Hypothalamic amenorrhea in a Camurati-Engelmann disease--a case report.

Objective: A case report of a patient diagnosed with Camurati-Engelmann Disease (CED) in association with the functional hypothalamic amenorrhea disturbances. CED is a very rare genetically determined disorder classified as a type of bone dysplasia.

Design: Case report.

[Endovascular and surgical associated treatment of post-traumatic epistaxis].

We report on two cases of patients, in whom endovascular embolization of the maxillary artery and next surgical ligation of the anterior ethmoidal artery was performed due to posttraumatic intracrable epistaxis. In those patients, conservative treatment failed, hence endovascular embolization was made. Due to persisted bleeding, right anterior ethmoidal artery were surgically ligated in both patients.

[An unusual location of a foreign body in the posterior hypopharynx--case report].

The foreign bodies ingestion are common among the patients admitting to the ENT Emergency Unit. Usually the treatment does not cause too much trouble, however, the symptoms and possible complications might be potentially life threatening. The 64 years old female suffering from severe pain in the hypopharynx and dysphagia was introduced to the ENT Emergency Unit of the F.

[Identification of human papilloma viruses (HPV) in inflammatory states and ear neoplasms].

Introduction: Human Papilloma Virus has a strong relation to oropharyngeal mucosa and is considered to be responsible for a wide range of upper respiratory tract pathologies, like laryngeal papilloma. There's a hypothesis, that it plays a significant role in middle ear chronic inflammations and neoplasm's. MATERIAL AND METHODIC.

[Smell and taste in drug addicts].

The main objective of this study was to establish the degree of influence of various illicit drugs, taken into the body in different ways, on the senses of smell and taste. Other possible factors, that might have caused disturbances in normal functioning of both senses, were outlined. The studied group consisted of 48 drug addicts, between the age of 16 and 48 years, addicted to various illicit drugs for several years.

[Osteosarcoma of the larynx].

The authors present a case of rare laryngeal neoplasm--osteosarcoma, which generated many diagnostic and treatment difficulties. Its main cause was nonspecific symptoms and laryngoscopic view, positive tuberculous history and positive tuberculosis tests. The first histopathological examination was "angioleiomyoma exulcerans, chronic inflammation and granulation.

[Bone anchored hearing aids (BAHA) used for treatment of conductive hypoacusis--current problems in Poland].

Basic principles, indications and limitations of BAHA implantation as well as different kinds of operation techniques are presented. The beginning and the development of BAHA use in Poland are mentioned together with some difficulties in broadening of this kind of implantation.

[Influence of tonsillectomy in adults on the concentration and glycosylation profile of acute phase proteins].

Chronic tonsillitis (ch.t.) in adults can have the effect on immunological system and its function.

[Cat scratch disease--diagnostic problems].

Etiology, epidemiology and clinical symptoms of Mollaret's disease, also known as Cat-scratch disease, were described. Four cases of treated patients were presented. One patient with a history of type I Diabetes mellitus presented clinical symptoms of Mollaret's disease, however, after investigation he was finally diagnosed with malignant lymphoma and was given chemotherapy.

[Iatrogenic foreign bodies found in the middle ear as a result of prosthetic management].

In the past few months two patients were admitted and operated on for liquid silicone that hardened to form a sponge-like mass after it was accidentally poured into the tympanic cavity during an impression taking procedure. In on case an atrophic eardrum was torn open and in the other the accident was the result of a misdiagnosed chronic otitis. In both cases a tympanoplasty was performed to remove the sponge from the tympanic cavity and to restore the conductive structures in the middle ear.

[A comparison of water and air stimulated bithermal-caloric test and the usefulness of both methods in otologic surgery].

The most commonly used method of testing the responses of the labyrinths is Water Stimulated Bithermal-Caloric Test of Fitzgerald-Hallpike. Before planning an otiatric surgery it is necessary to support by documentary evidence the responses of the vestibular organ in the ear planned to be operated on, however, irrigation with water may cause damage to structures of the ear and may intensify symptoms of the diseases and eventually make the treatment more difficult. In some centers where Water Stimulated Bithermal-Caloric Test were used alone, or a combination of air and water stimulated caloric test were performed, it seemed to be difficult to compare the results of both tests.

Usefulness of intraoperative sonography for revealing hepatic metastases from colorectal cancer in patients selected for surgery after undergoing FDG PET.

Objective: The purpose of this study was to compare the diagnostic performance of preoperative positron emission tomography (PET) with FDG and intraoperative sonography with the standard of histologic examination of resected liver specimens in evaluating patients for curative resection of liver metastases from colorectal cancer.

Materials And Methods: We retrospectively identified 47 patients with recurrent colorectal cancer who underwent surgical exploration for possible curative resection of hepatic metastases. All patients underwent CT or MR imaging and FDG PET preoperatively and intraoperative sonography.

