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Biomedical subjects

A Krzeski

Publications and source records attributed to A Krzeski.

At least 19 recordsLinked to original sources
PubMed2001

[Endoscopic intranasal microsurgery in the management of cerebrospinal fluid rhinorrhea].

The surgical management of cerebrospinal fluid rhinorrhoea has changed significantly after the introduction of functional endoscopic sinus surgery in the management of chronic rhinosinusitis. It gave the excellent visualization and atraumatic surgical technique in the management of eight cases of cerebrospinal fluid leaks treated in Department of Otolaryngology Medical University of Warsaw. Five of them were grafted with a pedicled middle turbinate mucosal flap. In the next three cases cerebrospinal fluid leaks came from sphenoid sinus and were stopped by free autograft of temporal fascia or abdominal fat. The indications and the advantages of the endoscopic management of cerebrospinal fluid leaks were discussed.

Cerebrospinal Fluid Rhinorrhea↗
PubMed2001

[The concentration of IgE antibodies in patients with cystic fibrosis].

The aim of the study was to evaluate the total IgE levels and correlation between total IgE concentration in CF and allergy rhinitis patients and in healthy donors, as well as estimation of the activity of some groups of allergens by measurement of specific IgE concentration. The purpose of the study was to estimate correlation between concentration of specific IgE and skin prick tests. The concentration of total and specific IgE was measured by immunoassay. The study groups contained 16 with CF and 10 with allergy rhinitis patients, the control group contain 15 healthy donors. The highest concentration of total IgE we noted in rhinitis subjects, statistically higher than in CF patients and in the control group. The analysis of the concentration of specific IgE showed that allergens as dermatophagoides, food and grasses are the most effective in CF patients. We did not found correlation between specific IgE level and skin prick tests.

Adolescent↗
PubMed2001

[Paranasal sinuses CT scans analysis of patients with cystic fibrosis].

Thirty patients with cystic fibrosis (CF) were diagnosed of the otolaryngological outpatient clinic, a part of Department of Otorhinolaryngology Medical Academy in Warsaw, in 1996-1998. The control group was formed by thirty patients with chronic rhinosinusitis (CRS). Computed tomography (CT) scans were estimated in all cases. Results showed, that inflammatory changes are more advanced in patients with cystic fibrosis than in patients with chronic rhinosinusitis. The high progression of inflammatory changes in patients with cystic fibrosis, observed in CT scans, caused: disturbed development of a frontal and maxillary sinuses, destruction of bony structures formed the lateral wall of the nasal cavity, medical bulging of the lateral nasal wall.

Adolescent↗
PubMed2000

[Evaluation of the results of surgical treatment of patient with paranasal sinusitis and cystic fibrosis].

30 patients diagnosed from cystic fibrosis in the Department of Otorhinolaryngology, the Medical University in Warsaw in 1996-1998 participated in this study. In whole group of patients the advanced inflammatory changes in paranasal sinuses were found. In 7 cases endoscopic surgery of paranasal sinuses has been performed. The follow up has been kept by 2 years. In 2 cases reappearance of symptoms and nasal polyps observed after few months post the operation. In the remaining number of patients we noticed the satisfactory result of the treatment and the improvement of the life quality. A good nasal patency and recovery od smell were gained.

Child↗
PubMed2000

[Classification of rhinosinusitis].

Rhinosinusitis is a multifactorial disease which has been variously defined by far. There is a strong need among all physicians to create a commonly accepted classification of rhinosinusitis, providing indications for an appropriate evaluation, diagnosis and treatment of the disease. The goal of this review is to present leading definitions of different forms of rhinosinusitis as well as classifications based on clinical findings, temporal considerations and the patophysiology of rhinosinusitis.

Acute Disease↗
PubMed1998

Chronic rhinosinusitis: relationship between the time of illness, extent of the disease process and results of surgical treatment.

The object of this study was to determine the relationship between the extent of the disease in the paranasal sinuses and the time of illness. The study included a group of 158 patients treated surgically because of CRS. The evaluation of the extent of the disease process was done according to Kennedy's classification. Statistical correlation between the time of the illness and the extent of the disease process was observed. It was shown that in the group of patients where the disease process was longer than 3 years, changes due to the disease were present on both sides in the ethmoid and dependent sinuses. A relationship was also proved between the time of the illness and the results of the surgical treatment. The patients having had the illness for less than 3 years had a complete recovery rate of 83%. However, those who were ill for over 3 years had only a 49% complete recovery rate.

