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Biomedical subjects

E Zietek

Publications and source records attributed to E Zietek.

At least 37 records · Page 2Linked to original sources
PubMed1998

[Fibrosarcoma of the larynx].

Fibrosarcoma is the most common neoplasm of the larynx of mesenchymal origin. Between 1991 and 1996 three cases of fibrosarcoma were observed in the ENT Clinic of the Pomeranian Medical Academy. There were two males and one female aged 49-66. It makes 0.5% (3 in 655 cases) of all malignant neoplasms of the larynx treated by surgery in the mentioned period of time. The primary focus of the neoplasm in one case was located in anterior commissure and in the two others--in the vocal cord. In all the cases surgery was done. Results of the treatment were given.

Aged↗
PubMed1998

[The results of radiation and surgical treatment of early vocal cord carcinoma (T1a, T1b)].

Results of surgery treatment from the external access and radiotherapy in early, stage of vocal cords carcinoma were presented. Clinical material consisted of 94 cases with squamous cell carcinoma of vocal cords with stage T1a and T1b treated in Szczecin University Department of Otorhinolaryngology from 1987 to 1996. 51 cases were operated on (26 by chordectomy and 25 by frontolateral laryngectomy). Radiotherapy was applied in 43 patients. The 3 and 5 years' survival rate in the surgery group was 97% and after radiotherapy 88 to 80%. The functional results were also presented. It was concluded that the mode of treatment in early stages of vocal cord carcinoma should be individualized.

Adult↗
PubMed1998

[Deep neck infections in the antibiotic era].

The paper presents 43 patients treated between 1971 and 1995 in the Otolaryngology Clinic of the Pomeranian Medical Academy in Szczecin because of deep neck space infections. The authors analyse their own clinical material paying particular attention to the diagnosis, microbiology, patients prognosis and basic therapeutic procedures. Out of the 43 cases, deaths occurred in 3, which denotes 7% mortality rate. The reason for failure was discussed. It was revealed that needle aspiration and sonography were for valuable to identify early abscess formation. The analyses have confirmed that the prognosis of the deep neck space infections is influenced by early diagnosis and prompt, extensive surgical treatment.

Abscess↗
PubMed1998

[Surgical treatment of hypopharyngeal cancer: reconstructive methods].

The paper presents a 26-year experience of the ENT Clinic of the Pomeranian Medical Academy in Szczecin with 20 patients who underwent reconstruction of the hypopharynx after resection for locally advanced carcinoma. The procedures were carried out in years 1970-1995. The reconstructions included 7 musculomucosal pedicle flaps obtained from the base of the tongue, 5 epiglottis pedicle flaps, 4 tubed pectoralis major musculocutaneous flaps, 1 vascular pedicle submandibular gland flap, 1 deltopectoral flap, 1 skin flap and 1 island pectoralis major musculocutaneous flap. An analysis of the procedures with emphasis on the oncological and functional results indicates that each techniques has advantages in specific circumstances. Guidelines for the application of the techniques are described.

Adult↗
PubMed1997

[Treatment of bilateral vocal cord paralysis: surgical technique and functional results].

The authors present possibilities of the surgical treatment in bilateral vocal cord paralysis. We described the technique of the operation which is being used in our department in such a cases. 13 patients were analyzed after operations (11 women, 2 men). Bilateral vocal cord paralysis was caused by thyroidectomy (11 cases), virus infection (1 case) and in the course of multiple sclerosis (1 case). Functional results were evaluated by subjective examination, indirect laryngoscopy, spirometry and video-laryngoscopy. The effects of the treatment were satisfied.

Adult↗
PubMed1995

[Patency restoration of the obliterated larynx].

Two cases of total subglottic stenosis of the larynx and of the upper segment of the trachea following an automobile accident and a prolonged endotracheal intubation are presented. Both were observed in ENT Department of Pomeranien Medical Academy in Szczecin during the years 1991-1992. In both cases the ring of the cricoid cartilage and upper segment of trachea was excised and the primary thyrotracheal anastomosis was performed. The functional results of the treatment in either case was satisfactory.

Adult↗
PubMed1995

[Extended fronto-lateral laryngectomy with epiglottoplasty].

The report presents our experience of 20 years in extended fronto-lateral laryngectomy with subsegment epiglottoplasty. Material comprised 35 patients aged 31-70. There were 3 female and 32 male patients. Clinical stage of the glottic cancer was: T1N0-in 22 cases and T2N0-in 13. Technique of the extended fronto-lateral laryngectomy and reconstruction of the larynx, using epilottis was presented. 3 and 5 years survival rate was achieved in 92% and 88% of cases respectively. Functional results were satisfactory.

Adult↗
PubMed1994

[Immunocytochemistry in the differential diagnosis of the head and neck tumors].

