Pub Date : 2021-10-21DOI: 10.5604/01.3001.0015.4246
Greta Berger, Vitaly Grinevych, A. Milewska, E. Tarasów
Cel: Celem niniejszej pracy jest ocena i porwnanie przebiegu ttnicy sitowej przedniej (ang. anterior ethmoid artery; AEAz lokalizacj grnego przyczepu wyrostka haczykowatego (ang. upper attachment of the uncinate proces; UAUP) oraz stopnipneumatyzacjii zmiennoci anatomicznej komrek czoowo-sitowych z przebiegiem naturalnego drenau zatoki czoowej w rekonstrukcjachwielopaszczyznowych (tj.: czoowej, osiowej i strzakowej) tomografii komputerowej (ang. Computed Tomography; CT).Metody: Przeprowadzono retrospektywne badanie anatomiczne i oceniono cznie 120 stron regionu czoowo-sitowegou 60 pacjentw. Wszystkie badania CT zostay wykonane przy uyciu 320-detektorowego aparatu Aquilion ONE CT scanner(Canon Medical Systems, Otawara, Japonia). Do wykonania analizy wykorzystano oprogramowanie Statistica 13, a za istotnestatystycznie uznano wyniki na poziomie p < 0,05.Wyniki: Najczciej wystpujcymi typami UP, biorc pod uwag kryteria Landsberga-Friedmana, byy typ III i typ II.Stwierdzono przewag wystpowania przebiegu naturalnego drenau zatoki czoowej przyrodkowo do grnego przyczepuwyrostka haczykowatego, tj. do przewodu nosowego rodkowego. rednia odlego midzy AEA i UAUP wynosiaokoo 9,73 mm i 9,16 mm, odpowiednio po prawej i po lewej stronie. Wystpowaa silna, dodatnia korelacja pomidzyodlegociami AEA-UAUP po obu stronach, tj. po lewej i po prawej stronie (p < 0,0500). Statystycznie istotne rnicewystpoway midzy odlegociami AEA-UAUP i SOEC, odpowiednio po prawej i po lewej stronie (p < 0,000). Zachodziaistotna statystycznie zaleno midzy obecnoci SOEC a pci, odpowiednio po lewej i po prawej stronie (p = 0,00576; p= 0,03567). Obserwowano istotne statystycznie rnice midzy obecnoci SAC a odlegoci AEA-UAUP po stronie prawej(p = 0,0414) oraz midzy obecnoci SBC a odlegoci AEA-UAUP po stronie prawej (p = 0,0416). Pneumatyzacj komrekczoowo-sitowych oceniano wedug klasyfikacji IFAC, tzn. najczciej spotykanymi typami byy: ANC, SOEC, SAC i SBC,a najrzadszymi SAFC i SBFC.Wnioski: Ocena lokalizacji UAUP dostarcza wiarygodnych informacji na temat przebiegu naturalnego drenau zatoki czoowej.Najczciej wystpujcy typ UP, tj.: I, II i III, wspistnieje z przebiegiem drenau zatoki czoowej przyrodkowo do grnegoprzyczepu wyrostka haczykowatego. Zwikszona pneumatyzacja (tzn. obecno: SACs, SBCs, SOECs) ma istotny statystyczniewpyw na odlego midzy ttnic sitow przedni a grnym przyczepem wyrostka haczykowatego (AEA-UAUP).Wysoki stopie pneumatyzacji w okolicy czoowo-sitowej cechuje przewaga wystpowania midzy pciami, tj. SOECs sczciej spotykane w populacji mczyzn.