Assessment of smell and taste in patients with allergic rhinitis.

We examined the senses of smell and taste in 240 patients with verified hypersensitivity reactions of the respiratory tract. Olfactometry was performed according to Elsberg and Levy's method and followed by electrogustometry. The examinations revealed that the incidence of smell and taste disorders in patients with allergic rhinitis is 21.

Smell impairment in workers occupationally exposed to cadmium.

ENT and olfactometric examinations were carried out on 73 workers at an electrochemical plant involved in the production of cadmium-nickel batteries, where cadmium fumes were emitted into the workplace. Exposure levels exceeded the maximum allowable concentrations by about 1-2 times. The controls included 43 non-exposed, age- and cigarette-smoking-matched people.

[Approach to acute non-inflammatory increase in the circumference of the neck].

We describe a case of spontaneous rupture of a left common carotid artery aneurysm during coughing which had lead to the demise of the patient despite a surgical intervention. This case is correlated with three cases of cervical haematomas which also presented with an acute increase in the neck circumference. Based on the literature and our own experience, we discuss the diagnostic and surgical approach to patients suspected of having aneurysms of the great vessels of the neck.

[The treatment of tracheal stenosis in Wegener's granulomatosis by laser surgery].

A case of Wegener's disease is described. In eight years of remission a patient, treated with cyclophosphamid and steroids demonstrated sterosis of the trachea and upper way obstruction. We have performed carbon dioxide laser photoresection of granulotion mucosis and scars with an excellent results.

Olfactory disorders induced by cadmium exposure: a clinical study.

The evaluation of olfaction is not only widely applied and undeniably valuable in clinical diagnostics but it is also of interest to industrial medicine. It should be borne in mind that in certain workplaces, particularly in the chemical industry, the olfactory receptor has to act as an organ which warns the worker against threatening intoxication, and this is possible only when it functions properly. Cadmium, as a highly toxic metal, found widely in industry and in the environment, is frequently included in the list of chemicals known to cause olfactory impairment.

[Warthin's tumors with atypical location].

This article addresses etiology, pathogenesis and histology of papillary cystadenoma lymphomatosum (Warthin's tumor). Described are two cases of tumors with this histopathological characteristics with unusual locations. The first patient presented with a discrete lesion located in the nasopharynx, and the second with multiple post-infectious nodules located in the parotid glands bilaterally.

[Tracheal strictures in the course of Wegener's disease].

Two cases of tracheal strictures in the course of Wegener's disease are described. One patient died two months after tracheotomy, the other was successfully treated only by megachemotherapy (cyclophosphamide and steroids).

[Surgical treatment of hearing loss in blue sclera syndrome].

Etiological theories given in literature, patomechanism and otosclerosis-reminding traits of the blue scleras syndrome are discussed in this paper. The operative methods of repairing conductive hypoacusia in familial blue scleras syndrome based on own research are described. The audiological results of hearing loss surgical treatment in this case are presented.

Morphology of brain stem lesion and bera findings after 60Co irradiation.

Ionizing rays, utilized in radiological diagnostics and oncological therapy affect the central nervous system and may injure auditory pathways and cause hearing disturbances which vary in intensity. On the basis of a stereotactic atlas of the brain of a guinea pig, the trapezoid and geniculate bodies were identified in the skull X-ray pictures. The irradiated region was found to have 10 x 6 x 5 mm in dimensions and to be situated at the depth of 11 mm away from the animals occiput.

Multiple enhancer elements mediate induction of c-fos in vascular smooth muscle cells.

Previous work from this and other laboratories has demonstrated that the vasoconstrictor peptide angiotensin II results in hypertrophy of rat aortic smooth muscle cells that is associated with an increase in transcription of the early growth response gene c-fos. To explore the molecular mechanism responsible for c-fos induction in rat aortic smooth muscle cells, we used a series of reporter constructs linked to the chloramphenicol acetyl transferase gene in transient transfection experiments in rat aortic smooth muscle cells. Constructs containing both the serum response element and cAMP response element exhibited a 20-fold increase in chloramphenicol acetyl transferase activity in response to either serum or angiotensin II, whereas no increase was seen in vehicle-treated cells.

[A case of congenital unilateral absence of maxillary and frontal sinuses].

The paper presents individual evolution of frontal and maxillary sinuses at man as well as presents the case of congenital unilateral absence of maxillary and frontal sinuses at 54 years old woman during treatment of upper airways infection. The only symptom found in physical examination was lowered infraorbital margin. Before and after treatment the patient did not claim any complaints.

[Meningiomas of the middle ear].

The histological structure of meningiomas as well as symptomatology, diagnostics and treatment of those tumors originally localized in the temporal bone is discussed on the basis of literature. A case of a histologically confirmed intratympanic meningioma in a 43-year-old woman is presented. The original symptoms of the tumor imitated the symptoms of the chronic otitis media.