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Biomedical subjects

C Stankiewicz

Publications and source records attributed to C Stankiewicz.

At least 19 recordsLinked to original sources

[Hyperbaric oxygen therapy as a method of treatment of laryngeal and pharyngeal radionecrosis].

The authors described two cases of palatine tonsil carcinoma treated with surgery and subsequent radiation therapy after which occurred severe radionecrosis of the larynx, pharynx and oral cavity. These subjects were treated with hyperbaric oxygen therapy (HBO). Complete resolution of postradiation changes was observed. The authors described: 1) basic changes in the tissues caused by radiation therapy; 2) the mechanisms of healing activity of hyperbaric oxygen.

Female↗

[Primary malignant neoplasms of nasal septum in the material of ENT Department at Medical University in Gdansk].

The authors presented 25 years experience of ENT Department Medical University of Gdańsk in treatment 28 primary malignant neoplasms of nasal septum. The aim of the study was to analyse epidemiological (age, sex, addictions etc.), morphological and clinical data of these tumors, methods of treatment and their results. Histologically the most often recognized neoplasm was squamous cell carcinoma (15 of 28 cases--53.6%) and malignant melanoma (6 of 28 cases--21.4%). Diagnostic and clinical difficulties in this group of patients were presented. The treatment results were compared to the results obtained in the whole group of patients with malignant neoplasms of the nose and paranasal sinuses.

Aged↗

[Unusual history of the chemodectoma of parapharyngeal space].

A case of chemodectoma in 58 year old woman is presented. The tumour was located in the parapharyngeal space. During preoperative arteriography and embolization a hemiparesis was noticed, probably caused by the thrombus in the cerebral medial artery. Early radiological examination of brain arteries allowed to perform specific treatment in only two hours time from the onset of the paresis. The treatment was successful--neurological symptoms have receded after 24 hours. Few days later patient was operated on--the tumour was removed with part of the vagus nerve. No serious postoperative complications were observed.

Embolization, Therapeutic↗

A case of multisymptomatic relapsing polychondritis in a 22-year-old woman.

A case of multisymptomatic relapsing polychondritis in a 22-year-old woman. We report a case of a 22-year-old woman with relapsing polychondritis (RP)--a rare and little known systemic autoimmune disease characterised by episodic inflammation of cartilaginous structures (ear, nose, bronchi, trachea, larynx, ribs, cardiovascular system). This patient presents with a seven-year history, initiated by the saddle nose. The patient developed a multitude of symptoms: auricular chondritis, ocular symptoms, recurrent arthritis, respiratory complications (laryngotracheomalacia, bilateral vocal cord palsy), sensorineural hearing loss and enchondroma of the humeral bone. The examination of an auricle biopsy by an immunofluorescent method and a positive serum reaction from the patient to normal cartilage supported the immunological nature of relapsing polychondritis. Treatment consisted of orally administered prednisone and diaminodiphenylsulfone (Dapsone).

Adult↗

[Necrotizing sialometaplasia. Case report].

The authors present a rare case of inflammatory disease of submandibular salivary gland (necrotizing sialometaplasia), in which the histopathological examination was of particular value while estimating the final diagnosis. Review of world literature concerning this disease was made.

Aged↗

[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↗

[Merkel cell carcinoma in otolaryngology].

The authors presented two cases of Merkel cell carcinoma, a rare malignant neoplasm of neuroendocrine origin located in parabasal layer of epithelium. The first described case was 67 year old woman, after resection of primary tumor of eyelid, with metastases in lymph nodes of parotid gland. The second case was 44 year old woman with the primary tumor in retroauricular region. The patient underwent radiotherapy 23 years earlier due to malignant lymphoma. Basing on the available literature the authors discussed clinical and histological features of this malignancy, they stressed the important role of immunohistochemical tests in the diagnosis.

Adult↗

[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↗

[Carcinoma of the hypopharynx in the material of ENT Department at the Medical University of Gdańsk].

The authors presented results of retrospective epidemical and clinical evaluation of 101 patients with carcinoma of hypopharynx. 42 of them were treated surgically or combined method. 29.7% of them survived 3 years and 23.5%--5 years. Radiotherapy was applied in 52 cases--25.6% of them survived 3 years, and 19.9%--5 years. 28.4% of the patients survived 3 years and 21.5%--5 years.

Adult↗

[Metastases to cervical nodes from unknown primary tumor].

The authors presented clinical analysis of 19 patients with cervical nodes metastases from an unknown primary site, treated in Department of Otolaryngology Medical University of Gdańsk in the period from 1981 to 1998. As the primary site of cancer was not found, basing on histopathological and clinical examination 4 patients underwent surgical treatment and in 15 patients combined therapy was applied. In two cases primary tumor was found in lung and trachea after a four months of treatment initiation. Treatment failure was observed in 12 cases, 7 patients survived, 2 of them over 4 years.

Cervical Vertebrae↗

[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↗

[Malignant schwannoma of parotid gland. Case report and review of literature].

The authors described a rare malignant neoplasm of peripheral nerve sheath, sarcomatous neurillemoma, localized in parotid gland in 72-year female. Findings of the computer tomography, nuclear magnetic resonance and Doppler-ultrasound are presented and discussed. A review of world literature, including 14 cases of this tumor, was made.

Adolescent↗

[Osteoma of the maxillary sinus].

Osteomas of paranasal sinuses occur mainly in frontal and ethmoid sinus, in maxillary or sphenoid sinus are seen very rarely. The authors present a review of literature and next describe a case of spongioid osteoma in 42-years old female. The clinical features and radiologic assessment of the disease are presented. The tumour was resected by Caldwell-Luc operation with very good long term result.

Adult↗

[Retained teeth in the maxilla].

Two cases of retained teeth in maxilla, very rare disease seen in otolaryngological practice, are described. The authors present causes of this pathology, symptomatology, diagnostics and treatment. Diagnosis of retained teeth is made mainly by radiologic investigation i.e. CT and pantomography. A review of literature was made.

Adult↗