[Massive hemorrhage from the nose as a result of posttraumatic rupture of the internal carotid artery].
Explore the source record for details and available documents.
Adult↗
Biomedical subjects
Z Szmeja
Publications and source records attributed to Z Szmeja.
[The influence of hearing aids on the ability of directional hearing in a free auditory field].
The study was on subject of preservation of directional hearing in free auditory field, in horizontal plane in different stages of pathological lesions of the bearing organ with properly fits hearing aid from Viennatone as the behind-the-ear hearing aid (model 116 PAD) and the hearing spectacles (model 90 AN). There were noticed in 50 percentage of subjects improvement in the directional hearing. The best results was obtained in unilateral deafness. The evidently amelioration was observed in front azimuths. The obtained improvement directional hearing was not proportional to the stage of hearing improvement.
Adolescent↗
[Supracricoid reconstructive laryngectomy with cricohyoidopexy and cricohyoidoepiglottopexy].
On the base of the personal material, comprising 19 patients with glotto-supraglottic cancer, an operative technique on supracricoid reconstructive laryngectomy with CHP and CHEP has been presented. The data achieved within 3 years allowed to evaluation of preliminary oncological and functional results. In the group of 19 operated patients, one case of local recurrence was found. Cervical recurrence was observed in 2 persons in the first year after the operative treatment. No remote metastases and secondary neoplastic++ focus were found in the digestive and respiratory tract. One patient died of massive pneumonia in the course of disturbances in deglutition. The most difficult problem of the postoperative period in the cases of CHP were the disturbances in deglutition. For that reason pneumonia was observed in 4 patients. Nasogastric tube was left in place for a mean time of 20 to 60 days. All CHEP patients were decannulated and 5 ones out of 14 persons group after the operation of CHP remain with tracheotomy tube.
Anastomosis, Surgical↗
[Analysis of the causes of failure in surgical treatment of cancer of the larynx].
In the years 1985-1990 within the group of 2769 patients operated upon for laryngeal cancer in four medical centres (Kraków, Poznań, Warszawa, Lublin), a clinical analysis on surgical treatment failures was performed. The most significant reasons of failures were: the highly advanced age of patients, coexistent diseases, in particular the cardiopulmonary disease; poor information of neoplastic diseases (carcinomas) and delayed referral to the doctor; lack of consent for surgical treatment; old fashioned diagnostic methods; prolonged period of making diagnosis; increasing number of patients with supra-glottic localization including the hypo-pharynx and piriform recess; a considerable degree of organ ++cancer advancement and substantial clinical advancement; not radical excision of neck glands; intra-surgical blood transfusion; micrometastases to lymphatic glands; immunity collapse; discontinuance of post-surgical radiation on affected parts; lack of lymphadenectomy backward from accessory nerve ; massive cancer metastases to lymph nodes; high histologic malignancy with characteristic carcinous invasiveness; and finally, surgical and post-surgical early and late complications ranginy within our material from 25% to 29% of surgical patients. Basing on the above mentioned analysis, the authors developed indications for surgical treatment of laryngeal cancer.
Age Factors↗
[Evaluation of the effectiveness of surgical treatment of metastases of laryngeal cancer to the lymph nodes].
The evaluation of surgical treatment results was done to 308 oncological patients to whom metastases were formed in lymph nodes between 1980-1984, following the previous surgical treatment of the laryngeal cancer. The evaluation included among others the following: cancer initial localization: T and N traits; the degree of malignancy; surgical radical intervention ; assertion of neoplastic cell plugs in vessels; the time of recurrent lymphatic metastases, etc. The efficiency of surgical treatment of metastases being formed following the previous surgical treatment of laryngeal cancer, measured by the time of 5 years asymptomatic life, equalled 33.4% in the discussed material. Moreover, it was stated that in the studied group of 308 patients the percentage of deaths was increasing in the subsequent years of taking observations (from 1980 to 1984) and depended also on patients overall condition, initial cancer localization, the degree of neoplastic advancement and on the degree of cancer histologic malignancy.
Adult↗
[Perioperative preventive use of ciprofloxacin in patients with cancer of the larynx].
