decrease overall survival. Directed diagnostics let for patient general condition evaluation and finding causes of anemia development, which is crucial for introducing aimed therapy. Implementation of effective therapy support the improvement of patients quality of life and the results of oncological treatment in this group of patients.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71286077","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 : 2021-12-21DOI: 10.5604/01.3001.0015.6421
Karolina Bełdzińska, Aleksandra Romanowicz, K. Kwaśniewski, Anna Jaźwińska-Curyłło, D. Tretiakow, A. Skorek
Introduction: COVID-19 is a disease caused by pathogenic -coronavirus. As a relatively new disease, diagnosis of COVID-19 is highly problematic and because of non-specific symptoms the infection must be confirmed with molecular tests. Aim: Evaluation of the most common COVID-19 symptoms and statistical analysis of obtained data in order to confirm significant correlations between symptoms and age and sex of the examined patients. Material and methods: A questionnaire has been carried out among 751 patients of Center for Blood Donation in Gdansk and the Department of Otolaryngology in Gdansk. The patients were convalescents after SARS-CoV-2 infection. The presence of virus was confirmed by a positive PCR test of RNA of the SARS-CoV-2 virus of each patent. The study has been carried out since the beginning of the presence of COVID-19 in Pomerania region till April 2021. Results: Results of the questionnaires presented the most common general and otolaryngological symptoms of COVID-19. Collected data was statistically analyzed. Patients were divided according to age and sex. 30.2% of patients had severe clinical course of infection, 69.8% had mild clinical course. The most common general symptom associated with SARS-CoV-2 infection was fatigue, which was more common among women. Other common symptoms were loss of smell and taste, also more common among women, and muscle and joint pain. The most common other otolaryngological symptoms were sore throat and vertigo, all more frequent in men. Conclusion: The study presents the correlation between incidence of COVID-19 disease symptoms and age and sex of patients. Fatigue, loss of smell and taste and muscle and joint pain were the most common symptoms of the infection. Presented data highlights the meaning of further research on COVID-19 symptoms.
{"title":"COVID-19 symptoms in the Pomeranian region","authors":"Karolina Bełdzińska, Aleksandra Romanowicz, K. Kwaśniewski, Anna Jaźwińska-Curyłło, D. Tretiakow, A. Skorek","doi":"10.5604/01.3001.0015.6421","DOIUrl":"https://doi.org/10.5604/01.3001.0015.6421","url":null,"abstract":"Introduction: COVID-19 is a disease caused by pathogenic -coronavirus. As a relatively new disease, diagnosis of COVID-19 is highly problematic and because of non-specific symptoms the infection must be confirmed with molecular tests. Aim: Evaluation of the most common COVID-19 symptoms and statistical analysis of obtained data in order to confirm significant correlations between symptoms and age and sex of the examined patients. Material and methods: A questionnaire has been carried out among 751 patients of Center for Blood Donation in Gdansk and the Department of Otolaryngology in Gdansk. The patients were convalescents after SARS-CoV-2 infection. The presence of virus was confirmed by a positive PCR test of RNA of the SARS-CoV-2 virus of each patent. The study has been carried out since the beginning of the presence of COVID-19 in Pomerania region till April 2021. Results: Results of the questionnaires presented the most common general and otolaryngological symptoms of COVID-19. Collected data was statistically analyzed. Patients were divided according to age and sex. 30.2% of patients had severe clinical course of infection, 69.8% had mild clinical course. The most common general symptom associated with SARS-CoV-2 infection was fatigue, which was more common among women. Other common symptoms were loss of smell and taste, also more common among women, and muscle and joint pain. The most common other otolaryngological symptoms were sore throat and vertigo, all more frequent in men. Conclusion: The study presents the correlation between incidence of COVID-19 disease symptoms and age and sex of patients. Fatigue, loss of smell and taste and muscle and joint pain were the most common symptoms of the infection. Presented data highlights the meaning of further research on COVID-19 symptoms.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71286185","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 : 2021-12-21DOI: 10.5604/01.3001.0015.6419
P. Śpiewak, Michał Śpiewak
In 2019 in International Journal of Pediatric Otorhinolaryngology was published article on the introduction of Vestibular Infant Screening at the University Hospital of Ghent. The purpose of this critical review is to justify why cVEMP as a single test is neither reliable nor suitable for the diagnosis of vestibular defects, especially in infants. Another aspect is the costs incurred for such screening tests as VIS-Flanders significantly exceed the resulting social profit.
