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Tomasz Przewoźny

Publications and source records attributed to Tomasz Przewoźny.

11 recordsLinked to original sources
PubMed2006

Otitic hydrocephalus associated with lateral sinus thrombosis and acute mastoiditis in children.

The incidence of intracranial complications of acute otitis media (AOM) has decreased and the need for operative and medical treatment is declined during the antibiotic era. To describe pathognomonic signs, evaluation management, operative findings, clinical course and outcome of otitic hydrocephalus and lateral sinus thrombosis as complications of AOM and mastoiditis in pediatric patients. Two children, 9 and 13 years old, with the diagnosis of OH and TK and MRI findings are presented. Intracranial complications in children resulted from unsuccessful treatment of AOM, which led to acute mastoiditis and lateral sinus thrombosis. Both of the presented children had thrombus in their sigmoid sinus preoperatively, demonstrated by MRI, causing decreased blood flow. Both patients underwent a mastoidectomy and delamination of sigmoid sinus with puncture of sinuses. After medical and surgical treatment, blood flow through the sinus increased significantly. In both cases signs of increased intracranial pressure ceased. The clinical presentation of otogenic lateral sinus thrombosis (LST) as a complication of acute otitis media (AOM) can be masked by antibiotic treatment. The episodes of vomiting, headache, visual impairment and a history of AOM seem to be indicative for otitic hydrocephalus. MRI scans of patients with similar symptoms should be carefully studied to facilitate the early diagnosis of dural sinus thrombosis with increased intracranial pressure. Contrast-enhanced computed tomography scan and magnetic resonance imaging play a major role in determining diagnosis and treatment plans in this intracranial complications. Management included systemic antibiotics, short-term heparin anticoagulation and surgical decompression. In our patients intensive i.v. antibiotic treatment, steroids, anticoagulants and surgery led to a significant improvement in the clinical condition.

Acute Disease↗
PubMed2004

[Warthin's tumor of the parotid gland. Epidemiological and clinical analysis of 127 cases].

The aim of this study was a review of 127 patients treated for Warthin's tumor of parotid gland during 15-years period 1988-2003 in Pomeranian Voivodeship of Poland. The age-standardised incidence rate of this tumor was 0.32/100,000. There were 73.2% males and 26.8% females. Age ranged at presentation from 18 to 88 years (average 59.8+/-11.6). Workers from cities over 100,000 inhabitants, with technical education constituted the largest group. Almost 70% of the patients were smokers. Most frequently patients reported slow enlargement of tumor (55.9%), presence of tumor (24.4%) and rapid tumor enlargement (7.1%). Average duration of symptoms was 27 months. The average size of the tumor was 36+/-19 mm. More than half of tumors had less than 30 mm in diameter. After histopathological assessment the average size of tumor was 21+/-17 mm and the tumors less than 30 mm in diameter were 73.1%. There were 2.4% of bilateral neoplasms. Pre-operative cytological examination was not correlated with histopathological examination in less than half of cases (39.5%). All patients were treated surgically and in 81.9% the parotidectomy was performed. The most common localization of the tumor (52.4%) was lower pole of parotid gland. There were also stated 12.4% multifocal neoplasms and 3.8% tumors arising extraglandularly. The main complication after surgical treatment was temporary or permanent facial nerve palsy (10.8%). In 1 case the residual tumor was observed which required reoperation. In time of postoperative observation up to 15 years 1 case (0.9%) of recurrence which required surgical intervention. We noted an increase in number of Warthin's tumor in the analysed period of time.

Adenolymphoma↗
PubMed2004

[Sialolithiasis of the parotid gland].

Sialolithiasis of the parotid gland is a rare diagnostic and therapeutic problem in otorhinolaryngology. The authors describe opinions concerned with symptomatology, localization, diagnostics and methods of treatment in parotid sialolithiasis in support of clinical material of three patients treated in the ENT Department, Medical University of Gdańsk in years 1993-2002. One patient was treated with antibiotics while the other two patients were treated surgically--partial parotidectomy was performed, removing in one case intraparenchymal calculus 15 mm in diameter and in second case--from proximal part of parotid duct with 5 mm of diameter. After treatment there were not observed any symptoms of the disease.

Adult↗
PubMed2004

[Sudden sensorineural hearing loss: a treatment protocol including glucocorticoids and hyperbaric oxygen therapy].

The aim of this study was to evaluate the efficacy of pharmacological treatment (corticosteroids, vasodilators, vitamins, Betaserc) combined with hyperbaric oxygen therapy (HBO) in the sudden sensorineural hearing loss (SSNHL). We reviewed 52 patients with SSNHL treated pharmacologically and with HBO (group A) between 1997 and 2000. All patients in this group received once daily, five days a week, 100% oxygen in a multiplace chamber under pressure of 2.5 ATA for 60 minutes (plus two 5 minutes air breaks). The other group (group B) consisted of 81 patients treated only pharmacologically between 1980 and 1997. Both groups were similar regarding age, season of the year in which deafness occurred, presence of vestibular symptoms and tinnitus, therapeutic delay from initial symptoms to start of treatment, and initial hearing loss, however there were significant differences in gender and shape of hearing loss. The improvement after treatment was measured by tonal audiometry. The retrospective analysis of audiometries performed in all patients was conducted. The improvement of hearing loss was statistically significantly better for group A (vasodilators, high-dose of corticosteroids, vitamins, Betaserc, HBO) than group B (vasodilators, lower-dose of corticosteroids, vitamins) in any single frequency (500-1000-2000-3000-4000-6000-8000 Hz) and in 4 ranges of frequencies (PTA, HTA, PMTA, OAA) both for relative and absolute values. We concluded that the combined therapy of high-dose corticosteroids and HBO improved the clinical results of treatment in the SSNHL, and therefore should be performed in such cases. We also observed that therapeutic delay and flat hearing loss are predictors of poor clinical outcome.

