Auriculo-vestibular symptoms related to structural and functional disorders of stomatognatic system.

Auriculo-vestibular symptoms are otolaryngological complaints which frequently co-occur with functional disorders of masticatory organ. These symptoms include: earache, plugged ears sensation, sudden hearing impairment, burning pain of the throat, tinnitus, and dizziness. The aim of the study was assessment of co-occurrence of functional disorders of masticatory organ and auriculo-vestibular symptoms, in patients referred for otolaryngological treatment.

[Transient evoked otoacustic emission in children with juvenile idiopatic arthritis].

Juvenile idiopathic arthritis (JCA) is an inflammatory systemic disease of connective tissue which etiology is still unknown. Progressive arthritis is the basic symptom, with pain, oedema, stiffness and movement impediment are typical for. Chronic process of arthritis might be accompanied by rheumatoid nodes, pericarditis, myocarditis, changes in the lungs and kidney, which appear with various frequency and indicates on systemic form of disease.

The effect of hormonal factors on the hearing organ in women, after surgical castration. Preliminary report.

Background: Estrogens have not only direct and beneficial effect on relaxation of the arteries increasing the blood flow in the blood vessels, but also their level of secretion has considerable effect on synthesis of acetylcholine a neurotransmitter indispensable for appropriate functioning of the hearing organ. The aim of this study is analysis of the effect of hormones on the hearing organ in women who underwent surgical castration.

Material: The study included 40 females, aged between 32 55 years who had undergone an operative treatment mainly because of uterine myoma.

[Objective evaluation of the influence of the hyoid bone resection on the disorders in the act of swallowing].

Laryngographic, manometric and videorentgenocinematographic examinations of swallowing were conducted on 49 patients after partial laryngectomy and on 35 subjects being a control group. The results of examinations indicate that the mobility of remaining after the surgery parts of the larynx have the great influence on the efficient swallowing. The larynx mobility is closely related to the remaining of the hyoid bone.

[Objective evaluation of the influence of the tongue base reconstruction on the swallowing disorders].

Laryngographic, manometric and videorentgenocinematographic examinations of swallowing were conducted on 54 patients after partial laryngectomy and on 35 subjects being a control group. Resection of a part of the base of the tongue is the factor that causes intensified difficulty during swallowing and increase in the frequency of the occurrence of aspiration. The results of manometric and videorentgenocinematographic examinations indicate that the shape and mobility of the tongue has the greatest influence on the efficient swallowing in patients who have undergone partial laryngectomy due to cancer initially located in the supraglottic area.

[Immuno-genetic significance in sensorineural hearing loss (SNHL) in the light of our own investigations].

The immunogenetic analysis in 152 patients with sensorineural hearing loss (SNHL) was studied. HLA class I antigens and haplotypes were calculated on the basis of typical linkage between HLA-A, -B, and C loci. Soluble form of HLA antigens (sHLA-I) in blood serum in a semiquantitative microabsorption test according to McLean et al.

Evaluation of crystallization processes in the calculi of the submandibular salivary glands.

Four patients were subjected to sialolithotomy of the submandibular gland in the Department of Otolaryngology, Collegium Medicum, Jagiellonian University in Cracow. The resected calculi were examined under a scanning electron microscope and chemical analysis of their structure was carried out. Results of these studies were compared with clinical observations.

[Video-roentgen cinematographic evaluation of pharyngeal phase disorders during swallowing in patients after partial laryngectomy due to localized supraglottic cancer].

Videorentgenocinematographic examinations of swallowing were conducted on 81 patients after partial laryngectomy and on 35 subjects being a control group. Resection of piriform recess, a part of base of the tongue, the hyoid bone or its part is the factor that causes intensified difficulty during swallowing and increase in the frequency of the occurrence of aspiration. The results of videorentgenocinematographic examinations indicate that the shape and mobility of the tongue and the mobility of remaining after the surgery parts of the larynx have the greatest influence on the efficient swallowing in patients who have undergone partial laryngectomy due to cancer initially located in the supraglottic area.

[Manometric evaluation of disorders in oral and pharyngeal phases of swallowing in patients after partial laryngectomy for localized supraglottic cancer].

Manometric examinations of swallowing were conducted on 81 patients after partial laryngectomy and on 35 subjects being a control group. Resection of piriform recess, a part of the base of the tongue, the hyoid bone or its part is the factor that causes intensified difficulty during swallowing and increase in the frequency of the occurrence of aspiration. The results of manometric examinations indicate that the shape and mobility of the tongue and the mobility of remaining after the surgery parts of the larynx have the greatest influence on the efficient swallowing in patients who have undergone partial laryngectomy due to cancer initially located in the supraglottic area.

[Evaluation of airway protection against aspiration of gastric contents in patients after partial laryngectomy using the laryngographic closure effectiveness coefficient of the glottis/neoglottis].

Laryngographic examinations were conducted on 97 patients who had undergone partial laryngectomy and on 35 subjects being a control group. The study of effectiveness of glottis or neoglottis performed with the use of laryngograph showed no relation between glottis/neoglottis occlusion effectiveness index and intensified swallowing disorders. This shows the lack of compensating option in swallowing disorders with the help of a mechanism based on an efficient glottis or neoglottis occlusion alone.

[Effectiveness coefficient for laryngographic closure of the glottis as a way of evaluating airway protection against aspiration of gastric contents].

Laryngographic examination was conducted on 35 men aged 45 to 65 with good hearing and proper pronunciation. Based on the examination, the proposed by the authors of this paper laryngographic closure effectiveness coefficient of the glottis (LCEC) was calculated as a way for evaluating protection of airways against the aspiration of food. Glottis occlusion serves an essential function as a mechanism protecting airways, especially in patients who have undergone horizontal supraglottic laryngectomy.

