Results of CO2 laser surgery in laryngeal papillomatosis.

Recurrent respiratory papillomatosis is medical condition strictly connected with HPV infection of the epithelium of the upper respiratory track. The main treatment of lesions located in larynx or lower pharynx includes microsurgical excision by using CO2 laser. A thorough preoperative assessment of patients is extremely important, which should not only be based on traditional laryngological examination, but also on endoscopy of the larynx and the use of the NBI (narrow band imaging) technique to assess the vascularization of lesions.

Voice Rehabilitation After Laryngeal Transplantation: Own Experience.

Background And Purpose: Laryngeal transplantation (LT) remains an infrequently performed procedure due to well-defined and limited medical indications. The challenges include a very complicated surgery, continuous immunosuppressive treatment, as well as post-transplant rehabilitation of voice, speech, and swallowing. The aim of this paper is to describe a model of voice and speech rehabilitation after LT, based on our own experience.

Implementation of recommendations on the check of risk factors for cardiovascular diseases in patients undergoing coronary re-interventions.

Method: The study involved 905 patients after coronary interventions, qualified for invasive diagnosis due to symptomatic coronary disease.

Aim: The aim of this study was to check the implementation of recommendations on the control of risk factors for cardiovascular diseases in patients undergoing re-interventions.

Results: Compared to elderly persons, younger people more often increased their physical activity (62 vs.

Assessment of immunomodulation and regulation of cell cycle in epithelium and stroma after Cidofovir injection in patients with recurrent respiratory papillomatosis-Pilot study.

Recurrent respiratory papillomatosis is strictly connected with human papillomavirus (HPV) infection of the epithelium of the upper respiratory tract. The main treatment of lesions located in the larynx or lower pharynx includes microsurgical excision by using a CO laser. To decrease the amount of surgical procedures gain in importance combined therapy with antiviral agents.

Laryngeal Electromyography in the Therapeutic Process of Patients with Vocal Fold Immobility or Dysmobility.

(1) Background: Laryngeal electromyography (LEMG) plays a key role in classifying the severity of nerve damage and determining the prognosis of the nerve recovery. LEMG is primarily a qualitative study, without a standardized approach to interpretation. The development of qualitative and quantitative analysis would situate LEMG in the gold standard of modern neurolaryngologic diagnostics.

The Clinical Significance of Drug-Food Interactions of Direct Oral Anticoagulants.

Cardiovascular diseases are the most common cause of death in the world. For almost 60 years, vitamin K antagonists (VKAs) were the mainstay of anticoagulation therapy, but in recent years direct oral anticoagulants (DOACs) have become the anticoagulant treatment of choice. DOACs were initially considered drugs with no significant food interactions; however, clinical observations from daily practice have proved otherwise as interactions with food ingredients have been reported.

[Teachers' voice rehabilitation in sanatorium conditions].

Background: Voice diseases occupy the third place among all of the diagnosed occupational disorders in Poland. There still exists the necessity to implement effective and economical methods of the primary and secondary prevention of voice disorders in teachers. The aim of this study was to assess the effectiveness of comprehensive voice rehabilitation in teachers, conducted within a health resort hospital.

The Effectiveness of Rehabilitation of Occupational Voice Disorders in a Health Resort Hospital Environment.

Background: The aim of this study was to present a rehabilitation program of occupational voice disorders for teachers, conducted in the form of health resort stays, and evaluate its effectiveness depending on job seniority.

Methods: The study included 420 teachers who participated in a complex vocal prophylactic and rehabilitation program carried out during a 24-day stay at a health resort hospital. Employment time varied from 4 to 45 years (mean 28.

Resveratrol and cardiovascular system-the unfulfilled hopes.

Introduction: Resveratrol is a natural polyphenolic compound with a stilbene structure endowed with multiple health-promoting effects. Among phenolic compounds, resveratrol is assigned a leading role in the health-promoting effects of red wine.

Methods: The aim of the study was to assess the effect of resveratrol on the cardiovascular system in the experimental and clinical studies conducted so far.

Qualification of unilateral cochlear implant recipients for a second device.

Introduction: Although it is recommended to perform cochlear implantation in both ears at the same time for management of profound hearing loss in children, many centers prefer to perform sequential implantation. There are many reasons as to why a simultaneous bilateral implantation is not commonly accepted and performed. The major risk is the possibility of bilateral vestibular organ impairment.

