Biomedical subjects
Publications and source records attributed to Alicja Bartnik-Krystalska.
5 patients (1 woman, 4 men) with mucoceles of the paranasal sinuses were hospitalized in ENT Department in Kalisz from 1992 to 2001. In two cases mucocele was in frontal sinus and penetrated to orbita, in next two cases it was in maxillary sinus. In the case of woman mucocele was in ethmomaxillary complexus and destroyed medial and inferior orbit's walles. All patients were operated and completely cured.
8 cases of tuberculosis were presented in this paper. Two patients had changes in the larynx and pharynx and one patient had pharyngeal tuberculosis and squamous carcinoma of epiglottis. Further specialty investigations e.g. MDL, biopsy, histopathological and bacteriological examinations were done and revealed proper diagnosis tuberculosis. Etiology, pathogenesis, diagnostic were described. Changes of tuberculosis were in unusual location. All patients were treated tuberculostatic drugs.
We presented the case report of a postoperative maxillary cyst, which developed 26 years after the radical Caldwel-Luc procedure in the maxillary sinus. This is a rare case in non-oriental population but it has been described well in Japanese literature. Considering the size and damage found in clinical and radiological examination, we suspected a malignant lesion.
A 52-year-old female patient is described who was aperated upon for a giant osteoma involving the right side ethmoid labyrinth bulging into the orbit shifting the eyeball, passing into right of the frontal and sphenoidal sinuses. We obtained complete cure and good cosmetic result.
Treatment and results of 13 laryngeal and trachea traumas have been presented. All patients were operated in 24 hours after the injury. We had good results, only two patients had vocal chord paralysis. After phoniatric rehabilitation they regained good voice.
Between 1984 and 2001, 33 patients were treated because of foreign bodies in their lower respiratory tract. The age of patients ranged from 0 to 74 years, but the most numerous group was children between 0 and 5 years--16 cases and between 6 and 15 years--9 cases. The most often met foreign bodies were: organic--17 cases, metal bodies 7, plastic 7. We found proliferous changes in 2 patients. In all cases foreign bodies were removed by means of rigid bronchoscopy. In 30 cases they were treated within 48 hours. Only in one case, a ring, retained for 6 weeks. We didn't have any complications.
The authors presents a very rare disease of trachea and bronchi on the basis of literature and their own case a 49-years old man. The diagnosis was made on the basis of CT trachea and bronchi, tracheobronchoscopy and biopsy with histopathological examination. The etiology of the disease is still unknown. It may be genetically determined.
In the nasopharynx we can find malignant and non-malignant tumors. Authors present diagnostic difficulties on the base on literature and seven own cases. CT and NMR is needed to describe infiltration. Besides new methods radiotherapy and chemotherapy prognosis is poor. We have good results in early surgery in non-malignant tumors.
On the base of literature and their own 123 patients the authors present the frequency, diagnostics and treatment of congenital neck fistulas and cysts. We had 9 congenital fistulas: 6 median and 3 lateral. We treated 114 patients with neck cysts.: 29 median and 85 lateral, from which 50 were at the right side. The disease mainly manifested in 10-19 year-old patients--25 cases and in 30-39 year-old patients--21 cases. We divided the lateral neck cysts according to Bailey's--the most frequent of which were of III type--44.7%, II type--32.94%, IV type 16.58% and I type 5.88%. All patients were radically operated on-that is they had totally enucleated fistula or cyst. In the case of median fistulas or cysts we didn't extirpate the body of the hyoid bone but in the case of duct going to caecal foramen of the tongue, we elevated the hyoid bone and with Storz lupe we prepared the duct to the root of the tongue. We didn't have any recurrence resulting from this kind of treatment. We had a recurrence in one patient (0.81%) with median cyst of the neck which was localised in the lower part of the neck and was connected with thyroid. We reoperated this patient and we had a complete recovery.