目的：本研究的目的是评估和比较现场重建中筛前动脉（AEAz）和钩突上附着物（UAUP）的位置，以及动物筛细胞的雾化程度和解剖变异性与动物筛窦自然引流的过程计算机断层扫描（CT）。方法：进行回顾性解剖检查，估计患者60个部位的120侧。所有CT检查均使用320探测器Aquilion ONE CT扫描仪（佳能医疗系统，日本大田原）进行。使用Statistica 13软件进行分析，结果为p＜0.05。结果：考虑到Landsberg Friedman标准，最常见的UP类型为III型和II型。即至中鼻道。AEA和UAUP之间的平均距离在右侧和左侧分别为9.73mm和9.16mm。AEA-UAUP番茄左右两侧的距离呈强正相关（p＜00500）。AEA-UAUP和SOEC距离之间分别在右侧和左侧出现统计学显著差异（p＜0000）。在SOEC和pci存在之间，左侧和右侧的西部洪水具有统计学意义（第0.00576页；p=0.03567页）。在右侧SAC存在和AEA-UAUP距离之间观察到统计学上的显著差异（第0.0414页），在右侧SBC存在和AEA-UAUP距离（第0.0416页）。根据IFAC分类，即。最常见的副型有：ANC、SOEC、SAC和SBC，最罕见的是SAFC和SBFC。结论：UAUP位置的评估为混沌湾的自然排水过程提供了可靠的信息。最常见的UP类型，即：i、II和III，随着混乱窦引流到骨阑尾的过程而自然攀升。通气性增加（即目前的SACs、SBCs、SOECs）对ttnic前筛和钩附件（AEA-UAUP）的松散拖车之间的距离有统计学上的显著影响。动物园筛网区域的高通气率的特征是主要发生在棘突之间，即SOECs在雄性群体中更常见。
{"title":"Analiza stopnia pneumatyzacji regionuczoowo-sitowego, anatomiczne wskazwkidotyczce drenau i leczenia chirurgicznegozatoki czoowej","authors":"Greta Berger, Vitaly Grinevych, A. Milewska, E. Tarasów","doi":"10.5604/01.3001.0015.4246","DOIUrl":"https://doi.org/10.5604/01.3001.0015.4246","url":null,"abstract":"Cel: Celem niniejszej pracy jest ocena i porwnanie przebiegu ttnicy sitowej przedniej (ang. anterior ethmoid artery; AEAz lokalizacj grnego przyczepu wyrostka haczykowatego (ang. upper attachment of the uncinate proces; UAUP) oraz stopnipneumatyzacjii zmiennoci anatomicznej komrek czoowo-sitowych z przebiegiem naturalnego drenau zatoki czoowej w rekonstrukcjachwielopaszczyznowych (tj.: czoowej, osiowej i strzakowej) tomografii komputerowej (ang. Computed Tomography; CT).Metody: Przeprowadzono retrospektywne badanie anatomiczne i oceniono cznie 120 stron regionu czoowo-sitowegou 60 pacjentw. Wszystkie badania CT zostay wykonane przy uyciu 320-detektorowego aparatu Aquilion ONE CT scanner(Canon Medical Systems, Otawara, Japonia). Do wykonania analizy wykorzystano oprogramowanie Statistica 13, a za istotnestatystycznie uznano wyniki na poziomie p < 0,05.Wyniki: Najczciej wystpujcymi typami UP, biorc pod uwag kryteria Landsberga-Friedmana, byy typ III i typ II.Stwierdzono przewag wystpowania przebiegu naturalnego drenau zatoki czoowej przyrodkowo do grnego przyczepuwyrostka haczykowatego, tj. do przewodu nosowego rodkowego. rednia odlego midzy AEA i UAUP wynosiaokoo 9,73 mm i 9,16 mm, odpowiednio po prawej i po lewej stronie. Wystpowaa silna, dodatnia korelacja pomidzyodlegociami AEA-UAUP po obu stronach, tj. po lewej i po prawej stronie (p < 0,0500). Statystycznie istotne rnicewystpoway midzy odlegociami AEA-UAUP i SOEC, odpowiednio po prawej i po lewej stronie (p < 0,000). Zachodziaistotna statystycznie zaleno midzy obecnoci SOEC a pci, odpowiednio po lewej i po prawej stronie (p = 0,00576; p= 0,03567). Obserwowano istotne statystycznie rnice midzy obecnoci SAC a odlegoci AEA-UAUP po stronie prawej(p = 0,0414) oraz midzy obecnoci SBC a odlegoci AEA-UAUP po stronie prawej (p = 0,0416). Pneumatyzacj komrekczoowo-sitowych oceniano wedug klasyfikacji IFAC, tzn. najczciej spotykanymi typami byy: ANC, SOEC, SAC i SBC,a najrzadszymi SAFC i SBFC.Wnioski: Ocena lokalizacji UAUP dostarcza wiarygodnych informacji na temat przebiegu naturalnego drenau zatoki czoowej.Najczciej wystpujcy typ UP, tj.: I, II i III, wspistnieje z przebiegiem drenau zatoki czoowej przyrodkowo do grnegoprzyczepu wyrostka haczykowatego. Zwikszona pneumatyzacja (tzn. obecno: SACs, SBCs, SOECs) ma istotny statystyczniewpyw na odlego midzy ttnic sitow przedni a grnym przyczepem wyrostka haczykowatego (AEA-UAUP).Wysoki stopie pneumatyzacji w okolicy czoowo-sitowej cechuje przewaga wystpowania midzy pciami, tj. SOECs sczciej spotykane w populacji mczyzn.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48516900","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 : 2021-10-21DOI: 10.5604/01.3001.0015.4247
Anna Długosz-Karbowska, W. Smółka, M. Ciupińska-Kajor, J. Markowski