The significance of selected prognostic factors in pediatric tympanoplasty.

Objectives: The aim of this study was to determine the importance of selected prognostic factors on outcomes of tympanoplasty in children.

Materials And Methods: 241 children classified into three age groups (3-7, 8-12 and 13-18), had undergone tympanoplasty between 2001 and 2007 and were subsequently observed for at least 2 years. Prognostic factors were assessed with regard to their impact on the functional and anatomical outcome of the tympanoplasty defined, respectively, as postoperative air-bone gap and state of the middle ear.

Therapeutic approach to pediatric acute mastoiditis - an update.

Introduction: Acute mastoiditis remains the most common complication of acute otitis media. It may rarely appear also in cochlear implant patients. However, the treatment recommendations for this disease are not precisely defined or employed, and in the current literature the differences regarding both the diagnosis and management are relatively substantial.

Autofluorescence spectroscopy in the differentiation of laryngeal epithelial lesions - preliminary results.

Conclusions Autofluorescence spectroscopy may be a supporting tool for differential diagnosis of changes in laryngeal epithelium. Objectives Early detection and differential diagnosis of proliferative changes in the larynx are still a challenge for laryngologists. The aim of the study was to evaluate the autofluorescence spectroscopy technique to in vitro differential diagnosis of pathological changes in the epithelium of the larynx.

Long term results of childhood dysphonia treatment.

Objective: The aim of this study was to assess the long term results of treatment and rehabilitation of childhood dysphonia.

Methods: This study included a group of adolescents (n=29) aged from 15 to 20 who were treated due to pediatric hyperfunctional dysphonia and soft vocal fold nodules during their pre-mutational period (i.e.

Affective temperament in women with functional aphonia.

Objectives: The aim of the present study was to assess the affective temperament in women with functional aphonia.

Study Design: Cross-sectional.

Methods: Forty-one women with functional aphonia underwent an examination of affective temperament by means of the Temperament Evaluation of Memphis, Pisa and San Diego Autoquestionnaire.

[Angina pectoris due to coronary-subclavian steal syndrome caused by the LIMA graft in the patient after CABG with the use of the right and left mammary artery].

We present a case of a patient with unstable angina pectoris two years after coronary artery by-pass graft surgery with the use of the right and left mammary artery. The symptoms were caused by the critical RIMA stenosis and coronary-subclavian steal syndrome through the LIMA graft. Unsuccessful attempt of percutaneous angioplasty of the closed left subclavian artery was made.

[Recurrent cardiac tamponade and sepsis in a patient with rheumatoid arthritis].

Exudative pericarditis is found in 30-50% of the patients with rheumatoid arthritis (RA), particularly in later stages of the disease. Most cases present with no or few symptoms. We report a case of a 68 year-old male with a history of mild RA who developed exudative pericarditis leading to recurrent cardiac tamponade requiring repeated pericardiocenteses.

[Successful therapy and rehabilitation following stroke in a pregnant woman with prosthetic aortic valve].

This report describes a case of a 40 year-old woman with implanted aortic prosthetic valve, who experienced thrombo-embolic complication in a form of ischaemic stroke in 15 week of pregnancy. At the beginning of the event, the patient suffered from mixed aphasia, right-side paresis and depressive syndrome. Thanks to cooperation of many specialists, especially rehabilitation team, she restored overall physical efficiency, speaking ability, delivered a healthy child, and returned to normal family and social activity.

Laryngovideostroboscopy in children--diagnostic possibilities and constraints.

Objective: The aim of this study was to report our experience with laryngovideostroboscopy (LVS) in consecutively examined children patients.

Methods: The study included 150 children (2.5-14 years of age) diagnosed with dysphonia.

Value of oral glucose tolerance test in the acute phase of myocardial infarction.

Background: Although European guidelines advise oral glucose tolerance test (OGTT) in patients with acute myocardial infarction (AMI) before or shortly after hospital discharge, data supporting this recommendation are inconclusive. We aimed to analyze whether disturbances in glucose metabolism diagnosed before hospital discharge in AMI patients represents a latent pre-existing condition or rather temporary finding. Additionally, we planned to investigate the value of pre-selected glycemic control parameters as predictors of long-term glucometabolic state.