[Prosthesis to reconstruction of transmissive system in the middle ear].
Authors have described prothesis to reconstruction of transmissive system in middle ear, which has received using patent no PL 54142 Y1.
Ear, Middle↗
Biomedical subjects
T Gierek
Publications and source records attributed to T Gierek.
[The use of the temporal fascia pedicle flap for the reconstruction of the posterior wall in the external auditory meatus and osteovit obliteration of the mastoid process in the surgical treatment of chronic cholesteatoma in otitis media].
The authors present the results of the treatment of 34 patients with chronic cholesteatomatous otitis media in whom the posterior wall of the external auditory meatus was reconstructed by remodelling the pedicel flap of the temporal fascia and by obliterating the mastoid process with Osteovit. The results of the operation were estimated with reference to the time of the postoperative cavity getting dry and compared with the control group of individuals in whom radical conservative operation was performed. The results proved that the epithelialization time was distinctly shorter and neither granulation nor otorrhea appeared during 24 months' observation.
Adolescent↗
[A rare case of multiple primary malignant neoplasms of parotid gland: fibrosarcoma and squamous cell carcinoma].
Primary multiple malignant neoplasms and multifocal neoplasms are a very complex problem and therefore have been a topic of many articles. The mechanism of origin, frequency of occurrence, co-existence of neoplasms in functionally similar organs (uterus, mammary gland), heredity, a possibility of diagnostic and therapy are the most interesting aspects. Frequency of multiple primary malignant neoplasms occurrence is about 2-8% and still increases. Pathogenesis of multifocal and multiple neoplasms has rarely been a subject of articles. A simultaneous exposure of a tissue to damaging factors and special tissue sensitivity are the main reasons for neoplasms origin in this group. The authors present a rare case of parotid gland multiple neoplasm: fibrosarcoma and squamous cell carcinoma, as well as discuss the diagnostics, therapy, and prognosis of multiple neoplasms.
Antineoplastic Agents↗
[Plastic tracheostomy tube of Luer's type].
The authors describe a plastic tracheostomy tube which has been accepted as the registered model No: PL 54620 Y1. The presented tube is applied in patients in I ENT Department of the Silesian Medical Academy in Katowice. The authors presented advantages of plastic tracheostomy tube.
Equipment Design↗
[Estimation of the scintigraphy, sialography and fine needle aspiration biopsy use in the diagnosis of the benign parotid gland neoplasms].
The aim of this study was to estimate diagnostic value of the scintigraphy, sialography and fine needle aspiration biopsy in the diagnosis of parotid gland nonmalignant neoplasms. Evaluation was performed on a 116-patient group with parotid gland nonmalignant neoplasms treated in 1st Department of Laryngology, Silesian Medical University in Katowice, Poland, from 1989 to 1995.
Adenoma, Pleomorphic↗
[Laryngocele].
Author present four cases of mixed laryngocoele. Planocellular carcinoma of larynx was recognized at one of the four patients after 17 months from the operation of laryngocoele. A rare case of bilateral laryngocoele described by the authors was found in a woman, who was operated on in 1981 because of the internal laryngocoele at the left side. She was reoperated in 1995 a mixed laryngocoele at the right side was removed.
Adult↗
[The use of x-ray microanalysis and transmission microscopy in studies of the chemical composition and ultrastructure of the microregions of precancerous tissues of the larynx].
The authors have presented the results of studies concerning the changes of chemical composition and ultrastructure of tissue microregions at patients with laryngeal precancerous states. Microanalytical studies were made using X-ray JEOL JSM 35 microprobe analyser. The chemical composition of laryngeal precancerous tissue taken from the patients and a control group was estimated. The results of studies were verified using X-ray PHILIPS XL-30 microanalyser. Studies of tissue ultrastructure changes were conducted using JOEL JEM 100 XC transmission microscope. Some heavy metals like, lead, cadmium, nickel, iron, copper and caesium were found in the tissue from larynx precancerous state. Further more, in analysed biologic material there were noticed various degenerative changes within stratified squamous epithelium.
Adult↗
[Device for controlling hemorrhage in the nasal cavity].
Authors describe a controlling device in a nasal haemorrhage which has been accepted as the registered model No: PL 52469-Y1. The presented device has been applied in many cases of nasal haemorrhage in patients in First Department of Laryngology of the Silesian University School of Medicine in Katowice.
Epistaxis↗
[The surgical treatment of just one thyroid tissue on the tongue due to massive bleeding].
The authors present a rare case of lingual ectopic thyroid in 22 year--old--woman. A massive bleeding from the tumor occurred several times and required an urgent surgical treatment. A tracheostomy and ligation of the right external carotid artery were performed prior the removal of the tumor which was removed by medial pharyngotomy. No complications were observed. A substitutive hormonal therapy was administered. Six months after the tracheostomy tube was removed.
Adult↗
[Comments on the clinical picture of Warthin's tumors].