Introduction: Myoepithelioma (ME) is a benign tumour in 40% of cases located in the parotid gland, accounting for <11.5% of all salivary gland tumours. Myoepitheliomas arise from myoepithelial cells, which are present in major and minor salivary glands, but also lacrimal glands, breasts, and sweat glands. They are seen more often between the fourth and fifth decade of life, without sex predominance. Patients mainly complain about painless, slowly growing mass. MEs in CT are characterized as well-circumscribed small, unilocular, round tumours with smooth or lobulated contours; they may contain enhancing nodules and non-enhancing areas and exhibit homogeneous signal intensities or densities based on MRI. Deep lobe parotid tumours may occasionally grow along the stylomandibular tunnel into the parapharyngeal region resembling dumbbell shape. Tumours of the parapharyngeal space are rare and account for 0.50.8% of all head and neck tumours. Patients have an intraoral mass or asymmetry of the palate, with difficulties in swallowing or phonation. Operative removal with capsule preservation is the treatment of choice. The approach depends on the size of the tumour: cervical, transoral, transparotid, mandibular osteotomy approach or a combination of these. MEs may be locally aggressive, especially in long-standing tumours or in tumours with multiple recurrences. Case report: The authors present two cases of myoepithelioma in the parapharyngeal space.
{"title":"Myoepithelioma in the parapharyngeal space report of two cases and review of literature","authors":"Anna Długosz-Karbowska, W. Smółka, M. Ciupińska-Kajor, J. Markowski","doi":"10.5604/01.3001.0015.4247","DOIUrl":"https://doi.org/10.5604/01.3001.0015.4247","url":null,"abstract":"Introduction: Myoepithelioma (ME) is a benign tumour in 40% of cases located in the parotid gland, accounting for <11.5% of all salivary gland tumours. Myoepitheliomas arise from myoepithelial cells, which are present in major and minor salivary glands, but also lacrimal glands, breasts, and sweat glands. They are seen more often between the fourth and fifth decade of life, without sex predominance. Patients mainly complain about painless, slowly growing mass. MEs in CT are characterized as well-circumscribed small, unilocular, round tumours with smooth or lobulated contours; they may contain enhancing nodules and non-enhancing areas and exhibit homogeneous signal intensities or densities based on MRI. Deep lobe parotid tumours may occasionally grow along the stylomandibular tunnel into the parapharyngeal region resembling dumbbell shape. Tumours of the parapharyngeal space are rare and account for 0.50.8% of all head and neck tumours. Patients have an intraoral mass or asymmetry of the palate, with difficulties in swallowing or phonation. Operative removal with capsule preservation is the treatment of choice. The approach depends on the size of the tumour: cervical, transoral, transparotid, mandibular osteotomy approach or a combination of these. MEs may be locally aggressive, especially in long-standing tumours or in tumours with multiple recurrences. Case report: The authors present two cases of myoepithelioma in the parapharyngeal space.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71286138","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 : 2021-10-21DOI: 10.5604/01.3001.0015.5920
A. Kierzek
Samuel Lehm (1879-1954), a Jewish doctor from Lvov, graduated from the Faculty of Medicine at the Jan Kazimierz University in Lvov, received his medical diploma in 1909. He was a doctor of the Otolaryngology Clinic and the ENT Clinic of this University. During the First World War he served in the Austro-Hungarian army. After the First World War he was an active ENT specialist in Lvov and a member of the Polish Society of Otolaryngology. After the Second World War, he lived in Krakw. His son Stanisaw Lem (1921-2006) was a famous Polish science fiction writer, philosopher, futurologist, literary critic and also doctor. Samuel Lehm was involved in various cases related to otorhinolaryngology, including: monocytic angina, membranous septum of larynx, laryngeal papillomas, purulent parotitis, but most of all scleroma.
