[Videolaryngostroboscopy of the larynx in patients after thyroid surgery].
The authors have presented the video of different stroboscopic pictures of the larynx in patients after thyroid gland surgery.
Biomedical subjects
Publications and source records attributed to D Szuber.
The authors have presented the video of different stroboscopic pictures of the larynx in patients after thyroid gland surgery.
The authors have presented methods of treatment in patients with recurrent laryngeal nerve paralysis after thyroid surgery including pharmacology, physiotherapy, phoniatric rehabilitation and phonosurgery.
The authors have presented results of otolaryngologic and phoniatric examination of 504 patients after thyroid surgery. 39 patients (7.74%) with recurrent laryngeal nerve paralysis were qualified for thorough phoniatric investigation.
Basing on the own material of 328 patients treated surgically the authors have presented the problem of submandibular space pathology. They have pointed out its interspecialty in diagnosing and treatment. Among 328 patients the presence of inflammatory tumors have been stated in 220 (67.1%) cases, non-specific inflammation in 194 (88.2%) patients and specific inflammation in 26 (11.8%) patients. Neoplasmatic tumors have occurred in 98 (29.9%) patients, malignant tumors in 78 (79.6%) patients and benign ones in 20 (20.4%) patients. Among malignant tumors metastatic ones were observed in 41 (52.6%) cases, while primary tumors in 37 (47.4%) cases. In 3.0% patients developmental anomaly have occurred.
The authors have presented the description of nasopharyngeal chordoma 28 years after the first diagnose and treatment with Co-60 application of this. Very slow, almost thirty years growth of the tumor has been noticed. The difficulties of the radical treatment, either radiotherapy or surgery have been pointed out in the case of clivus chordoma. The authors have presented too the long-term results of this very rare appearance tumor treatment, based on the review of the literature.
We have described a case of pneumolaryngocele (saccular cyst), which was occurred as a tumor on patient's neck only after performating by him Valsalva maneuver, so it looked like inflating a balloon. The tumor was visible about one hour and then gradually and very slowly disappeared (collapsed), what had approved existence of valve mechanism in a pedincule of the laryngocele. We believe that the valve mechanism offers a feasible explanation of the pathomechanism of laryngocele. Long laryngeal saccule obstructed by the valve mechanism (air can pass only in one direction) and changes of an air pressure in a respiratory tract can due to cystic dilation of the more superior part of the saccule and in consequence, it causes developing of laryngocele.
The authors have analyzed 148 cases with submandibular gland tumors treated surgically in ENT Department of County Hospital Nr 1 in Rzeszów from 1974 to 1994. Inflammatory tumors occurred in 123 (83%) patients, in this number non-specific inflammation caused by calculi occurred in 120 (97.5%) patients and specific inflammations (tuberculosis) in 3 (2.5%) ones. Neoplastic tumors occurred in 14 (56.0%) patients and non-malignant in 11 (44.0%) patients. Among malignant tumors adenoid cystic carcinoma occurs most frequently (8 cases, 57%), whereas among non-malignant ones pleomorphic adenoma is most frequent (10 cases, 91%).
Diseases of the orbital cavity require more attention because of its specific anatomic structure and placement. Their curing requires cooperation of many medical specialties. Analysis consider orbital fractures, mainly caused by car accidents (69.2%). The next half of them consider inflammatory processes and tumor in equal numbers. Malignant tumors of orbital cavity occur most frequently (48.0%), less frequent are pseudotumors--pseudotumor orbitae (36.0%) and rare--malignant ones (16.0%). Malignant tumors more frequently infiltrate the orbit in neighborhood (63.3%), less frequently they come out from orbit tissue (16.7%). It should be emphasized that the number of orbit inflammations decreases in subsequent years, whereas occurrence of orbit tumors increases.
Analysed material consists of 180 patients with different kind of submandibular triangle tumors, excluded disturbances of the submandibular gland. All these patients were treated in ENT Department of County Hospital No 1 in Rzeszów in 1974-1993. Among 180 patients in 97 (54%) cases, the presence of inflammatory tumors were stated: non specific inflammation in 74 (76%) patients and specific inflammation in 23 (24%) patients. In 10 (6%) patients occurred branchial or dermoid cysts. Neoplastic tumors occurred in 73 (40%), malignant tumors in 64 (86%) patients and benign ones in 9 (12%) patients. Among malignant tumors metastatic ones were stated 41 (64%) cases, while primary tumors in 23 (36%). The histology type of tumors were revealed by histology examination.