Immunocytochemical analysis in fine-needle aspirates were performer in 46 cases of head and neck tumors. Immunocytochemical studies helped to establish the differential diagnosis of all diagnostically difficult cases. The application of 3 monoclonal antibodies against keratin, vimentin and LCA permitted to differentiate basic types of malignant tumors.

Antibodies, Monoclonal↗
PubMed1994

[Aspiration pneumonia following various types of partial horizontal laryngectomy].

The authors present a retrospective study of 463 partial horizontal laryngectomy of various types (horizontal supraglottic laryngectomy and its modifications, supracricoid laryngectomy with CHP and CHEP, glottic laryngectomy) performed in the years 1970-1991 in the ENT Clinic of Pomeranian Medical Academy in Szczecin. The aspiration pneumonia in 46 (about 10%) patients was observed as a result of insufficient lower airway protection. In cases of extended supraglottic laryngectomy (including the removal of one arytenoid cartilage and/or one vocal cord) aspiration pneumonia appeared more often (16%) than after classic supraglottic laryngectomy (6%). Reconstruction of elevation of arytenoid cartilage and/or vocal cord and base of tongue its extended resection augmented the efficacy lower airway protection.

Arytenoid Cartilage↗
PubMed1994

[Oncological and functional results after classic and extended fronto- lateral laryngectomy].

The authors present a retrospective study of 72 classic frontolateral partial laryngectomy and 63 extended frontolateral resection performed in the years 1973-1992 in the ENT Clinic of Pomeranian Medical Academy in Szczecin. The operation was performed in selected glottic carcinomas. For reconstruction of the larynx after laryngectomy, the skin, vascular pedicled flap of the thyroid gland and the epiglottis were used. The functional results in regard to respiration, deglutition and phonation were satisfactory. 88% of patients survived 3 years and 86% of patients 5 years.

Adult↗
PubMed1993

[Horizontal laryngectomy of the glottis].

The surgical technic of horizontal glottic laryngectomy and the oncological and functional results in 12 cases treated in ENT Clinic of Pomeranien Medical Academy in Szczecin during the years 1985-1991 are presented. In all cases the changes concerned the vocal cords and were of following extend: T1b--5 cases and T2--7 cases. The survival rate was: 5-years--4/6 patients, 3-year--8/10 patients and 1-2-years--2/2 patients. 3 patients died. The causes of death were: intraoperation--1 case, local recurrence--1 case and non neoplastic case--1 case. Among 12 cases decaniulation were possible in 9.

Adult↗
PubMed1992

[Functional results after supracricoid reconstructive laryngectomy with cricohyoidopexy (chp) and cricohyoidoepiglottopexy (chep)].

The functional results in 61 patients after supracricoid reconstructive laryngectomy with CHP (28 cases) and CHEP (33 cases) performed in the University ENT Department in Szczecin between 1971-1989 are presented. Satisfactory lower airway protection in about 93% and respiration in the natural way in 83% are obtained. It was impossible to decaniulate 11 patients. The voice was socially sufficient in 89%.

Adult↗
PubMed1992

[Cases of granular cell tumor (myoblastoma) in the larynx].

Two patients suffering from very rare granular cell tumor of the larynx were observed at the ENT Department of Medical School in Szczecin in the period 1986 to 1990. In one case the tumor located in the intra-arythenoid region was treated by tyreotomy. In the second case the tumor contained comisura anterior and cricothyreoidea region and was resected by subglottic laryngectomy. The functional results of the treatment were satisfactory.

Adult↗
PubMed1992

[Partial supra-cricoid reconstructive laryngectomy with CHP and CHEP: surgical technique and oncologic results].

The authors present a report on 62 cases of partial horizontal supracricoid reconstructive laryngectomy, including 28 cases of cricohyoidopexy (CHP) and 34 cases of cricohyoidoepiglottopexy (CHEP). The surgery was carried out in the years 1971 to 1989 in the ENT Clinic of Pomeranian Medical Academy in Szczecin. The indications, surgical technique and oncological results are presented. 78% patients survived after 3 years and 73% after 5 years without recurrence. The reasons of failure and the way of treatment are discussed.

Adult↗
PubMed1991

[Cervical esophagostomy in cases of incarcerated foreign bodies].

One thousand and twenty incarcerated foreign bodies of oesophagus were observed in ENT Department in Szczecin in the period 1973-1989. To remove five of them, the external esophagotomy was required. Particular description of these cases as well as the surgical technique and the indications to this operation are discussed in the paper.

Adolescent↗
PubMed1990

[Pedunculated polyp of the esophagus].

The rare case of the pedicle oesophageal polyp was described. The diagnostic difficulties, treatment and clinical course were also discussed.

Esophageal Neoplasms↗
PubMed1990

[Treatment of advanced cancer of the palatine tonsil].

33 patients with the various clinical stage of palatal tonsil cancers were described together with their treatment. In T3 and T4 stages the best results were obtained by both surgery and radiotherapy in contrast to radiotherapy alone.

Aged↗