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T Gierek

Publications and source records attributed to T Gierek.

At least 19 recordsLinked to original sources

[Laryngeal chondromas: review of the literature and report of three cases].

The authors present three cases of laryngeal chondroma. One of them was localized on the thyroid cartilage and on the cricoid cartilage in two cases. Direct laryngoscopy and biopsy make diagnosis. But it is not always easy to obtain an adequate biopsy sample from cartilaginous tumors because of their submucosal location and consistency. The radiological findings turned out to be very helpful in chondroma of the larynx. All our patients were treated surgically, one of them performed a partial laryngectomy, and two required a total laryngectomy. Laryngeal chondromas are very rare. As well a brief review of the literature is presented.

Aged↗

[Histological and clinical analysis of mesenchymal malignant neoplasms (soft tissue sarcomas) of head and neck region in the data of I ENT Department of Silesian Medical Academy].

Between the years 19890-1998 in I ENT Department of Silesian Medical Academy were treated surgically 15 patients suffering from soft tissue sarcomas of head and neck region. Patomorphological examination showed: fibrosarcoma (4 cases), haemangioendothelioma malignum (2 cases), rhabdomyosarcoma (2 cases), schwannoma malignum (2 cases), fibrohistiocytoma malignum (2 cases), tumor mixtus mesenchymalis (1 case), haemangiopericytoma malignum (1 case), extrasceletal osteosarcoma (1 case). Sarcomas were localised in paranasal sinuses (7 cases), orbita (5 cases), parapharyngeal space (1 case), parotid gland (1 case) and bucca (1 case). All those patients were treated surgically and most of them were irradiated postoperatively. The authors have presented the diagnostic and methods of treatment of soft tissue sarcomas. According to our experience and data of the literature the method of choice in treatment soft tissue sarcomas should consist of surgery and radiation therapy postoperatively.

Adolescent↗

[A contribution to the etiology of objective tinnitus: the case of arteriovenous fistula between the superficial artery and external jugular vein].

The authors have presented a very rare case of vascular anomaly in 51-years old female with an arteriovenous fistula between the frontal branch and parietal branch of superficial temporal artery and external jugular vein with simultaneously haemangioma cavernosum of temporal region. The clinical manifestation and the diagnosis of this anomaly are discussed with particular stress laid on the role of carotid arteriography which demonstrated the presence of this abnormal arterio-venous communication. Surgical treatment and its results are discussed also. The results of diagnostic and therapeutic procedures were compared with cases described in the literature.

Arteriovenous Fistula↗

[A rare case of the thyroid tissue in the right carotid triangle].

Authors have described a rare case of split of the thyroid tissue in the right carotid triangle in 41 years-old-man. They lay stress on difficulty with making right preoperative diagnosis. A growth in the right carotid triangle was surgically excised, and the microscopic examination of the specimen revealed thyroid tissue with collide goiter. Because this entity cannot be clinically distinguished from the others neck tumors, split of the thyroid tissue should be considered in the differential diagnosis.

Adult↗

[A rare case of multiple neoplasms of parotid gland: adenolymphoma and squamous cell carcinoma].

The authors have presented a very rare case of multiple primary neoplasms of parotid gland: adenolymphoma and squamous cell carcinoma. Primary multiple neoplasms and multifocal neoplasms are a very complex problem and therefore have been a topic of many articles. The authors describe mechanism of origin, frequency of occurrence, possibilities of diagnostics. The main reason of these neoplasms origin are simultaneously exposure of the tissue to damaging factors and special tissue sensitivity.

Adenolymphoma↗

[Antioxidant enzymes activity in patients suffering from laryngeal cancer].

The adequate activity of SOD, GPX and GR is a significant factor in oxidoreductation homeostasis maintaining. The attempt was made to estimate SOD, GPX, GR activity in full blood of 14 male patients suffering from laryngeal cancer (T2N0M0-T4N2M0). The studies were made before and in 8 and 16 week after the operation using RANDOX Company tests. The analysis of results proved that there were remarkable disorders of GR activity in comparison to a control group.

Antioxidants↗

[Use of argon coagulation in laryngology--personal experience].

In order to remove or destroy pathological changes of mucosa or control of bleeding in upper respiratory tract or in upper part of alimentary tract there are used various surgical technics including: electrocoaggulation, cryotherapy, laser-therapy. Argon plasma coagulation (APC) makes a new operative technique which is based on physical phenomenon of high frequency electric current flow through ionized argon plasma. There are several advantages of APC i.e.: no contact between applicator and tissue, no carbonization effect, possibility to control the application, large surface treatment. Authors present their own research in APC usage at 42 patients (age average 38.2, women 16, men 26). Estimating preliminary results of treatment APC can be described as an advantageous treatment method of nasal concha hypertrophy, nose bleeding (including Osler disease), nasal cavity polyps and pappilomas removal.