Adolescent↗
PubMed1997

[Mucocele of the paranasal sinuses].

Twelve cases selected from the group of 123 chronic rhinosinusitis patients are presented in the paper. Severe headaches were noted as the most typical complaints of the clinical picture of the disease. The most cases were accompanied by rhinitis and paranasal sinusitis symptoms. The best diagnostic method of mucocele is MRI. The endoscopic sinus surgery is a safe and effective method of the treatment in a case of mucocele.

Adult↗
PubMed1994

[Laryngeal cancer: postop complications and possibilities of their correction].

The aim of the paper is to present the surgical methods applied in a 76 year old patient treated for carcinoma of the larynx. As an effect of the carried out total laryngectomy, extensive pharyngeal fistula occurred. The fistula was closed with myocutaneous flap which was pedunculated on double reversed pectoral major muscle. Due to lymphatic metastases surgical dissection of lymphatic system of the left side of the neck was performed 2 years after laryngectomy. During this operation the left common cervical artery was removed (Goretex graft). Next-cobaltotherapy was applied. After following 2 years the skin necrosis just over the flap occurred. It was caused by shirt collar pressure. Because of the major bleeding common cervical artery was oligated. During this procedure the frontal wall of the oesophagus was damaged and again pharyngeal fistula appeared. Attempts at closing it with flaps pedunculated on pectoral major muscle and trapezius muscle did not succeed. Finally fistula was closed with cylindric flap from the abdomen connected with the cutaneous flap from surrounding fistula tissues. Following recognition of this illness the patient had undergo nine consecutive, extensive operations. Ten years after diagnosis he is still alive and leads a life appropriate to his age.

Aged↗
PubMed1994

[The classification of nonallergic eosinophilic rhinitis and sinus].

Eosinophil granulocyte plays a crucial role in the pathogenesis of allergic and non-allergic upper and lower respiratory tract diseases. A number of diseases and syndromes of nonallergic mechanisms (non IgE mediated) with nose and sinus symptoms and the presence of eosinophilic cells have been described in the recent decade. The paper focuses on the discussion of the symptomatology and classification of such cases.

Age Factors↗
PubMed1994

[Indications and counterindications for topical corticosteroidotherapy].

This paper presents indications for topical corticosteroidotherapy in rhinitis and nasal polyps. The differential diagnosis including etiology and pathogenesis of diseases especially aspirin intolerance, are taken into consideration. The main indication for topical corticosteroidotherapy is local nasal eosinophilia. The authors everyday clinical practice help to establish considerations for the use of corticosteroids.

Adrenal Cortex Hormones↗
PubMed1994

[Classification of the rhinitis].

The development of differential diagnosis of rhinitis has multiplied their present classification. Generally, there are known two types of classifications: a) based on nasal cytology (Connell 1983); b) arising from clinical evaluations (Mygind 1985). Zeiger's work (1989) takes into consideration both types of classifications and describes them widely. This paper presents different methods used as background in contemporary classifications rhinitis.

Diagnosis, Differential↗
PubMed1994

[The usefulness of CT studies for the needs of endoscopic surgery of the nose and paranasal sinuses].

CT is very important diagnostic investigation before endoscopic nasal or paranasal sinuses surgery. It is basic procedure to establish indications and to make plan of the operation. The technic should take into consideration the clinical stage of the patients. The paper presents methodology of nasal and paranasal sinuses CT and describes the radiological anatomy of these regions.

Endoscopy↗
PubMed1994

[The role of the anterior ethmoid in pathogenesis of paranasal sinusitis].

Maxillary and frontal sinuses communicate with nasal cavity via very narrow and complicated clefts, which are the part of anterior ethmoid. Any disease changes in this area usually cause the obstruction of ventilation and drainage of these larger sinuses. Subsequently the inflammation can develop. Therefore these narrow clefts of anterior ethmoid hold the key position for normal function and the pathophysiology of larger paranasal sinuses. Accurate diagnosis of diseased areas and reestablishing sinus ventilation and drainage via natural ostia is the base of treatment of sinusitis.

Ethmoid Bone↗