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1

Pourazowy krwiak przestrzeni zagardłowej – opis przypadku

100%

Tomasz G.

Otolaryngologia Polska

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2008

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vol. 62(6)

800-802

PL

Traumatic retropharyngeal hematoma is a rare but potentially fatal condition that requires early diagnosis and treatment. Obstruction of the airways may develop insidiously, several hours after the trauma. Thus hospital admission with close observation is essential. Intubation can be diffi cult due to distorted anatomy. Surgical airway management is often necessary. In most of cases the treatment is conservative, however large hematomas may require drainage. We present a case of 85-years old women with retropharyngeal hematoma after minor blunt trauma of the neck without cervical fracture. Since respiration was not impaired airway intervention was not necessary. After 5 days of close observation the patient was discharged in good condition. Further recovery was uneventful.

2

Retropharyngeal hematoma secondary to neck trauma – case report

100%

Tomasz G.

Otolaryngologia Polska

|

2008

|

vol. 62(6)

800-802

EN

Traumatic retropharyngeal hematoma is a rare but potentially fatal condition that requires early diagnosis and treatment. Obstruction of the airways may develop insidiously, several hours after the trauma. Thus hospital admission with close observation is essential. Intubation can be diffi cult due to distorted anatomy. Surgical airway management is often necessary. In most of cases the treatment is conservative, however large hematomas may require drainage. We present a case of 85-years old women with retropharyngeal hematoma after minor blunt trauma of the neck without cervical fracture. Since respiration was not impaired airway intervention was not necessary. After 5 days of close observation the patient was discharged in good condition. Further recovery was uneventful.

3

Operacje z dostępu Draf III w materiale Kliniki Otolaryngologii WUM

45%

Gotlib T., Niemczyk K., Balcerzak J., Krzeski A., Held-Ziółkowska M.

Polish Journal of Otolaryngology

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2010

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vol. 64

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issue 7

40-43

PL

During last decades Draf III procedure gained popularity in treatment of different pathologies of the frontal sinus such as chronic sinusitis or benign tumors. We present a series of 10 patients treated with this procedure from a 2 year-period. Indications included: chronic rhinosinusitis – four patients, frontal sinus mucocele – four patients (one with destruction of the posterior table), osteoma – one patient (stage 3 according to Kennedy’s grading system), and inverted papilloma – one patient (Krouse T3 lesion). Observation period ranged from 4 months to 2 years. Results: There were no early complications. Gradual narrowing of the created ostium was observed in all of the patients. This led to total obstruction in two, and stenosis (not allowing for passing with 4 mm endoscope) in another two patients. The patient after inverted papilloma removal showed no recurrence in 11 months follow-up. Conclusion: Draf III procedure is alternative for external approach that can be used for treatment of chronic rhinosinusitis and benign frontal sinus tumors of different size.

4

Zewnątrzczaszkowe zaopatrywanie ubytków opony twardej powstałych po resekcji guzów jamy nosa i zatok przynosowych naciekających podstawę przedniego dołu czaszki - prezentacja przypadków

45%

Held-Ziółkowska M., Szwedowicz P., Gotlib T., Osuch-Wójcikiewicz E., Niemczyk K.

Polish Journal of Otolaryngology

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2011

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vol. 65

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issue 5

126-129

PL

Transfacial surgery with the use of microscopic end endoscopic techniques has been used for resection malignant tumors of the paranasal sinuses and anterior skuli base. After tumor resection the dura mater injuries should be carefully closed to avoid the most common postoperative complications (encephalocele, meningocele, meningitis, intracranial abscess and pneumo-encephalus). Authors analyzed cases of tumors of nasal cavity and paranasal sinuses with extension to anterior scull base treated in ENT Department of Medical University of Warsaw. In case of smali injuries to 10 mm in diameter the reconstruction was usually performed with multi-layer technique. In cases of bigger defects the dural piane was rebuild with fascia lata flap by suturing it to the dura mater. Authors conclude that malignant tumors of the paranasal sinuses and anterior skul) base can be resected entirely, together with dura mater by the extracranial approach through a lateral rhinotomy incision.

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2 Otolaryngologia Polska

2 Polish Journal of Otolaryngology

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2 Gotlib T.

2 Held-Ziółkowska M.

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2 Tomasz G.

1 Balcerzak J.

1 Krzeski A.

1 Osuch-Wójcikiewicz E.

1 Szwedowicz P.

Pourazowy krwiak przestrzeni zagardłowej – opis przypadku

Retropharyngeal hematoma secondary to neck trauma – case report

Operacje z dostępu Draf III w materiale Kliniki Otolaryngologii WUM

Zewnątrzczaszkowe zaopatrywanie ubytków opony twardej powstałych po resekcji guzów jamy nosa i zatok przynosowych naciekających podstawę przedniego dołu czaszki - prezentacja przypadków