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Problematics of fungal infections in the paranasal sinuses

100%
Nowak K., Szyfter W.
Otolaryngologia Polska
|
2008
|
vol. 62(6)
716-721
EN
Fungal infections of the ear and paranasal sinus, are recognised quite rarely, but they make sometimes, for many reasons, very important diagnostic-therapy issue. Cantagion may developes near every paranasal sinus. Facilities to invasion give every states, which weaken general and punctual immunity (like immunosupression, chemo-sterydotherapy, blood disease, pregnancy and HIV). After penetrated organism, course of infections, in case of type of patogens, trim of the patient and localization, can have without symptoms, sharp, chronic or fulminant shape. The hardest course with the highest mortality occur in the cases of mucormycosis and aspergillosis. Actually curiosity occur cases of fungal infections, since this times consider to be unpathogenic for humans. For treatment of sinus mycosis in majority chirurgical treatment is required. In addition or the sake of morphological differentiation fungal, in their developing cycle, treatment mycosis recommends serious diffi culty, extra factor, which impeds therapy, is a must of prolongely antifungal treatment and repeated (to total elimination) remove hyphae from sinus, which stay sometimes even for week. Progress of the mycotic infections in paranasal sinus, remain bacterial infections and is often reason of bad diagnosis and incorrect treatment.
2
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Problematyka zakażeń grzybiczych w obrębie zatok przynosowych

100%
Nowak K., Szyfter W.
Otolaryngologia Polska
|
2008
|
vol. 62(6)
716-721
PL
Fungal infections of the ear and paranasal sinus, are recognised quite rarely, but they make sometimes, for many reasons, very important diagnostic-therapy issue. Cantagion may developes near every paranasal sinus. Facilities to invasion give every states, which weaken general and punctual immunity (like immunosupression, chemo-sterydotherapy, blood disease, pregnancy and HIV). After penetrated organism, course of infections, in case of type of patogens, trim of the patient and localization, can have without symptoms, sharp, chronic or fulminant shape. The hardest course with the highest mortality occur in the cases of mucormycosis and aspergillosis. Actually curiosity occur cases of fungal infections, since this times consider to be unpathogenic for humans. For treatment of sinus mycosis in majority chirurgical treatment is required. In addition or the sake of morphological differentiation fungal, in their developing cycle, treatment mycosis recommends serious diffi culty, extra factor, which impeds therapy, is a must of prolongely antifungal treatment and repeated (to total elimination) remove hyphae from sinus, which stay sometimes even for week. Progress of the mycotic infections in paranasal sinus, remain bacterial infections and is often reason of bad diagnosis and incorrect treatment.
3
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The rare case of lipoma of posterior wall of the pharynx and parapharyngeal space

81%
Nowak K., Banaszewski J., Szyfter W.
|
2015
|
vol. 4(3)
48-51
EN
The paper presents the rare case of lipoma of parapharyngeal space and oropharynx in 46-year-old man who came out suddenly while eating, giving the feeling of an obstacle in the throat. Preoperative diagnosis was based on a characteristic image of KT (low density, presence of capsule, lack of contrast gain and the use of fat suppression technique). The tumor was surgically removed in its entirety, from reaching the mouth. Emphasized the rarity of tumors of the weaving within the parapharyngeal space and throat, conditioned by a small amount of fat in this area, as well as the possibility of turbulent obstructive symptoms caused by the sudden disclosure of a tumor located deep in the tissues.
4
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Doświadczenia w leczeniu rozległych zwężeń krtaniowo-tchawiczych z zastosowaniem metody poprzecznej resekcji tchawicy

81%
Szyfter W., Nowak K., Kruk-Zagajewska A.
Otolaryngologia Polska
|
2008
|
vol. 62(6)
695-699
PL
The aim of this study is to evaluate the results obtained in Department of Otolaryngology et Oncology with transversal resection of trachea acc. to Pearson technique for postintubation stenosis. Methods. from January 2000 to January 2008 ten patients with subglottic postintubation stenosis underwent surgical treatment, using Pearsons method of operation with preservation of recurrent nerves and no postopereative tracheostomy. Mean stenosis length was 2 cm, the length of of airway resection was 1,5–4 cm. Results. There was no surgical or postoperative complications, all the patients get totally health, no restenosis was observed. The results confi rm that the Pearsons method of operation is an adequate treatment for subglottic stenosis.
5
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Experiences with treatment of extended laryngo-tracheal stenosis with employment of transversal resection of trachea

81%
Szyfter W., Nowak K., Kruk-Zagajewska A.
Otolaryngologia Polska
|
2008
|
vol. 62(6)
695-699
EN
The aim of this study is to evaluate the results obtained in Department of Otolaryngology et Oncology with transversal resection of trachea acc. to Pearson technique for postintubation stenosis. Methods. from January 2000 to January 2008 ten patients with subglottic postintubation stenosis underwent surgical treatment, using Pearsons method of operation with preservation of recurrent nerves and no postopereative tracheostomy. Mean stenosis length was 2 cm, the length of of airway resection was 1,5–4 cm. Results. There was no surgical or postoperative complications, all the patients get totally health, no restenosis was observed. The results confi rm that the Pearsons method of operation is an adequate treatment for subglottic stenosis.
6
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Rzadki przypadek tłuszczaka tylnej ściany gardła i przestrzeni przygardłowej

81%
Nowak K., Banaszewski J., Szyfter W.
|
2015
|
vol. 4(3)
50-53
PL
Praca przedstawia rzadki przypadek tłuszczaka okolicy przestrzeni przygardłowej oraz gardła środkowego u 46-letniego mężczyzny. Tłuszczak ujawnił się nagle podczas jedzenia, dając uczucie przeszkody w  gardle. Rozpoznanie przedoperacyjne ustalono na podstawie bardzo charakterystycznego obrazu KT (niska gęstość, obecność  torebki, brak wzmocnienia kontrastowego oraz wykorzystanie techniki z supresją tłuszczu). Guz został usunięty operacyjnie w całości, z dojścia przez jamę ustną. Podkreślono rzadkość występowania guzów o tym utkaniu w obrębie przestrzeni przygardłowej i gardła, uwarunkowaną niewielką ilością tkanki tłuszczowej w tej okolicy, a także możliwość powstania burzliwych objawów obturacji dróg oddechowych wywołanych nagłym ujawnieniem się guza położonego w tkankach głębokich.
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