{"title":"Otorhinolaryngological achievements of Samuel Lehm (18791954)","authors":"A. Kierzek","doi":"10.5604/01.3001.0015.5920","DOIUrl":"https://doi.org/10.5604/01.3001.0015.5920","url":null,"abstract":"Samuel Lehm (1879-1954), a Jewish doctor from Lvov, graduated from the Faculty of Medicine at the Jan Kazimierz University in Lvov, received his medical diploma in 1909. He was a doctor of the Otolaryngology Clinic and the ENT Clinic of this University. During the First World War he served in the Austro-Hungarian army. After the First World War he was an active ENT specialist in Lvov and a member of the Polish Society of Otolaryngology. After the Second World War, he lived in Krakw. His son Stanisaw Lem (1921-2006) was a famous Polish science fiction writer, philosopher, futurologist, literary critic and also doctor. Samuel Lehm was involved in various cases related to otorhinolaryngology, including: monocytic angina, membranous septum of larynx, laryngeal papillomas, purulent parotitis, but most of all scleroma.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71285828","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 : 2021-10-21DOI: 10.5604/01.3001.0015.4248
Krzysztof Kowalik, A. Modrzejewski, Konrad Kaźmierczak
Introduction: Paraganglioma is a rare, usually benign neoplasm originating from the carotid bodies and belonging to a large group of head and neck tumors. It is characterized by slow growth and varied clinical manifestations, often remaining asymptomatic for a long time. Case report: We present a case of a 19-year-old male patient with carotid body tumor who developed a postoperative left cerebral infraction.
{"title":"Cerebral infarction as a postoperative\u0000complication of a resection paraganglioma\u0000– a case report","authors":"Krzysztof Kowalik, A. Modrzejewski, Konrad Kaźmierczak","doi":"10.5604/01.3001.0015.4248","DOIUrl":"https://doi.org/10.5604/01.3001.0015.4248","url":null,"abstract":"Introduction: Paraganglioma is a rare, usually benign neoplasm originating from the carotid bodies and belonging to a large group of head and neck tumors. It is characterized by slow growth and varied clinical manifestations, often remaining asymptomatic for a long time. \u0000Case report: We present a case of a 19-year-old male patient with carotid body tumor who developed a postoperative left cerebral infraction.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48992397","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 : 2021-05-27DOI: 10.5604/01.3001.0014.9010
B. Kamiński, Dorota Millak-Wojtan, Zbigniew Guzera
IgG4-related disease (IgG4-RD) is an immune-mediated disease condition that can affect almost any organ, including the head and neck. It is a chronic, systemic inflammation of unknown etiology. Tumor formation is the most common clinical symptom. Any tumor in the head and neck area is always a concern for an otorhinolaryngologist, head and neck surgeon, that we are dealing with malignant neoplastic growth. Ultrasound imaging, computer tomography, magnetic resonance imaging and even fine needle aspiration biopsy usually do not exclude neoplastic hyperplasia. Only open biopsy or excision biopsy followed by histopathological examination suggest the diagnosis of IgG4-RD, which requires further diagnosis, mainly serological. The authors present the most common IgG4-RD in the head and neck area, diagnostic criteria and their differentiation from apparently similar diseases.
