[Intranasal sinus operation in palliative therapy in maxillary cancer patient--preliminary report].

The authors present a case of 64 years old woman treated with palliative radiotherapy due to maxillary sinus cancer--non-operative stage. The cancer-relative pain couldn't be released after radiotherapy and with pain killers. She used NSAIDs and opioid drugs.

[Possibility and limits of the endonasal approach in sinonasal inverted papilloma cases--the technique and own experience. Preliminary report].

The aim of this article is to present the technique of endonasal operation due to sinonasal inverted papilloma with it's limitations. Material consists of 21 patients operated with microscope and endoscopes. The tumor is resected in few pieces, but I try (especially in the beginning) to keep the resected tumor as much as possible in one part--which makes easier to assess the tumor borders.

[Objective assessment of the respiratory function of the larynx after fronto-lateral laryngectomy with epiglottoplasty and after supracricoid laryngectomy with CHP or CHEP].

Enlarged fronto-lateral laryngectomy with epiglottoplasty and supracricoid laryngectomy with cricohyoidopexy (CHP) or cricohyoidoepiglottopexy (CHEP) differ from each other as regards surgical technique, extent of the resection and method of reconstruction. Despite of that, selected carcinomas of the true vocal cord staged as T2N0, which are included in indications to all mentioned laryngectomies, can be equally treated with each of these methods. The aim of this study is objective evaluation of the respiratory function of the larynx after three types of operation and comparison of the results.

[Pyocele of the posterior ethmoidal cell as the cause of visual loss].

Introduction: Mucocele is a cystic slow-growing lesion of paranasal sinuses with sterile content. Pyocele contains purulent substance. Muco-/pyocele is rarely localised in ethmoid or sphenoid sinus and may involve the orbit and cause ophthalmic complications including visual loss.

[Surgical technique of endonasal micro-endoscopic operation in patients with massive and recurrence nasal polyposis--own experience].

The author presents modification of the well-known surgical techniques used in endonasal optically aided operations in the patients with massive and recurrent nasal polyposis. After septal correction the attachment of the middle turbinate and lower turbinate is identified. It helps to find an appropriate place to open a maxillary sinus through uncinectomy.

[Multiple symmetric lipomatosis in the otolaryngology as diagnostic and therapeutic problem].

Unlabelled: Multiple symmetric lipomatosis (MSL) is a systemic disease connected with a degeneration of the adipose tissue. Association of reduced glucose tolerance, hyperinsulinemia, hyperlipoproteinemia, hyperuricemia, macrocytic anemia and renal tubular acidosis, polyneuropathy have been described. Lipomatosis was initially described in 1846 by Brodie but the exact aetiopathogenesis is still unknown.

[Anxiety and depression in patients with laryngeal and hypopharyngeal cancer (preliminary report)].

Occurrence of anxiety and depression was investigated in 76 patients with recognized larynx and/or hypopharynx cancer and with or without alcohol dependence. The patients were treated using total or partial laryngectomy or radiotherapy. Patients were examined three times using questionnaires: SCID, BDI, STAI.

[Horizontal glottectomy--oncological and functional results. Part II. Morphology of the glottis and perceptive-acoustics characteristic of the voice and speech after horizontal glottectomy].

Introduction: The authors showed findings concerning glottis morphology and perceptual-acoustic characteristics of voice and speech after partial classical (PCGLg) and extended glottic partial laryngectomy (PEGLg).

Material And Methods: 10 patients (9 M., 1 F.

[Usefulness of ventilation tests in the diagnosis and evaluation of treatment results in select laryngeal diseases].

The obstruction of upper airways is a common symptom of some laryngological diseases. The patients need exact diagnosis and proper treatment. The ventilation tests seem to be one of the most important tool in process of diagnosis and treatment, however they are more pulmonological than laryngological procedures.

[Horizontal glottectomy--oncologic and functional results. Part I. Horizontal glottic laryngectomy--oncologic results and assessment of the protective and respiratory function of the larynx].

Introduction: In the Otolaryngology and Laryngological Oncology Department of the Pomeranian Medical University in Szczecin (Poland) horizontal glottectomy is executed from 1985.

Material And Methods: Material consists of 27 patients (26 males and 1 female; an average age 57 min. 40, max.

[The evolution of epidemiology and clinical characteristics of laryngeal and hypopharyngeal carcinoma in Poland from 1991 to 2001].

On the base of retrospective analysis of 12,888 cases of carcinoma of larynx and hypopharynx, diagnosed in 19 ENT Departments in Poland from 1991 to 2001, the assessment of basic epidemiological data, including the localization of tumor and stage of local and clinical advancement of the disease at the time of diagnosis has been conducted. In analyzed period of 11 years the trends to change of the mentioned above parameters has been examined. The significant increase of female patients in this period was observed, with average proportion M:F = 8:1.

[Surgical methods of treating patients with laryngeal and hypopharyngeal cancer in Szczecin's EMT University Department during the years 1970-2002].

In the thesis are presented surgical methods of treating larynx and hypopharynx cancer used in the Szczecin Clinic throughout more than 30 years, i.e. between 1970 and 2002.

[Factors influencing morphology and function of the pharynx and pharyngoesophageal sphincter after total laryngectomy. Part II. The impact of degenerative changes in the neck segment of the vertebral column on the rest pressure within pharyngoesophageal sphincter after laryngectomy].

Radiological examinations of the vertebral column neck segment were done in 41 patients after total laryngectomy (n = 29) and laryngopharyngectomy (n = 12). Degeneration changes of different degree (from I degree to IV degree) were stated in 37 cases. Criteria of assessment were as follows: a) the width of the intervertebral space b) appearance and degree of the exostoses c) the length of the degenerative process in vertebral segment of the neck.

[Morphology and function of the pharyngoesophageal segment].

Basing on the review of the foreign and domestic literature the point of view concerning the anatomical structure, innervation and histomorphology of the pharyngoesophageal segment (pes) is being presented. Special attention was paid to the impact of the somatic and autonomic (particularly its sympathetic part) nervous system on the function of the pharynx, as well as the pressure at rest with the pharyngoesophageal sphincter. Histomorphologic investigations suggest that the pes function and tension of the particular pharyngeal constrictors (upper, middle and inferior) is determined by: a) structure, b) distribution of the IX and X nerve fibre ends in pharyngeal sphincters, c) structure of the pharyngeal sphincter, which is also supplied with the nervous fibre ends of the upper cervical sympathetic trunk.

[Comparison of the classical and extended fronto-lateral laryngectomy considering the respiratory function of the larynx].

In Szczecin during the period between 1973-1999, 107 patients were treated with classical fronto-lateral laryngectomy (LFLC) and 112 with extended fronto-lateral laryngectomy (LFLE) due to glottic cancer. We report 30 patients (27 male and 3 female)--13 after LFLC and 17 after LFLE (including 15 cases of LFLE with epiglottoplastic). 72 laryngovideoscopies, 87 spirometric examinations and 18 computerised tomographies were performed.