In comparative study of patients with laryngeal cancer, perioperative prophylaxis with ciprofloxacin was estimated. The drug was administered intravenously 200 mg twice daily, for five days to groups of 95 patients. Bacteriological examinations performed intraoperatively mostly revealed Gram-positive germs. The intravenous form of ciprofloxacin was very effective, resulting in complete healing of the operative wound in shorter time than in control groups. The drug has been well tolerated and no side effects were observed.
Bacterial Infections↗
[Otogenic brain abscesses in children].
In the years 1953-1989 in the Department of Otolaryngology, Medical Academy in Poznań 75 patients were treated for otogenic brain abscesses, among them 19 were children. In the last ten years the number of cases of this complication was not increased significantly in children and adults. In 3 cases abscess was diagnosed in acute otitis media, in the remaining cases it was a complication of chronic otitis media with cholesteatoma. Brain abscesses were situated more frequently in the temporal lobe. In children they developed more frequently on the right side. The survival in temporal lobe abscesses in children was 90%, and in cerebellar abscesses 75%. In adults the survival rate was about 80% for both localizations. In the treatment of these otogenic complications wide radical operation on the middle ear or ++antro-mastoidectomy with exposure of the dura and simultaneous approach to the abscess from the postoperative ear cavity, with puncture of the abscess and replacement of its contents with normal saline with antibiotic is the routine method in the Department.
Adolescent↗
[Malignant or necrotizing otitis externa].
The authors report one case of the malignant external otitis treated with Ciprobay in 72-year-old diabetic female. They are calling attention to the diagnostic difficulties in the initial period of the disease due to similar clinical manifestations in the chronic otitis. The control examination after 7 months found no recurrence of the Pseudomonas aeruginosa infection.
Aged↗
[Late results of the treatment of laryngeal cancer by extended fronto-lateral laryngectomy and reconstruction with a muco- cartilaginous transplant from the nasal septum].
The late results of the larynx reconstruction by means of the ++muco-septal nasal graft after an enlarged fronto-lateral laryngectomy were described. The analysis of 118 patients shower a satisfying larynx lumen in almost all cases, there were 9 patients with a partial rotation of the graft. A 5-year survival rate was found in 82% of cases.
Follow-Up Studies↗
[Malignant neoplasms of the maxilla treated at the Otolaryngological Clinic, Medical Academy, in Poznań 1974-1987].
In years 1974-1987 100 patients with malignant neoplasms of the maxilla were treated in the Otolaryngological Department of the Medical Academy in Poznań. Eleven patients carried on a profession concerned with wood dust. The most frequent complaint was unilateral obstruction of the nose. Short history and at the same time a considerable progression of the neoplasm were conspicuous in those cases. The physical examination was completed by tomograms of the paranasal sinuses and in the last four years scanner examination. Unfortunately in majority of patients extensive neoplastic infiltration was found in stage T3 and T4. In spite of such a large infiltrate, changes in the lymph nodes of the neck were observed only in 14% of patients. The treatment included first of all an extensive operational procedure completed by radiotherapy.
Adult↗
[Evaluation of the causes of lymphatic metastases after surgical treatment of patients with laryngeal cancer].
During the years 1980-1988 2458 laryngeal cancer patients were operated upon in 4 ENT AM Clinics in Kraków, Poznań, Lublin and Warszawa. 300 (12%) out of them have had the cervical node metastases in 18 months after the surgery. The cause analysis was performed. The primary localizations were in the epiglottic and ++post-cricoid areas. The causes of metastases to the ++lymph nodes were analyzed; the primary epiglottic and ++post-cricoid localization of the tumor, its extensiveness and advanced clinical stage. Twice more often were the nodal metastases stated before the primary treatment, a high degree of histological malignancy, probably insufficient radicality of the surgery and insufficient immunological resistance of the organism were taken in consideration. This group of patients presented a rather high percentage of early unsuccessful results of surgical treatment of the laryngeal cancer; this problem needs further analysis and observations.
Adult↗
[Lymph nodes in cancer of the tongue].
