Search PubMed⌕ Search

Biomedical subjects

B Kowalska

Publications and source records attributed to B Kowalska.

At least 19 recordsLinked to original sources

[Effect of vitamin/mineral supplementation on calcium, magnesium and iron levels in amniotic fluid and serum taken from women during first half of pregnancy].

The levels of calcium, magnesium and iron in amniotic fluid and serum taken from women during first half of pregnancy were compared. The relationship between these levels and vitamin-mineral supplementation was also estimated. There was similar calcium and magnesium concentration in the serum and amniotic fluid. The concentration of iron in serum was four times as large as in amniotic fluid. Any influence of supplementation on concentration of studied minerals was noted.

Adult↗

[Meningiomas of the nose and paranasal sinuses].

In material of ENT Department, Medical University of Gdańsk we have three cases of extracranial meningioma localized in the nose and sinuses. Two of them are presented in this paper. One case was 29 year woman with meningioma of the nose and ethmoid and maxillary sinuses; it was residual tumor after removal of intracranial meningioma 3 years earlier. Second case was 14 year boy with meningioma of the nose, ethmoid and maxillary sinuses and of the orbit. In both patients tumor was removed by rhinosurgical access (lateral rhinotomy). Late results of the operation were very good. Basing on clinical and radiological pictures of both cases, pathological characteristics of naso-sinusal meningioma was made.

Adolescent↗

[Extracapsular spread of lymph nodes as a prognostic factor in laryngeal carcinoma].

The authors analysed clinical and morphological data of 105 patients with laryngeal carcinoma metastases in cervical lymph nodes treated in Department of Otolaryngology Medical University of Gdańsk in the years 1976-1985. The incidence of extracapsular spread and its relation to certain features of primary tumor and regional lymph nodes were estimated. The authors presented treatment results in two group of patients--with and without presence of extracapsular spread and stated prognostic value of extracapsular spread in patients with laryngeal carcinoma.

Carcinoma↗

[Bilateral neck dissections].

The structure of lymphatic system of the larynx causes that in some cases node metastases may occur bilaterally. In many patients bilateral neck dissection is indicated. In material of 252 patients with laryngeal carcinoma, treated in ENT Department in Gdańsk in 1976-1985, an assessment of frequency and indications to one-stage bilateral neck dissection was made. Among 252 patients, bilateral operations were performed in 50, i.e. 20%. We have found that in 29 patients of 50 were nodal metastases, in 12 unilateral and in 17 bilateral. The analysis of long-term results of treatment showed 23.5% of 5-year survivals in patients with bilateral metastases and 42.3% in patients with unilateral metastases. To base on these data we consider that bilateral one-stage neck dissection should be a standard treatment in many cases of laryngeal carcinoma.

Adult↗

[Effectiveness of elective neck dissection in patients with laryngeal carcinoma].

The authors presented material of 711 patients with laryngeal cancer treated in Department of Otolaryngology Medical University of Gdańsk in the years 1976-1995 estimating effectiveness of elective neck dissection. 402 patients (56.6%) had N0 stage and in 162 of them elective neck dissection was performed. Occult metastases were found in 21% of N0 patients. Comparing treatment results in this group to inoperated N0 patients the authors found higher percentage of survival and lower incidence of failure after elective neck dissection.

Carcinoma, Squamous Cell↗

[Long term result of treatment of laryngeal carcinoma (1981-1990)].

Long term results were evaluated on the basis of the epidemiological and clinical analysis of 386 patients treated surgically because of squamous cell carcinoma of the larynx in the ENT Department, Medical University of Gdańsk between 1981-1990. Full recovery was achieved in 52.3% of patients, failure was found in 26.9%. In the treatment evaluation the following factors were taken into account: the age of patients, T and N classification and clinical staging, primary location of the tumour. The treatment results, concerning the years 1981-1990 were compared to the ones obtained in our clinic in 1971-1980; it has been stated that the differences between the percentage of recoveries and the failures are statistically unimportant.

Adult↗

[Laryngeal carcinoma in brothers].

The most important etiologic factors of laryngeal carcinoma are tobacco smoking and heavy drinking as well as precancerous changes of laryngeal mucosa. The significance of genetic or family factor is still not explained. Two brothers, 45 and 48 years old, in which supraglottic carcinomas were diagnosed, are presented. The tumor localisation was the same in both brothers. In each of the patients supraglottic horizontal laryngectomy and neck dissection were performed. In one brother 5-year disease free survival was obtained, in second the distant and regional metastases were cause of death after two years.

Carcinoma, Squamous Cell↗

[Pathological and clinical assessment of polypoid hypertrophy of the vocal cords].

Polypoid hypertrophy of mucosa of the vocal cord is the most common non-neoplastic disease of the larynx. This hypertrophy has a form of simple polyp of vocal cord or polypoid hypertrophy of the whole length of one or both vocal cords. In most cases a course of the disease is typical. In a few cases we can observe changes in polyp epithelium, i.e. hyperplasia or even dysplasia. Clinical and histological analysis of 809 patients treated because of laryngeal polyps (by Kleinsasser microsurgical procedure) within the period of 1981-1995 at ENT Clinic in Gdańsk was made. Sex and age of the patients, macroscopic picture of the disease as well as treatment and results were assessed. Special attention was paid to the problem of polyp epithelium rebuilding. In a few cases, polyp of the vocal cord should be assessed as praecancerous state.

Adult↗

[Ocular and orbital symptoms of Wegener's disease].

Wegener's granuloma occurs most commonly in upper respiratory tract, in lungs and in kidneys. In many cases ocular and orbital disturbances may be accompanied by changes in the nose and sinuses. These disturbances occur as: superior orbital fissure syndrome, orbital apex syndrome or ocular fascicle atrophy. The authors present the symptoms of these disturbances in 3 patients treated at Otolaryngological Clinic, Medical University of Gdańsk. On the bases of clinical symptoms and radiological results (CT and MRI) the assessment of pathogenesis of ocular and orbital symptoms was made in each of these cases, with special regard to the mode and result of the treatment.

Aged↗

[Extramedullary plasmacytomas of the larynx].

The authors present four cases of solitary extramedullary plasmocytoma of the larynx, a very rare laryngeal tumor, seen in ENT Department, Medical University of Gdańsk in years 1948-1994. They were 0.16% of all malignant laryngeal neoplasms and 23.5% of non-epithelial neoplasms of the larynx in this period. Characteristics for these tumors, epidemiological and clinical features were discussed.

Female↗

[Partial surgery in treatment of laryngeal cancer in the material of ENT department in Gdansk].

Partial operations in treatment of laryngeal cancer in 112 patients was presented. This material was divided on two groups: 14 patients with supraglottic cancer and 98 patients with glottic cancer. Types of operations, their results and failures of treatment was presented and discussed. Special attention was paid to the problem of vocal cord mobility in qualification of the patients to partial operations of the larynx.

Female↗