{"title":"Manifestations of IgG4-related disease in the head and neck","authors":"B. Kamiński, Dorota Millak-Wojtan, Zbigniew Guzera","doi":"10.5604/01.3001.0014.9010","DOIUrl":"https://doi.org/10.5604/01.3001.0014.9010","url":null,"abstract":"IgG4-related disease (IgG4-RD) is an immune-mediated disease condition that can affect almost any organ, including the head and neck. It is a chronic, systemic inflammation of unknown etiology. Tumor formation is the most common clinical symptom. Any tumor in the head and neck area is always a concern for an otorhinolaryngologist, head and neck surgeon, that we are dealing with malignant neoplastic growth. Ultrasound imaging, computer tomography, magnetic resonance imaging and even fine needle aspiration biopsy usually do not exclude neoplastic hyperplasia. Only open biopsy or excision biopsy followed by histopathological examination suggest the diagnosis of IgG4-RD, which requires further diagnosis, mainly serological. The authors present the most common IgG4-RD in the head and neck area, diagnostic criteria and their differentiation from apparently similar diseases.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"10 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2021-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71284927","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 : 2021-05-27DOI: 10.5604/01.3001.0014.8999
Maria Molga-Magusiak, Piotr Chęciński, J. Nyckowska
Wstęp: Przewlekłe zapalenie ślinianki przyusznej jest chorobą o etiologii wieloczynnikowej. Przyczyną jest najczęściej zwężenie światła przewodów wyprowadzających przez zalegający złóg. Na tle zmian obturacyjnych oraz toczącego się procesu zapalnego może dochodzić do powstawania torbieli retencyjnych. Opis przypadku: W opisanym przypadku u 56-letniego pacjenta doszło do masywnego wielotorbielowatego rozrostu ślinianki na tle kamiczego przewlekłego zapalenia, w którym jedyną skuteczną metodą leczenia była parotidektomia całkowita. Omówiono metody leczenia i model postępowania w przewlekłym zapaleniu przyusznicy.
{"title":"Mnogie sialocele przyusznicy w przebiegu przewlekłego zapalenia – opis przypadku","authors":"Maria Molga-Magusiak, Piotr Chęciński, J. Nyckowska","doi":"10.5604/01.3001.0014.8999","DOIUrl":"https://doi.org/10.5604/01.3001.0014.8999","url":null,"abstract":"Wstęp: Przewlekłe zapalenie ślinianki przyusznej jest chorobą o etiologii wieloczynnikowej. Przyczyną jest najczęściej zwężenie światła przewodów wyprowadzających przez zalegający złóg. Na tle zmian obturacyjnych oraz toczącego się procesu zapalnego może dochodzić do powstawania torbieli retencyjnych. \u0000Opis przypadku: W opisanym przypadku u 56-letniego pacjenta doszło do masywnego wielotorbielowatego rozrostu ślinianki na tle kamiczego przewlekłego zapalenia, w którym jedyną skuteczną metodą leczenia była parotidektomia całkowita. Omówiono metody leczenia i model postępowania w przewlekłym zapaleniu przyusznicy.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"10 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2021-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71284916","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 : 2021-05-19DOI: 10.5604/01.3001.0014.8911
Michał Leszczyński, Daniel Majszyk
Medullary thyroid carcinomas make up 9,4% of all cancers of the thyroid gland [1]. We can divide them into sporadic and familial form. Sporadic forms are most common. The rest of medullary thyroid carcinomas are familial forms which in most cases are associated with MEN2a and MEN2b syndromes. If neoplasm is associated with MEN2a or MEN2b syndromes, other tumors can occur: pheochromocytoma or adenomas of parathyroids glands. Medullary thyroid carcinoma typically occurs as a solid tumor in the thyroid region of the neck. It can produce also: pain in thyroid region, dysphagia, hoarseness, cervical lymphadenopathy. These symptoms are caused by infiltration of adjacent tissues by neoplasm and by metastases to cervical lymph nodes. It is very rare that there is no tumor in the thyroid region, when a patient complains about signs associated with infiltration of the tumor, but in some cases lymphadenopathy can be the first sign of medullary thyroid carcinoma [2]. Rarer than that there is no tumor in thyroid gland visualized in CT scans when there are signs of cervical lymphadenopathy. In this case report we present the patient with metastases of the medullary thyroid carcinoma to the neck and no other findings in physical examination and additional testing.