Adult↗

[Vascular compression syndrome of the vestibulocochlear nerve--otolaryngologic and radiologic diagnosis].

Vascular compression syndrome is the term used to classify a group of conditions though to be caused by the compression of cranial nerve by vessel. In the most cases the contact of vascular loop formed by the anterior inferior cerebellar artery (AICA) with the eight and facial nerve correlated with unilateral auditory symptoms or hemifacial spasms. The vascular compression syndrome of vestibulocochlear nerve in 8 patients treated in I ENT Clinic of Silesian Academy and MRI Department in Katowice was observed. All patients were otologic findings such as a tone audiometry, ENG, ABR and radiological diagnostics included MRI and angio MRI. The prospective analysis was performed. The results suggest that the unilateral sensorineural hearing loss, tinnitus, vestibular disorders and positive findings on magnetic resonance imaging are the most reliable evidence for the presence neurovascular compression syndrome of the eight cranial nerve. The MRI and otologic studies provided quite detailed information about topography of relationship between the blood vessels and cranial nerves in the crebellopontine cistern.

Adult↗

[Primary orbital tumors treated surgically in ENT department of Silesian Medical Academy in Katowice].

Primary tumours of orbital cavity are a difficult diagnostic and therapeutic problem from a borderline of ophthalmology, laryngology and neurosurgery. Particular anatomical relations of orbital cavity surrounded by paranasal sinuses, cranial cavity cause that it has become an interdisciplinary region and the best method of therapy is multispecialistic surgical treatment ("team approach"). In this article the classification and general symptomatology of orbital cavity primary tumours were presented. 37 patients suffering from primary orbital tumours were treated surgically in the ENT Department of Silesian Medical Academy in Katowice. The patients were aged from 23 (woman with neurosarcoma) to 73 (man with melanoma). All patients were treated surgically: 15 of them by orbital exenteration, 10 by lateral orbitotomy m. Kronlein-Reese-Berk, and 12 by canthotomy. Special attention was paid to possible postoperative complications.

Academic Medical Centers↗

[The assessment of beta 2-microglobulin concentration in blood serum in patients with radiotherapy-treated laryngeal carcinoma].

The authors present estimation of beta 2-microglobulin concentration in blood serum in patients suffering from laryngeal cancer treated with radiotherapy in the course of treatment and 3 years after. The initial concentration of beta 2-microglobulin in the blood serum was statistically significantly higher in comparison with the control group. A significantly higher initial concentration of beta 2-microglobulin was observed in the group of patients with the recurrence of cancer in relation to the group of patients without the recurrence of cancer both immediately and 3 years after radiotherapy.

Aged↗

[Hearing status after stapedectomy with preservation or cutting of stapedius tendon].

The authors analysed the influence of preservation or cutting of stapedius tendon during stapedotomy on postoperative hearing improvement. The material analysed was 110 operated ears, which were divided into two egual groups considering preservation or cutting of stapedius tendon. All operations were performed by the same surgeon using stapedotomy with tarflen prothesis. In all cases before and after operation there was performed tonal audiometry within a range from 0.5 to 4.0 kHz, speech audiometry with indication of speech reception threshold using mono-syllable test. The comparison of operation results did not show significant statistical differences between the studied groups of operated ears.

Adult↗

[The assessment of lateral orbitotomy by Krönlein-Reese-Berke in surgical treatment of primary non-malignant orbital tumors].

AIM: The assessment of lateral orbitotomy by Krönlein-Reese-Berke was made to evaluate the possibility of radical removal of primary orbital tumors, function of visual system and cosmetic effect after lateral orbitotomy. MATERIAL AND METHODS: The authors analysed a group of 14 patients treated for primary non-malignant orbital tumors. They were treated in I ENT Clinic of Silesian Medical Academy in Katowice surgically by Krönlein-Reese-Berke lateral orbitotomy. A control examination (after 3 years) performed in all 14 patients did not show recurrence of tumor, the motility of the eye ball and visual function was normal, cosmetic effect was good. CONCLUSIONS: We suggest that in the cases of primary non-malignant tumors localised in the lateral part of the orbita, orbitotomy by Krönlein-Reese-Berke is the optimal surgical approach.

Female↗

[Air conduction threshold values in expanded range of frequencies (250 Hz-18 kHz) in otologically normal persons as assessment of mobility hearing organ in presbycusis].

High-frequency hearing loss is most significant for the organ of hearing aging. Air conduction threshold measurements were taken in 4 groups (aged 31-40, 41-50, 51-60, 61-70 years) of otologically normal persons in expanded range of frequencies (250-18,000 Hz). The threshold of air conduction increase parallel to age and to pure tone frequency was stated.

Adult↗