{"title":"Regarding the Vestibular Infant Screening Flanders (VIS-Flanders) project a critique","authors":"P. Śpiewak, Michał Śpiewak","doi":"10.5604/01.3001.0015.6419","DOIUrl":"https://doi.org/10.5604/01.3001.0015.6419","url":null,"abstract":"In 2019 in International Journal of Pediatric Otorhinolaryngology was published article on the introduction of Vestibular Infant Screening at the University Hospital of Ghent. The purpose of this critical review is to justify why cVEMP as a single test is neither reliable nor suitable for the diagnosis of vestibular defects, especially in infants. Another aspect is the costs incurred for such screening tests as VIS-Flanders significantly exceed the resulting social profit.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71286034","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 : 2021-12-16DOI: 10.5604/01.3001.0015.6179
M. Makuszewska
Introduction: The Eustachian tube (ET) is the anatomical structure that connects the middle ear with the nasopharynx. It is part of a system that, in addition to the already mentioned elements, also includes the soft palate. The functions of ET are pressure equalization, clearance of secretions and protection of the middle ear from sounds and reflux of secretions from the nasopharynx. Dysfunctions of ET are multifactorial, and the diagnostics is difficult due to lack of defined standards for assessing its function prior and post treatment. Aim: The aim of the study is the review of the publications concerning actual definitions and classification of ET dysfunctions, efforts of adopting unified criteria and methods of assessing its functions and ways of treatment. Material and methods: In the year 2015 classification was adopted which distinguish three subtypes of ET dysfunction: (1) dilatory ET dysfunction, (2) baro-challenge-induced, (3) patulous ET. Dilatory ET dysfunctions were further divided as follows: functional obstruction (most common), dynamic dysfunction and anatomical obstruction. The Eustachian Tube Dysfunction Questionnaire (ETDQ-7) enables the systematization of symptoms. Clinical assessment of the patient with ET dysfunction should include otoscopy or otomicroscopy, tympanometry, Rinnes and Webers tuning fork tests or pure tone audiometry, nasopharyngoscopy with visualization of ET orifice and opening. Other tests of assessment of ET functions like tubomanometry, sonotubomanometry and pressure chamber tests are useful research tools. Endoscopic evaluation of ET orifice should encompass the assessment of mucosa of the torus tubarius and ET as well as dynamic process of ET opening. In surgical treatment of functional obstructions of ET, the most common method is balloon dilatation tuboplasty. Several studies showed that this is safe and in high percentage of cases successful method of treatment, however the indications for this type of surgery are not yet universally accepted.
{"title":"Classification, diagnosis and treatment of Eustachian tube dysfunction literature review","authors":"M. Makuszewska","doi":"10.5604/01.3001.0015.6179","DOIUrl":"https://doi.org/10.5604/01.3001.0015.6179","url":null,"abstract":"Introduction: The Eustachian tube (ET) is the anatomical structure that connects the middle ear with the nasopharynx. It is part of a system that, in addition to the already mentioned elements, also includes the soft palate. The functions of ET are pressure equalization, clearance of secretions and protection of the middle ear from sounds and reflux of secretions from the nasopharynx. Dysfunctions of ET are multifactorial, and the diagnostics is difficult due to lack of defined standards for assessing its function prior and post treatment. Aim: The aim of the study is the review of the publications concerning actual definitions and classification of ET dysfunctions, efforts of adopting unified criteria and methods of assessing its functions and ways of treatment. Material and methods: In the year 2015 classification was adopted which distinguish three subtypes of ET dysfunction: (1) dilatory ET dysfunction, (2) baro-challenge-induced, (3) patulous ET. Dilatory ET dysfunctions were further divided as follows: functional obstruction (most common), dynamic dysfunction and anatomical obstruction. The Eustachian Tube Dysfunction Questionnaire (ETDQ-7) enables the systematization of symptoms. Clinical assessment of the patient with ET dysfunction should include otoscopy or otomicroscopy, tympanometry, Rinnes and Webers tuning fork tests or pure tone audiometry, nasopharyngoscopy with visualization of ET orifice and opening. Other tests of assessment of ET functions like tubomanometry, sonotubomanometry and pressure chamber tests are useful research tools. Endoscopic evaluation of ET orifice should encompass the assessment of mucosa of the torus tubarius and ET as well as dynamic process of ET opening. In surgical treatment of functional obstructions of ET, the most common method is balloon dilatation tuboplasty. Several studies showed that this is safe and in high percentage of cases successful method of treatment, however the indications for this type of surgery are not yet universally accepted.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71286013","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 : 2021-11-18DOI: 10.5604/01.3001.0015.5228
P. Clarós, Régis Mbonimpaye, P. Clarós, C. Pujol, A. Clarós-Pujol
Introduction: Hearing rehabilitation after bilateral conductive deafness for middle ear atresia has different options. Osia OSI200 implant is a new type of implantable bone conduction hearing aid with a new technology that offers both acoustic and aesthetic advantages. Case report: In this paper, we report the first case of a Cochlear OsiaOSI200 implanted in Spain in a 44-year-old patient. He was affected by a bilateral conductive hearing loss due to a congenital bilateral ear malformation. Ear canal atresia and pinna malformation were noted on the left side as well as ossicular chain malformation on the right side. The surgical technique is described and the results are satisfying.
{"title":"A new CochlearTM Osia OSI200 Implantin Spain a case report","authors":"P. Clarós, Régis Mbonimpaye, P. Clarós, C. Pujol, A. Clarós-Pujol","doi":"10.5604/01.3001.0015.5228","DOIUrl":"https://doi.org/10.5604/01.3001.0015.5228","url":null,"abstract":"Introduction: Hearing rehabilitation after bilateral conductive deafness for middle ear atresia has different options. Osia OSI200 implant is a new type of implantable bone conduction hearing aid with a new technology that offers both acoustic and aesthetic advantages. Case report: In this paper, we report the first case of a Cochlear OsiaOSI200 implanted in Spain in a 44-year-old patient. He was affected by a bilateral conductive hearing loss due to a congenital bilateral ear malformation. Ear canal atresia and pinna malformation were noted on the left side as well as ossicular chain malformation on the right side. The surgical technique is described and the results are satisfying.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49281672","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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