{"title":"Unusual case of medullary thyroid cancer","authors":"Michał Leszczyński, Daniel Majszyk","doi":"10.5604/01.3001.0014.8911","DOIUrl":"https://doi.org/10.5604/01.3001.0014.8911","url":null,"abstract":"Medullary thyroid carcinomas make up 9,4% of all cancers of the thyroid gland [1]. We can divide them into sporadic and familial form. Sporadic forms are most common. The rest of medullary thyroid carcinomas are familial forms which in most cases are associated with MEN2a and MEN2b syndromes. If neoplasm is associated with MEN2a or MEN2b syndromes, other tumors can occur: pheochromocytoma or adenomas of parathyroids glands. Medullary thyroid carcinoma typically occurs as a solid tumor in the thyroid region of the neck. It can produce also: pain in thyroid region, dysphagia, hoarseness, cervical lymphadenopathy. These symptoms are caused by infiltration of adjacent tissues by neoplasm and by metastases to cervical lymph nodes.\u0000It is very rare that there is no tumor in the thyroid region, when a patient complains about signs associated with infiltration of the tumor, but in some cases lymphadenopathy can be the first sign of medullary thyroid carcinoma [2]. Rarer than that there is no tumor in thyroid gland visualized in CT scans when there are signs of cervical lymphadenopathy.\u0000In this case report we present the patient with metastases of the medullary thyroid carcinoma to the neck and no other findings in physical examination and additional testing.\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"49 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2021-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71284855","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 : 2021-03-31DOI: 10.5604/01.3001.0014.7909
K. Zwierzyńska, T. Gotlib, K. Niemczyk
Introduction: AIDS is a fatal disease that impairs the immunity, increasing the risk of developing opportunistic infections. Case report: We present a case of a 47-year-old patient from the ER, with bleeding from a tongue tumor. The patient reported that he had lost 25 kg in about six months and complained of swallowing disorders. HIV infection was confirmed in the patient during the diagnosis. The inflammatory tumor of the tongue was the only manifestation of HIV infection.
{"title":"Inflammatory tumor of the base of the tongue as a clinical presentation of HIV infection","authors":"K. Zwierzyńska, T. Gotlib, K. Niemczyk","doi":"10.5604/01.3001.0014.7909","DOIUrl":"https://doi.org/10.5604/01.3001.0014.7909","url":null,"abstract":"Introduction: AIDS is a fatal disease that impairs the immunity, increasing the risk of developing opportunistic infections. Case report: We present a case of a 47-year-old patient from the ER, with bleeding from a tongue tumor. The patient reported that he had lost 25 kg in about six months and complained of swallowing disorders. HIV infection was confirmed in the patient during the diagnosis. The inflammatory tumor of the tongue was the only manifestation of HIV infection.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71284576","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 : 2021-03-31DOI: 10.5604/01.3001.0014.8514
J. Wysocki
COVID-19 manifests itself in a wide spectrum of clinical symptoms, both in terms of their variety and severity. It can be asymptomatic or abortive, mild, moderate, severe and lightning, as septic with multiple organ failure and shock Typical leading symptoms of COVID-19 are: high fever poorly responding to drugs, severe loss of strength, chest pain, dyspnoea, pain headaches, bone and joint pain and muscle pain, until the onset of acute respiratory distress syndrome (ARDS). However, many publications mention among the possible symptoms also others, not related to the involvement of the lower respiratory tract. These are gastrointestinal disorders, damage to the central and peripheral nervous system, catarrh of the upper respiratory tract and dysfunctions of the sensory organs. The aim of this literature review was to determine the frequency of various head and neck dysfunctions that are part of COVID-19. Symptoms of conjunctivitis, nasal mucosa, pharynx and larynx are reported by about of patients, but they do not always occur at the same time, as in infections caused, for example, by rhinoviruses. Anosmi / hyposmia or ageusia / hypogeusia occur with a similar frequency. Symptoms of damage to the equilibrium system, such as dizziness, are reported by approx. 1/3, vertigo and hearing loss approx. 5-6%, tinnitus approx. 10% of patients. Reports of coexistence with COVID-19 of peripheral paresis of the facial nerve are so far relatively few and often included in the neurological disorders, the frequency of which is also about 1/3 of COVID-19 cases. Importantly, both catarrhal symptoms and the others listed here may precede, co-occur or follow the appearance of the leading symptoms of COVID-19. They can also be the only symptoms of this disease. This should prompt otorhinolaryngologists to be particularly vigilant in this regard
