Biomedical subjects
Publications and source records attributed to E Czecior.
In the paper by the case of glomus caroticum malignum of a woman aged 54 was presented. The tumor was taken out operatively without any difficulties by splitting mandibulae and cutting the muscles of the mouth bottom with wide exposure of the parapharyngeal space. This way of operations is considered and proved us a practicable method concerning the localization of the tumor.
The authors present hand support for nasal endoscopy and functional endonasal surgery which prevents fatique of the surgeons hand during operation. The advantages of this device are that it provides precession and shorten time of operation.
A four cases of sigmoid sinus thrombosis due to chronic exacerbated otitis media were presented. In all patients surgical intervention involved a radical mastoidectomy and exposure of the sinus. In two cases sigmoid sinus was incised and the internal jugular vein ligated. In the two others, sinus was only needled. A high dosages of antibiotics were administered parenterally. All patients were discharged in good state of heals.
The three cases of simultaneous reconstruction after some partial laryngectomies in patients with laryngeal cancer were presented. The indications to those operations were defined and the surgical technique was introduced. The important advantages from this technique was pointed out. Also a very good functional results and possibility of early extubation were emphasized. The possibility of some postoperative complications after this reconstruction were suggested. Based on our experience and literature the procedure was found as a good and useful surgical method.
Sternocleidomastoid myocutaneous flaps have been used for reconstructive procedures in 6 oncologic patients. In two of them, flaps were used after pharyngolaryngectomy. Healing was successful and feeding tube removed 14 days after operation. In the other cases, flaps was used for reconstruction of defects of the floor of mouth tongue and lateral wall of pharynx. The flap healed primarily in three out of four cases. All patients underwent radiotherapy.
The case of skin defect reconstruction after pharyngolaryngectomy with simultaneous removal of cancer recidivism from tracheostomal region was presented. The method of preparation and suturing of the deltopectoral flap in place of skin defect was introduced. The defect after flap removal was covered by epidermis from the high. The simplicity of the procedure and high vitality of the flap, despite of the irradiation was emphasized.
In the paper by the authors the case of big size pleomorphic adenoma of the parapharyngeal space was presented. The tumors was taken out without any difficulties by transcervical approach with splitting mandibulae and cutting the muscles of the mouth bottom with wide exposure of the parapharyngeal space. This way of operations is considered and proved us a practicable method concerning the localization of the tumor.
The preliminary results of activity changes of antioxidant enzymes (glutathione peroxidase, catalase and superoxide dismutase) in erythrocyte in 19 patients with laryngeal cancer were presented. Enzymes activity in patients was signified three times: before surgery, before and after radiotherapy. During Co-60-therapy patients received leaven preparation of selenium CE-ROSEL in dose 100 micrograms Se/day. Obtained results showed increase of enzymes activity after CE-ROSEL supplementation. This changes are probably the result of selenium influence on protected mechanism before the free radicals.
The authors presented 11 cases of excessive and recurrent nose bleeding treated surgically in 2nd ENT Department. The vascular ligation of the internal maxillary artery or ethmoidal arteries was carried out. In the 3 years period of follow up no bleeding hasn't been reported.
The attention is paid to the frequently overlooked in clinical practice problem of diagnosis and strumectomy, in the light of literature data on peripheral nerve regeneration. The authors point to important causes of frequent failures in the treatment of such complications. They conclude that at the present level of knowledge, the only practical way to avoid the aforementioned complication is the change of surgical technique in routine strumectomy.
The possibility of appearance of the cancer during immunosuppressive therapy with Cyclosporine A following heart transplantation was pointed out in this paper. Herein was presented the case of the larynx cancer of 38 year old woman, two years after heart transplantation, during Cyclosporine A therapy. The most important informations for the laryngologists about medicine adverse reaction and eventual neck surgery was pointed out. The chemoprevention in those cases was purposed. The necessity of the cooperation between many specialists after organ transplantation was emphasized.
The authors presented 11 cases trauma to the larynx. Surgical treatment was applied. It dependent on kind of injury of the larynx and other organs. In 90% of cases the larynx was reconstructed and free passage obtained.
The authors present elbow support for endolaryngeal microsurgery. Which prevents fatigue of the surgeons arms during operation. The advantages of this device are that it provides precision and shorten time of operation.
Six patients with of frontal sinus was presented. The causes of injury, diagnostic methods and treatment based of our and other authors experience was compared.
A rare case of secondary bleeding of commune carotid artery after total laryngectomy and elective neck dissection was presented. After second hemorrhage artery prosthesis was applied. One year later it was removed, due to obstruction of the artery. After ligature no neurological disorders was observed.
3 cases of tuberculosis of the larynx were presented in this paper. Provisional diagnosis was tumor of the larynx. Further specialistic investigations e.g. MDL and biopsy were done and revealed proper diagnosis tuberculosis of the larynx.
The authors present data on 46 cases of tumors of parotid gland treated in the IInd Department of Laryngology of Sl. AM. in the Zabrze city in years 1979 to 1988. The analysis of histopathological examinations of operated tumors and the principles of the parotid gland neoplasia has been presented.
The case of carcinoid of the larynx is presented. Attention is focused on the difficulties with establishing the diagnosis. The principles of treatment this kind of neoplasm are reported.