Biomedical subjects
R Wysocki
Publications and source records attributed to R Wysocki.
[Improving surgical technics of typical and expanded horizontal epiglottic laryngectomy].
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[Mechanism of deglutition disorders after epiglottic laryngectomy].
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Urinary incontinence and the older adult.
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[Clinical experiences with desoximetasone preparations (Topisilon ointment, fatty ointment, lotion) in dermatologic disorders. 8-year study].
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[Comparison of alaryngeal speech after classical and surgical methods of rehabilitation].
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[Morphological and anatomical indicators of alaryngeal speech].
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Evaluation of student clinical performance.
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[Course of the pharyngeal phase of deglutition after horizontal laryngectomy with removal of the hyoid bone: radiocinematographic studies].
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Problems of lower airways protection in vocal shunts: roentgenocinematographic studies.
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Mechanism of swallowing following horizontal laryngectomy: a radiological study.
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[Failure to develop anti-D antibodies following unintentional immunization of a patient with an O Rh(-) blood group with blood belonging to the A Rh(+) group after surgery for ectopic pregnancy].
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[Roentgenokymographic analysis of pharyngeal and laryngeal movements following horizontal laryngectomy].
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[Food passage following supraglottic laryngestomy. Roentgenkymographic studies].
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[Protection of lower airways following horizontal laryngectomy. Roentgenokymographic studies].
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[Caffey's syndrome].
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Arytenoid vocal shunt in laryngectomized patients.
A method is presented for forming short, mucosa-lined vocal shunt in cases of supracricoid laryngectomy with preservation of one or two arytenoids, or the interarytenoid fold alone. On the basis of radiologic and particularly radiocinematographic examinationion of the anterior pharyngeal wall is of paramount importance. In cases of complete absence of leakage, said wall lies in the plane of the arytenoids or somewhat posteriorly. After simple supracricoid laryngectomy it is possible to prevent aspiration also by translocation of the anterior pharyngeal wall into the plane of the cricoid cartilage plate. The clinical experience with this supracricoid shunt is still scanty. Of 25 cases with the arytenoid vocal shunt, phonation was possible in 22 cases under the expiratory pressure of 20-45 cm H2O; in one under the more elevated pressure, and in the last two the result is still not known. Loudness of speech was 70-100 db and its comprehensibility 73-90 percent. Complete absence of leakage was observed in 17 cases, "practical" prevention of aspiration (some drops of thin fluids, no saliva) in seven cases, profuse leakage in one case (ceased after correction), In the last 10 consecutive cases the problem of aspiration was completely eliminated. Advantages and disadvantages of our own method in comparison with Asai's method have been presented.