Adult↗
PubMed2004

[Bilateral Warthin's tumor of the parotid gland].

Three cases of bilateral Warthin's tumor (adenolymphoma) of the parotid gland in patients treated in the ENT Department, Medical University of Gdańsk were presented. They were stated 3.3% of all Whartin's tumors in our institution. In two cases the contralateral tumor developed after 2.5 and 15 years and in one case arised synchronically. Our three patients were males, 50-65 years old, cigarette smokers more than 25 years. All of the patients were treated surgically--conservative parotidectomy was performed. We did not observe the complications and reccurence of the disease. Opinions on the diagnostic and therapeutic methods in that disease reported in Polish and foreign references are discussed.

Adenolymphoma↗
PubMed2003

Neoplasms of the parotid gland in northern Poland, 1991-2000: an epidemiologic study.

A review of patients treated for malignant and benign parotid tumors in a 10-year period (1991-2000) in the Pomeranian County of Poland revealed 417 new cases. The age-standardized incidence rate was 0.23 and 1.35 per 100,000 inhabitants for malignant and benign tumors, respectively. The following data were collected: age, sex, place of living, education, job, smoking, symptoms, duration of symptoms at the time of diagnosis, result of histopathological tumor examination, tumor size, TNM staging and distant metastases. The results were divided into two parts: malignant neoplasms and benign neoplasms. The most common malignant neoplasms were carcinomas (96.8%), and among them the most numerous were mucoepidermoid carcinoma (22.2%), carcinoma in pleomorphic adenoma (20.6%) and adenoid cystic carcinoma (15.9%). The most common benign neoplasms were adenomas (95.5%), most frequently pleomorphic adenoma (65.5%) and adenolymphoma (24.0%), but rarely basal cell adenoma (4.2%). We also observed a steady increase in the number of benign parotid tumors in the examined period of time.

Adult↗
PubMed2003

[Pleomorphic adenomas of the nasal cavity].

The authors presents three cases of pleomorphic adenoma of the nasal cavity treated in the ENT Department, Medical University of Gdańsk in years 1974-2002. That material was also extended in analysis of fourth case treated in our Department and described earlier. In that group were three men and one woman in age of 31-62 years. The most common symptoms were unilateral nasal obstruction, headache or feel of expansion in the nose lasted from 3 months to 10 years. In three cases the tumor was localized in the nasal septum and in one case on the lower nasal concha. All cases were treated surgically--in three cases the lateral rhinotomy was performed and in one case--subperichondral excision of the tumor. In none of cases the recurrence was observed. The authors reviewed polish references and found four cases of these tumor localized in the nasal cavity. This material extended of our cases served to the attempt of epidemiological-clinical evaluation of these tumors.

Adenoma, Pleomorphic↗
PubMed2003

[Giant pleomorphic adenomas of the parotid gland].

The authors describe four cases of giant pleomorphic adenomas of the parotid gland with the diameter greater then 15 cm in patients treated in the ENT Department, Medical University of Gdańsk in years 1989-2002. Three of the patients were treated surgically--parotidectomy was performed, in first case removing tumor of 28 cm in diameter and 3.2 kg, in second case 15 cm and 0.7 kg and in third case 18 cm and 1.3 kg. The forth patient was disqualified from the surgical treatment because of the metastases to the lungs from the giant malignant pleomorphic adenoma involving half of the head. The authors presented opinions on the diagnostic and therapeutic methods in that disease and also present case reports from Poland and other countries.

Adenoma, Pleomorphic↗
PubMed2003

[An application of hyperbaric oxygen therapy in otolaryngological oncology].

Postradiation changes in the tissues and delayed wound healing were presumed by all hyperbaric medicine societies including Undersea and Hyperbaric Medical Society (UHMS) and European Committee for Hyperbaric Medicine (ECHM) as one of the basic indications for hyperbaric oxygen therapy (HBO). The authors estimated the influence of hyperbaric oxygen on molecular, biochemical and cellular changes in injured tissues including that after radiotherapy. Reviewing the references the authors tried to state the actual role of HBO in oncology of head and neck tumors. The authors referred their experiences in adjuvant therapy of head and neck neoplasms with HBO: 1] postradiation changes of head and neck after adjuvant radiotherapy (7 cases) and after primary radiotherapy (1 case); 2] delayed postoperative wound healing (1 case).

Adult↗