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2015
|
vol. 4(2)
84-84
PL
Prof. dr hab. nauk medycznych Mariusz Taniewski, syn profesora Józefa Taniewskiego, urodził się w Warszawie 9 września 1931 r. Studia medyczne rozpoczął na Wydziale Lekarskim Akademii Medycznej w Poznaniu, a kontynuował w Szczecinie, gdzie w 1953 r. uzyskał dyplom lekarza medycyny. Profesor Mariusz Taniewski pozostanie w naszej pamięci jako człowiek o niezwykłej kulturze osobistej i ujmującym sposobie bycia. Zapamiętamy też Jego dokonania naukowe i zawodowe. Odszedł znakomity naukowiec, doświadczony i empatyczny lekarz, ukochany bliski. Zmarł 25 lutego 2015 r. w Gdańsku, pochowany na Cmentarzu Centralnym Srebrzysko.
|
2015
|
vol. 4(2)
84-84
EN
Professor Mariusz Taniewski MD, PhD, the son of professor Józef Taniewski, was born in Warsaw on the 9th of September 1931. His medical studies started at the Faculty of Medicine of the Medical Academy in Poznań to be later continued in Szczecin where he was granted his medical doctor’s diploma in 1953. He will also be remembered for his scientific and professional achievements. We lost an excellent researcher, experienced and empathic physician and beloved relative. Professor Mariusz Taniewski passed away on 25th of February 2015 and was buried at “Srebrzysko” Central Cemetery.
PL
Introduction. Surgical treatment of OSAS is focused on removal of narrowing that increase airway resistance in upper respiratory tract. Nd:YAG laser beam penetrates deeper into tissue than CO2 laser followed by superior scarification ability. In this study we investigate efficacy of surgery with Nd:YAG laser assisted uvuloplasty (LAUP). Material and methods. The subject was 51 patients with OSAS treated in Department of Otolaryngology, Medical University of Gdansk during the 2004–2005 period. All patients underwent all-night PSG and the ESS (Epworth Sleepiness Scale) score was used to assess the daytime sleepiness. Surgery treatment was performed and all patients underwent LAUP and additionally lingual base laser vaporization, tonsillectomy and nasal surgery where needed. The postoperative control ENT examination including ESS and all-night PSG was performed after 6 months. Results. Success was found in 29 patients, they achieved AHI<10 and ESS<12. In another 22 patients improvement at PSG parameters and ESS score were evaluated but they were still beyond normal range. Success was obtained in 14/16 patients with preoperative AHI I degree, 10/19 AHI II, and 4/16 AHI III. Nasal surgery for enlargement of airway passage was performed more frequently (25/32) in the group with success then in the group with partial improvement (9/19). Preoperative PSG parameters were better in patients with nasal obstruction. Patients with BMI≥30 succeeded rarely (10/22) in compare with patients with BMI<30 (success in 24/29). Preoperative PSG parameters were better in patients with BMI<30. Conclusion. LAUP with Nd:YAG laser wit additional tonsillectomy, lingual base surgery and nasal surgery were needed is successful method for surgery at light and medium stage of OSAS in nonobese patients.
PL
Opisano 65-letniego mężczyznę z rozległym gruczolakiem wielopostaciowym płata dodatkowego współistniejącym z guzem Wartina płata powierzchownego ślinianki przyusznej. Przedstawiono przebieg choroby i leczenia z uwzględnieniem rodzaju dostępu operacyjnego.
5
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Perlaki wrodzone

51%
PL
Perlak wrodzony jest rzadkim schorzeniem ucha. Najczęściej przybiera postać perłowobiałej masy widocznej za niezmienioną błoną bębenkową u osób bez przeszłości otologicznej, w tym otochirurgicznej, oraz z nieuszkodzoną błoną bębenkową. Na podstawie wnikliwego przeglądu piśmiennictwa autorzy przedstawili w artykule najbardziej prawdopodobne teorie rozwoju perlaka wrodzonego, kryteria diagnostyczne, najczęstsze jego objawy kliniczne, rodzaje badań wykonywanych przed operacją, sposoby postępowania chirurgicznego i cele opieki pooperacyjnej. Ponadto autorzy dokonali porównania cech histologicznych, molekularnych oraz klinicznych perlaków wrodzonych i nabytych.
EN
The paper describes 65-year-old man diagnosed with a widespread pleomorphic adenoma of accesory gland coexisting with Wartin’s tumor of the parotid gland superficial lobe. The course of disease and its treatment considering the surgical approach are presented.
7
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Congenital cholesteatomas

51%
EN
Congenital cholesteatoma is a rare ear disorder. The most common presentation is a pearly and white mass, visible with an intact tympanic membrane in individuals with no previous history of ear discharge, ear surgery or perforation of tympanic membrane. Based on a careful overview of literature, authors of this article present: the most probable theories of the cause of development of congenital cholesteatoma, diagnostic criteria of congenital cholesteatoma, its most common clinical symptoms, preoperative studies, methods of surgical treatments and goals of postoperative proceedings. Furthermore, authors present a comparison of histological, molecular and clinical features of congenital and acquired cholesteatomas.
EN
Introduction. Surgical treatment of OSAS is focused on removal of narrowing that increase airway resistance in upper respiratory tract. Nd:YAG laser beam penetrates deeper into tissue than CO2 laser followed by superior scarification ability. In this study we investigate efficacy of surgery with Nd:YAG laser assisted uvuloplasty (LAUP). Material and methods. The subject was 51 patients with OSAS treated in Department of Otolaryngology, Medical University of Gdansk during the 2004–2005 period. All patients underwent all-night PSG and the ESS (Epworth Sleepiness Scale) score was used to assess the daytime sleepiness. Surgery treatment was performed and all patients underwent LAUP and additionally lingual base laser vaporization, tonsillectomy and nasal surgery where needed. The postoperative control ENT examination including ESS and all-night PSG was performed after 6 months. Results. Success was found in 29 patients, they achieved AHI<10 and ESS<12. In another 22 patients improvement at PSG parameters and ESS score were evaluated but they were still beyond normal range. Success was obtained in 14/16 patients with preoperative AHI I degree, 10/19 AHI II, and 4/16 AHI III. Nasal surgery for enlargement of airway passage was performed more frequently (25/32) in the group with success then in the group with partial improvement (9/19). Preoperative PSG parameters were better in patients with nasal obstruction. Patients with BMI≥30 succeeded rarely (10/22) in compare with patients with BMI<30 (success in 24/29). Preoperative PSG parameters were better in patients with BMI<30. Conclusion. LAUP with Nd:YAG laser wit additional tonsillectomy, lingual base surgery and nasal surgery were needed is successful method for surgery at light and medium stage of OSAS in nonobese patients.
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