{"title":"Otorhinolaryngological manifestations of COVID-19","authors":"J. Wysocki","doi":"10.5604/01.3001.0014.8514","DOIUrl":"https://doi.org/10.5604/01.3001.0014.8514","url":null,"abstract":"COVID-19 manifests itself in a wide spectrum of clinical symptoms, both in terms of their variety and severity. It can be asymptomatic or abortive, mild, moderate, severe and lightning, as septic with multiple organ failure and shock Typical leading symptoms of COVID-19 are: high fever poorly responding to drugs, severe loss of strength, chest pain, dyspnoea, pain headaches, bone and joint pain and muscle pain, until the onset of acute respiratory distress syndrome (ARDS). However, many publications mention among the possible symptoms also others, not related to the involvement of the lower respiratory tract. These are gastrointestinal disorders, damage to the central and peripheral nervous system, catarrh of the upper respiratory tract and dysfunctions of the sensory organs. The aim of this literature review was to determine the frequency of various head and neck dysfunctions that are part of COVID-19. Symptoms of conjunctivitis, nasal mucosa, pharynx and larynx are reported by about of patients, but they do not always occur at the same time, as in infections caused, for example, by rhinoviruses. Anosmi / hyposmia or ageusia / hypogeusia occur with a similar frequency. Symptoms of damage to the equilibrium system, such as dizziness, are reported by approx. 1/3, vertigo and hearing loss approx. 5-6%, tinnitus approx. 10% of patients. Reports of coexistence with COVID-19 of peripheral paresis of the facial nerve are so far relatively few and often included in the neurological disorders, the frequency of which is also about 1/3 of COVID-19 cases. Importantly, both catarrhal symptoms and the others listed here may precede, co-occur or follow the appearance of the leading symptoms of COVID-19. They can also be the only symptoms of this disease. This should prompt otorhinolaryngologists to be particularly vigilant in this regard\u0000\u0000","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71284794","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 : 2021-03-31DOI: 10.5604/01.3001.0014.8604
A. Bruzgielewicz, R. Bartoszewicz, D. Kaczmarczyk, K. Niemczyk
The first woman with a doctor’s degree to practice in Poland was Anna Tomaszewicz-Dobrska (1854–1918). In Polish literature it is difficult to establish which of the women was the first to deal with diseases in the field of otorhinolaryngology. Pioneers in the specialty of otorhinolaryngology could be women who graduated from medical studies and completed “specialization” in clinics outside Poland or in Krakow, where the first department was established in Poland, and women were the first to have the opportunity to study medicine. In Poland, in 1925, out of 738 female doctors, only 4 of them dealt with diseases in the area of the head and neck, in 1938 21 women out of 2018 female doctors, and in 2020 out of 90.435 women, 1991 out of 3.378 doctors practicing the otorhinolaryngology. In Poland, Aleksandra Salomea Mitrinowicz-Modrzejewska was probably the first female otorhinolaryngologist who obtained her habilitation in 1947 and riched the title of professor in 1954. Until now, it has been established that only 27 women in Poland associated with otorhinolaryngology who have obtained the full professor title.
{"title":"Women in Polish otorhinolaryngology","authors":"A. Bruzgielewicz, R. Bartoszewicz, D. Kaczmarczyk, K. Niemczyk","doi":"10.5604/01.3001.0014.8604","DOIUrl":"https://doi.org/10.5604/01.3001.0014.8604","url":null,"abstract":"The first woman with a doctor’s degree to practice in Poland was Anna Tomaszewicz-Dobrska (1854–1918). In Polish literature it is difficult to establish which of the women was the first to deal with diseases in the field of otorhinolaryngology. Pioneers in the specialty of otorhinolaryngology could be women who graduated from medical studies and completed “specialization” in clinics outside Poland or in Krakow, where the first department was established in Poland, and women were the first to have the opportunity to study medicine. In Poland, in 1925, out of 738 female doctors, only 4 of them dealt with diseases in the area of the head and neck, in 1938 21 women out of 2018 female doctors, and in 2020 out of 90.435 women, 1991 out of 3.378 doctors practicing the otorhinolaryngology. In Poland, Aleksandra Salomea Mitrinowicz-Modrzejewska was probably the first female otorhinolaryngologist who obtained her habilitation in 1947 and riched the title of professor in 1954. Until now, it has been established that only 27 women in Poland associated with otorhinolaryngology who have obtained the full professor title.","PeriodicalId":52362,"journal":{"name":"Polish Otorhinolaryngology Review","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71285159","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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