The results of lymphnodes examinations in 59 patients operated upon because of the lingual cancer were described. In 39% of cases the metastases were found on the side of lesions. In 31 of patients with palpable lymphnodes the metastases were found in 54.8% of cases. In 28 patients without palpable lymphnodes the metastases were found in 21.4% of cases. Thus 45.2% cases were false positive and 21.4 false negative. In lingual marginal localizations of lesions the metastases were found more frequently as well as in more developed clinical stages. In these patients because of the frequent false positive lymphnodes the radical neck dissection should be performed, in special cases also bilaterally.
Adult↗
[Zinc in the blood serum and tissues in patients with planoepithelial carcinoma of the larynx].
Serum and tissue zinc concentrations in 30 subjects with operable squamous cell carcinoma of the larynx, aged 36-56 were determined by atomic absorption spectrophotometry. The concentration of this cation in cancerous tissues and in unchanged homologous tissues do not differ significantly. Mean zinc serum level was lower before treatment.
Adult↗
[Primary cancer of the tongue treated at the Otolaryngological Clinic, Medical Academy, in Poznań 1963-1987].
The analysis of 191 patients with primary tongue carcinoma treated in ENT Clinic of Medical Academy in Poznań during the years 1963-1987 was presented. Since 1983 there were the dramatic increase in patients number. The patients age was between 20 and 87. Statistically significant was the males number. The half of the patients were in their 6th decade of life. In the last 5 years period the patients were younger of mean 5 years. Their symptoms lasted about 4 months. The earliest was the tongue pain. Tobacco smokers and alcoholics predominated. The localizations were in general on the edge and on the basal part of the tongue. Histologically the most frequent was the planoepithelial cancer in the second clinical stage. The 5 years survival rate was about 20%.
Adult↗
Results of laryngeal cancer surgery in four ENT centers in poland.
The results of laryngeal cancer surgery were assessed in a group of 832 patients treated in four major ENT centers in Poland. Five-year survival rates were as follows: stage I, 86%; stage II, 71%; stage III, 54%; and stage IV, 42%. In experienced hands and for properly selected cases, cure rates after partial (conservation) laryngeal surgery were similar to those after total laryngectomy. For early stages (I and II), the survival after partial surgery was better than that found after radiotherapy.
Adult↗
[Urinary magnesium levels in precancerous conditions and various stages of squamous cell carcinoma of the larynx].
In 100 cases with different stages of planoepithelial laryngeal cancer and in 13 precancerous changes the urine magnesium levels were examined two times by means of absorptive spectrometry before surgery and half a year after. In precancerous period group (I stage according to WHO) no differences were found in comparison to the control group. As the disease progressed the urine magnesium level deteriorated according to the cancer stages. In IV stage the level was the lowest (P less than 0.01). The normalization of the urine magnesium level was found in some cases 6 months after surgery and radiotherapy.
Adult↗
[Cancer of the larynx in women].
A group of 143 women with larynx cancer operated upon in ENT Clinic of Medical Academy in Poznań during the years 1946-87 was described. The statistical analysis was performed as regards to age, localization, clinical stage, surgery, five years survival, occupation and tobacco smoking. The results were compared with those of 2184 larynx cancer men treated in the same time. Women constituted 6.1% surgically treated population. The number of women with larynx cancer continually increased. The age 21-40 prevailed. The glottic part of the larynx was the most affected. The percentage of women in II clinical stadium was higher. Five years survival rate was the same in both groups. Any type of occupation in the women group prevailed. Women like men were strong tobacco smokers.
Adult↗
[Evaluation of complications after surgical treatment of cancer of the larynx].
The surgical complications in a group of 1712 laryngeal cancer patients treated during the years 1981-87 in ENT Clinics of Cracow, Poznań, Warsaw and Lublin were described. The most dangerous were bleedings and the most frequent wound and tracheo-+-bronchial infections and pharyngo-cutaneous fistulas++, after radical neck dissection however the paralysis of sublingual and accessory nerves and of brachial plexus. The predisposing factors were: diabetes, lung and heart diseases, late stage of cancer, extent of surgery and tumor infections.
Adult↗