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Biomedical subjects

T Paśnikowski

Publications and source records attributed to T Paśnikowski.

13 recordsLinked to original sources

[Investigative findings on the reconstruction with tissue materials after partial laryngectomy].

Between 1987 and 1999--1289 patients were treated by surgery in the Department of Otolaryngology and Laryngologic Oncology PAM in Szczecin due to the cancer of the larynx. In this group total, eventual subtotal excision of the larynx was carried out in 801 cases. In 154 cases the phonation way was restored. In this study the remaining group of 502 patients was analysed, which underwent partial aiming at restoration of all basic functions of the larynx. In the mentioned group partial vertical laryngectomy was done in 176 cases, and partial horizontal laryngectomy in 326 cases. Larynx reconstruction with the use of tissue materials was carried out in 59 cases after vertical and in 88 cases after horizontal laryngectomy. Shortcomings and advantages of the method of various tissue application were discussed (cartilage of epiglottis, vasculary based pedicle flap of thyroid gland, submaxillary salivary gland, strap muscles among others were used).

Glottis↗

[Issues in total reconstruction of the auricle in microtia].

The author's personal experience with 83 cases of auricular construction is presented, as well as methods that have evolved through the last 3 decades. The details of reconstructive procedure are discussed. Advisability of external ear reconstruction in unilateral microtia is evaluated. The follow-up ranges from 2 to over 20 years. Major complications occurred in only 3% of cases and were limited to the perioperative period. The significance of the emotional and psychological benefits of the operation is emphasized. Photographic evidence is presented, too.

Adolescent↗

[External approach in cosmetic surgery of the nose].

The author described the external access technique in nasal cosmetic surgery. The advantages and inconveniences were discussed. Above 150 surgeries were performed. The authors experiences proved the usefulness of this method in secondary nasal plastics, in posttraumatic- and cleft deformities. The photo-documentations were presented. The main advantages of this method is the possibility of meticulous evaluation of the deformities under the eye control. The transversal cut through the nasal skin septum gave no visible scar and constitute no cosmetic problem. However, this technique must be applied only in difficult cases.

Esthetics↗

[Juvenile fibromas].

Explore the source record for details and available documents.

17-Hydroxycorticosteroids↗

[Skin neoplasms of the face--diagnosis and possibilities of surgical treatment].

Experiences are presented based on the observation and treatment by surgical methods of 360 patients with facial cutaneous carcinoma in a period of 16 years. The group comprised 57% men and 43% women. Over half the patients had the lesions situated on the nose. In the remaining cases the tumour developed on the cheek (19%), temple (11%), eyelids (6%), forehead (5%) and skin of the lips (3%). Particular therapeutic difficulties were encountered in cases of lesions situated in the medial angle of the palpebral fissure. In 3 cases extensive craniofacial resection with orbitectomy was done for advanced malignant lesions. In 71% of cases basal cell carcinoma was the cause, and in 29% spinocellular carcinoma was diagnosed. Metastases to regional lymph nodes removed during the operation were demonstrated in 16 cases, exclusively caused by spinocellular carcinoma. The problem of surgical safety margin and the main problems of reconstructive procedures in surgical treatment of facial cutaneous carcinoma are discussed.

Adult↗