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Health care system efficiency in otolaryngological surgeries during COVID-19 pandemic in years 2020–2021 compared to years 2018–2019: data from the Military Institute of Medicine in Warsaw

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Rot P., Skrzypiec Ł., Nicer J., Nowocień J., Chloupek A., Jurkiewicz D., Sobol M.

Polish Journal of Otolaryngology

2023

vol. 77

issue 4

48-52

Introduction: Coronavirus disease 19 (COVID-19) pandemic had a great impact on the health care system. This resulted not only from changes in the way medical facilities operated but also from the need to treat a huge number of patients. On the other hand, uninfected people feared visiting the doctor. Aim: The aim of the study was to assess the impact of the COVID-19 pandemic on the diagnostics and treatment of patients with head and neck cancer. Materials and methods: This retrospective study involved analysis of data of patients from a single hospital unit who underwent surgical procedures due to head and neck cancer during the COVID-19 pandemic in years 2020–2021 (pandemic group) compared to years 2018–2019 (pre-pandemic group). Results: Patients in the pandemic group (n = 123) were older and were more likely to have grade 3 cancer than patients in the pre-pandemic group (n = 116). Cancer stages were similar in both groups. During the pandemic, time from the first outpatient visit to surgery was longer (median 1.6 vs. 0.8 months), while time to radiotherapy was shorter (median 50.5 vs. 63 days) than in the pre-pandemic period. Conclusion: During the pandemic, patients had to wait slightly longer for surgery but not for radiotherapy when compared with the pre-pandemic period. Despite this, they did not have more advanced disease.

Comparison Of Surgical Techniques Used In Post-Traumatic And Non-Traumatic Rhinoseptoplasty

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Rot P., Krzywdzińska S., Nicer J., Sobol M., Jurkiewicz D., Jadczak M.

Polish Journal of Otolaryngology

2024

vol. 79

issue 1

12-16

Introduction: The main goals of rhinoseptoplasty are to correct any cosmetic and functional defects which may occur in a patient. As the most prominent facial feature, the nose has an increased risk of injury. A nasal fracture may eventually result in significant defects, posing challenges to the surgeon. Aim: The aim of the study is to compare the techniques used in post-traumatic and non-traumatic cases treated with rhinoplasty. Materials and methods: The study group consisted of 227 patients, mean age 37.5 ±11.4 years, median 36 years, age range from 18 to 79 years. Statistical analysis was performed using the Statistica 13.3 package StatSoft (Dell Statistica). Categorical variables are presented as frequencies and percentages. The Chi2 or Fisher’s exact test was used, when the values were less than 5, to check whether there was a correlation between nasal injuries and surgical technique. The level of statistical significance was assumed to be equal to α = 0.05. Results: Statistically significant differences were found in the use of five techniques. Septal filtration to the spine (44.1 vs. 10.7%), septal extension graft (5.9 vs. 1.3%), spreader graft (41.1 vs. 21.1%), and osteotomy (85.3 vs. 61.0%) were all performed more often in patients with nasal trauma. On the other hand, a lateral crural (LC) steal was performed significantly more often in patients without nasal trauma (36.5 vs. 22.1%). Conclusions: Nose injuries lead to cosmetic and functional complications and pose a challenge to the rhinoplasty surgeon. Optimal management of a post-traumatic nose injury requires a surgeon to have experience and precise surgical planning.

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2 Polish Journal of Otolaryngology

1 2024

1 2023

2 Jurkiewicz D.

2 Nicer J.

2 Rot P.

2 Sobol M.

1 Chloupek A.

1 Jadczak M.

1 Krzywdzińska S.

1 Nowocień J.

1 Skrzypiec Ł.

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Health care system efficiency in otolaryngological surgeries during COVID-19 pandemic in years 2020–2021 compared to years 2018–2019: data from the Military Institute of Medicine in Warsaw

Comparison Of Surgical Techniques Used In Post-Traumatic And Non-Traumatic Rhinoseptoplasty