[Videorentgenocinematographic analysis of pharyngeal phase in the act of swallowing].

The course of the pharyngeal phase was analysed in physiological conditions. The mobility of anatomical structures taking part in the phase was evaluated, taking into consideration the time sequence in which the elements of the phase followed. To objectify the evaluation of the analysed phenomena, authors of this paper proposed and used linear and time parameters also used by other authors involved with these issues.

Acoustic assessment of voice signal deformation after partial surgery of the larynx.

Objective: The main objective of the present study was to assess the degree of voice signal impairment among patients who had undergone partial surgery of the larynx due to cancer of this organ. Such on evaluation may be helpful in the selection of the optimal surgical technique for the treatment of tumors displaying a varying degree of local advancement.

Methods: A prospective examination was carried out among 128 patients.

[Rare forms of non-neoplastic tumors of the lacrimal gland].

Out of the total number of 20 patients who in years 1982-1996 underwent surgery of the lacrimal gland in the Otolaryngological Clinic of the CM UJ, in 2 cases a rare form of tumor was diagnosed. They turned out to be: amyloidosis and sarcoidosis. Case histories, diagnostic difficulties, as well as methods of surgery, taking into consideration the latest views on the subject, were presented.

A possible correlation between vertebral artery insufficiency and degenerative changes in the cervical spine.

We studied 130 patients, aged 20 to 81 years, with symptoms of tinnitus, vertigo or dizziness. Radiological examinations revealed degenerative changes in the cervical spines of all patients such as discopathy or osteophytes. Head and neck and neurological examinations ruled out other symptoms apart from vertebrobasilar artery flow insufficiency.

[Analysis of causes of the parotid pleomorphic adenoma recurrence].

Out of the total number of 173 patients who had undergone surgery for pleomorphic adenoma of the parotid gland, 19 had to be treated owing to the recurrence of the tumor, following earlier surgery 12 patients were reoperated on by means of the enucleation technique; 5 underwent superficial parotidectomy; in 2 cases the recurrence took on the form of tumor of the parapharyngeal space, which was removed through the cervical-parotid approach. The causes of the recurrences were analyzed taking into consideration the operation technique applied in the first surgery. A serious consequence of pleomorphic adenoma recurrence is the possibility of its becoming malignant, which took place in 2 cases (10.

[The correlation of Doppler's blood flow distempers in vertebral arteries with degenerative cervical spine changes of patients undergoing treatment for tinnitus].

120 patients aged 20-81 years were treated at the Otolaryngology Clinic of the CM UJ in years 1994-1996 for tinnitus. The radiological method showed degenerative changes of the cervical spine in 100 of them. The otolaryngological and neurological methods excluded any reason of tinnitus other than distempers of vertebrobasilar arterial system.

[Selected parameters of immune reactivity in patients with sensorineural hearing loss. III. Metabolic activity of neutrophils].

The evaluation of peripheral blood neutrophils functional state in 27 patients with progressive bilateral and 7 patients with sudden unilateral sensorineural hearing loss (SNHL) before and in the first period of ubiquitine therapy was performed. The metabolic activity of cells in NBT reduction tests: spontaneous (NBT-sp) and stimulated with LPS E. coli (NBT-st) were examined.

[Selected parameters of immune reactivity in sensorineural hearing loss patients. II. CD3+, CD4+ and CD8+ subsets of T lymphocytes].

Subpopulations CD3+, CD4+ and CD8+ of T lymphocytes in 67 healthy individuals and in 36 sensorineural hearing loss (SNHL) patients with unknown etiology were determined. The patients were studied in two groups, i.e.

[Selected parameters of immunologic reactivity in patients with sensorineural hearing loss. I. Receptor activity of T lymphocytes].

Receptors activity of peripheral T cells for sheep erythrocytes was analyzed in 67 healthy individuals and in the 29 patients with progressive, bilateral hearing loss and in 7 patients with sudden deafness on unknown etiology. The ability of T lymphocytes to form non-immune complete and incomplete rosettes in TEt and TEa tests was evaluated before and at the beginning of ubiquitine therapy. The mean values of rosette forming cells (RFC) in percentage and absolute numbers and the statistical analysis were presented.

[Class I HLA antigens in patients with sensorineural hearing loss: preliminary report].

The frequency of class I HLA antigens of 36 sensorineal hearing loss patients with bilateral, progressive and sudden deafness were analyzed. It was found that HLA-B41 and HLA-Cw7 were more frequent than in 1152 control population (Chi2= 1656 and 14.45 respectively).

[Facial nerve damage after parotid surgery in benign diseases].

One hundred fifty three patients who underwent parotid surgery for benign neoplasia in the past 22 years we reviewed with attention to postoperative facial nerve function. Immediate dysfunction was frequently encountered 28% but permanent dysfunction was uncommon 3%. The incidence of long-term dysfunction is higher in revision cases.

[Primary orbital tumors in children].

We present the incidence, diagnosis and clinical picture of the primary orbital tumors in children. They were treated in ENT Clinic CM UJ in Kraków between 1981-1990 years. Discovered was preponderance of primary non malignant tumors.

[The examination card for a child with suspected hearing loss or deafness].

An audiological examination card for a child has been worked out, allowing a detailed collection of anamnestic data concerning: family history, gestation, labour, neonatal period, infancy and early childhood. The items and possible answers contained in the card are so prepared that it can be used for computer analysis of the data obtained.