The author present a clinical analysis of 23 cases of Warthin's tumor treated in the I Clinic of Otolaryngology Silesian Medical Academy in years 1982-1991. In 16 cases the tumor was localised in the superficial part of the parotid gland, in 3 cases a multifocus tumor was found. The Warthin's tumor in 3 patients was localised in the deep part of the parotid gland. In one patient the tumor was beyond the parotid gland.
Adenolymphoma↗
[The accuracy of fine needle aspiration biopsy (BAC) for pathomorphological diagnosis of head and neck neoplasms].
The authors present the results of fine needle aspiration biopsy in 58 patients with tumors of head and neck. Cytological and pathomorphological correlation was evaluated in all patients. The highest accuracy of cyto-pathomorphological was obtained in parotid gland tumors, both benign and malign, and in lymph nodes of the neck. The lowest accuracy was obtained in tumors of the orbit.
Biopsy, Needle↗
[Rare primary malignant orbital neoplasms treated surgically in the I Clinic of Otolaryngology of the Silesian Medical Academy in Katowice in the years 1992-1995].
14 patients suffering from primary orbital tumours were treated surgically in the Otolaryngological Department in Silesian Medical Academy in Katowice in the years 1992-1995. The patients were aged from 23 (woman with neurosarcoma) to 67 (woman with haemangioma). All patients were treated surgically: 8 of them by lateral orbitotomy m. Krönlein-Reese-Berk, 3 of them by orbital exenteration, and 3 of them by canthotomy. The author analysed 3 very rare cases of primary orbital malignant neoplasms: neurosarcoma, rhabdomyosarcoma and additionally I case with fibrosarcoma, osteosarcoma and chondrosarcoma simultaneously.
Adult↗
[Primary multiple neoplasms of the head and neck region].
Considering rareness of primary multiple neoplasms of head and neck region, the authors present 5 cases of different histopathological structure. The authors refer to etiopathogenetic factors and to treatment problems connected with the fact that next recognized neoplasms are, generally, more clinically advanced.
Adult↗
[The concentration of ferritin in blood serum of patients with neoplasms of the larynx and the maxillary-ethmoidal complex].
The increased level of ferritin is known as a nonspecific marker of inflammatory processes and neoplasms. A purpose of the article was to indicate concentration of ferritin in blood serum before treatment of 33 patients with cancer of larynx and 16 patients with malignant neoplasms of maxillo-ethmoid complex. The patients with cancer of larynx were characterized by significantly high level of ferritin in comparison to patients with malignant neoplasms of maxillo-ethmoid complex (p < 0.05) and to healthy people (p < 0.05) (respectively 241.9 +/- 154.9; 106.9 +/- 45.4 and 125.0 +/- 30.4 ng/ml). Contrary to patients with cancer of larynx patients with malignant neoplasms of maxillo-ethmoid complex did not differ in significant level of ferritin from healthy people. The concentration of hemoglobin in blood in both groups of patients was similar and was characteristically lower than values obtained in healthy people. The results achieved suggest that indicating of ferritin can be helpful while making a differentiation between cancer of larynx and malignant neoplasms of maxillo-ethmoid complex.
Aged↗
[The transseptal approach in transsphenoidal surgery of pituitary neoplasms].
The authors described the direct transseptal approach in transsphenoidal surgery for hypophyseal tumors. This route gives a good insight into the area of the sella. The above mentioned method is also less destructive to nasal structures in the nasal cavity, because preserves the anterior nasal septum. It is uniformity of actually views of rhinological school. 20 patients were operated using this method and none of them noticed the changes of nasal airway and the sense of smell.
Adult↗
[Primary adenoid carcinoma of the larynx and upper part of trachea].
The aim of this study is presentation of two cases primary adenoid cystic carcinoma in subglottic part larynx and upper part trachea. Both were treated by surgical resection with following radiotherapy. Observation period in one case without any recurrent signs and neoplasmatic dissemination is 16 years.
Aged↗
[Analysis of the results of hearing improvement after bilateral stapedectomy].
The authors present the results of hearing improvement in a group of 50 patients who underwent bilateral stapedotomy. For the estimation of hearing improvement after the surgery the following criteria were used: 1. a comparison of air and bone conduction thresholds before and after the surgery, 2. an airbone gap before and after the surgery according to Toss, 3. hearing improvement index and 4. bilateral hearing loss index.
Adolescent↗
[Evaluation of tympano-ossicular allografts in reconstructive surgery of the middle ear].
The results of 47 patients operated in I Clinic of Laryngology in Katowice was shown. They divided into two groups, depending on kind of allograft and type of reconstructive operation. In first group (25 patients) a total tympano-ossicular allograft had been applied. In second group (22 patients) implantation of eardrum with malleus handle and shaped incus allograft was performed. 39 patients operated by conventional method by using plastipor prosthesis served as a control. The functional results (mean values of pre and post operation air-bone gaps, and value of air-bone gap decrease) proved that the allograft application gave significantly better results in hearing improvement in comparison with a control.
Ear Ossicles↗