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Biomedical subjects

J Pietruski

Publications and source records attributed to J Pietruski.

At least 19 recordsLinked to original sources

[Magnetic stimulation of the facial nerve: a new testing method].

Magnetic stimulation (MST) is the new method electrodiagnostic testing. The motor nerves are contrally stimulated proximally to the pathology. This technique enables to evaluate the function of the facial nerve immediately after onset. It can also be used to evaluate the function of the facial nerve in Bell's palsy. The technique is absolutely painless. The results suggest that MST provides a sensitive data of evaluation of facial palsy and will be a very valuable prognostical test.

Equipment Design

[Some remarks concerning the treatment of the conductive hearing loss].

The author points out a decrease tendency in using middle ear reconstruction surgery due to the development and the accessibility of hearing aids. Such an attitude inevitably leads to ordering hearing aids especially air conductive ones in cases which ought to be operated. The author thus wants to underline the fact that bone conductive hearing aids are very rarely recommended, even though the should be used more often. He also recommends a precise analysis of one's unsuccessful surgical results as a method of gaining skills and proficiency. The author also points out the fact that one should never neglect quoting native bibliography.

Bone Conduction

[Facial palsy in Equatorial Africa].

The author presents the analysis of 29 cases of facial palsy collected in Shaba, Zaire (former Katanga, Belgian Congo) between 1984-1988 in the region called Copperbelt. Because to date there has been no work done on these problems in this part of Africa, it would be interesting to present a short report. Patients with facial palsy came to the ENT Department mostly for other reasons, and very late. Only 5 patients came before 3 mos after the onset. The different etiologies were as follows: 2--post traumatic, 7--otogenic, 9--tumors, 4--iatrogenic, 6--Bells palsy, 1--other. The assessment, comparison and the treatment of such cases in an underdeveloped country is very difficult or almost impossible. The small number of cases is insufficient for any conclusions, but the author tried to get some data, which would be a starting point in the future researches.

Adolescent

[Lucja Frey (1889-1943) in the 50th anniversary of her tragic death and 70th anniversary of the auriculotemporal syndrome].

Lucja Frey was a Polish neurologist born and lived in Lwów, former east Polish town, and died during the war in Lwów's ghetto. In 1923 she described the auriculo-temporalis syndrome, at present well known all over the world. But personality and history of the extraordinary Polish scientist remains obscure. The aim of this paper is to present her silhouette. Because a great number of Polish scientists are also not known abroad, the authors tried to explain the causes of their absence in the world bibliography.

History, 19th Century

[Treatment of facial spasm with botulinum toxin].

Facialis spasmus (FS) is a chronic hyperkinesia primarily affecting patients in the 5th and 6th decades. Only muscles innervated by the facial nerve (FN) are involved. In the beginning there are only slight jerks, mostly in the region of the eyelid. In due course all facial muscles get involved. Spasms are worse when the patient is anxious, watching TV, working, driving and then restrict social activities. Because the etiology has not been known, a lot of methods of surgical and medical treatment were unsuccessful. Recently the cause has been clarified: FS is though to be caused by an irritation of this nerve by a blood vessel. The condition can be cured by an operation to separate the nerve and blood vessel. If an operation is thought to be inappropriate, treatment of FS may be with botulinum toxin (BT). BT is used in very small doses (nanograms), and is injected in the area of the muscle that is affected. This weakens the muscle and helps to prevent a spasm.

Blepharospasm

[Laryngeal cancer and the history of laryngeal diseases and other diseases].

The diseases of larynx carcinoma suffered by 150 patients in the course of their all lives has been analysed. The results have been compared with a control group (150 patients with non-neoplastic diseases). Infectious diseases and others were taken into consideration. The statistical analysis proves that 80% of patients with larynx carcinoma have not suffered from infectious or other diseases. 90% of patients with non-neoplastic diseases have suffered from infectious or other diseases.

Adolescent