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1
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Przetoka skórno-gardłowa jako powikłanie po laryngektomii – wciąż aktualny problem kliniczny

100%
Betlejewski S., Szymańska-Skrzypek A.
Polish Journal of Otolaryngology
|
2007
|
vol. 61
|
issue 3
271-279
EN
Background. Pharyngocutaneous fistula following laryngectomy is a serious complication, and its incidence varies from 4% to 65%. The study’s objective was to determine the incidence of post laryngectomy fistulas in patients operated in our department to establish whether specific factors predispose to fistula formation. Methods. A retrospective study was performed in 573 patients who underwent laryngectomy. Results. Between 1989 and 1999, 835 cases of laryngeal carcinoma were diagnosed, 690 were treated surgically, 573 of them underwent laryngectomy in our department. Of these patients, 545 (95,1%) had total laryngectomy, while 28 (4,9%) partial laryngectomy. In 538 cases the laryngectomy was combined with radical or functional neck dissection. The presence of early postoperative fistula was established in 65 of the 573 patients (11,3%). Our study could not verify reports that any specific factors were significantly related to fistula formation, the only factors that did show statistical significance were the preoperative patient’s general health status and the kind of postoperative antibiotic therapy. Conclusions. On the base of literature review, the authors compare results obtained in the last decade of the 20 century with results obtained earlier. Although the incidence of post-laryngectomy pharyngocutaneous fistulas decreased in comparison with the fistula rate observed earlier, the problem is still unresolved, and the fistulae remain a serious complication of larynx oncology surgery.
2
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Logopedyczna rehabilitacja osób po całkowitej laryngektomii

100%
Tuz-Hrycyna N.
Polski Przegląd Otorynolaryngologiczny
|
2020
|
vol. 9(4)
29-32
PL
W niniejszej pracy przedstawiono rolę logopedy klinicznego w zespole specjalistów biorących udział w leczeniu i rehabilitacji osób po całkowitej laryngektomii. Zwrócono szczególną uwagę na konieczność współpracy w grupie specjalistów oraz zaprezentowano etapy procesu rehabilitacyjnego głosu zastępczego i węchu.
3
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Przetoka skórno-gardłowa jako powikłanie po laryngektomii – wciąż aktualny problem kliniczny

100%
Betlejewski S., Szymańska-Skrzypek A.
Otolaryngologia Polska
|
2007
|
vol. 61(3)
271-279
PL
Background. Pharyngocutaneous fistula following laryngectomy is a serious complication, and its incidence varies from 4% to 65%. The study’s objective was to determine the incidence of post laryngectomy fistulas in patients operated in our department to establish whether specific factors predispose to fistula formation. Methods. A retrospective study was performed in 573 patients who underwent laryngectomy. Results. Between 1989 and 1999, 835 cases of laryngeal carcinoma were diagnosed, 690 were treated surgically, 573 of them underwent laryngectomy in our department. Of these patients, 545 (95,1%) had total laryngectomy, while 28 (4,9%) partial laryngectomy. In 538 cases the laryngectomy was combined with radical or functional neck dissection. The presence of early postoperative fistula was established in 65 of the 573 patients (11,3%). Our study could not verify reports that any specific factors were significantly related to fistula formation, the only factors that did show statistical significance were the preoperative patient’s general health status and the kind of postoperative antibiotic therapy. Conclusions. On the base of literature review, the authors compare results obtained in the last decade of the 20 century with results obtained earlier. Although the incidence of post-laryngectomy pharyngocutaneous fistulas decreased in comparison with the fistula rate observed earlier, the problem is still unresolved, and the fistulae remain a serious complication of larynx oncology surgery.
4
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Psychospołeczne konsekwencje laryngektomii

100%
Cieślak K., Golusiński W., Wegner A., Zagozda M., Kuśnierkiewicz M.
|
EN
The paper presents the psychological and social consequences of laryngectomy, focuses on issues related to emotions, communication, sexuality, social functioning and quality of life. The authors present a review of research results in this field and underline the importance of psychosocial rehabilitation.
PL
Praca prezentuje psychologiczne i społeczne konsekwencje laryngektomii, koncentruje się na problematyce związanej z  emocjami, komunikacją, seksualnością, funkcjonowaniem społecznym i jakością życia. Autorzy dokonują przeglądu badań w tym zakresie i podkreślają wagę rehabilitacji psychospołecznej.
5
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Trudności diagnostyczne w rozpoznaniu COVID-19 u pacjenta po laryngektomii całkowitej

88%
Czech J., Burduk P., Wierzchowska M.
Polski Przegląd Otorynolaryngologiczny
|
2021
|
vol. 10(2)
44-47
PL
Choroba COVID-19 wywoływana jest przez wirusa SARS-CoV-2 i często manifestuje się objawami grypopodobnymi, które mogą przebiegać z różnym nasileniem. W dalszej kolejności może prowadzić do ostrej niewydolności oddechowej (ARDS). Podstawowe testy diagnostyczne identyfikują materiał genetyczny wirusa w próbkach wydzielin z dróg oddechowych. Chorzy po laryngektomii całkowitej z uwagi na zmieniony przebieg dróg oddechowych wymagają szczególnej uwagi pod względem diagnostyki w kierunku zakażenia SARS-CoV-2. W naszej pracy przedstawiamy przypadek pacjenta po laryngektomii, u którego uzyskano różne wyniki testów w kierunku COVID-19 w zależności od miejsca pobrania próbek. Słowa kluczowe: SARS-CoV-2, laryngektomia, drogi oddechowe
6
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Wpływ manualnych technik mięśniowo-powięziowych na poziom ciśnienia przełykowego u chorych po całkowitym usunięciu krtani

75%
Marszałek S., Żebryk-Stopa A., Kraśny J., Obrębowski A., Golusiński W.
Otolaryngologia Polska
|
2008
|
vol. 62(6)
686-690
PL
The increase of patients after total laryngectomy myofascial neck and arms area tension might be observed. Via fascial continuity it has an adverse impact on superior oesophageal constrictor, forming the “mouth of oesophagus”, which hinders learning oesophagus speech. The aim. The assessment of manual myofascial release techniques infl uence on the patients’ oesophagus pressure after total laryngectomy. Material. 40 patients (12 F, 28 M), aged 43-75 (middle 56,8 years), 9 months to 13 years (average 3 years) after total laryngectomy, 35 patients (87.5%) after neck lymph node’s resection, 38 patients (95%) after radiotherapy. Methods. The oesophagus pressure was checked by modifi ed Seeman’s method. Manual myofascial release techniques were applied within head, neck, arms, upper trunk and upper limbs area. Wilcoxon and Shapiro-Wilk’s test was used for the purpose of statistical analysis. Results. A statistical signifi cant decrease of the mean of oesophagus pressure was observed after physiotherapy treatment. The average pressure among the examined group decreased from 37,9 to 26,6 mm Hg. Conclusions. The application of myofascial manual techniques decreased an oesophagus pressure which allows patients to obtain faster oesophagus speech.
7
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Wpływ manualnych technik mięśniowo-powięziowych na poziom ciśnienia przełykowego u chorych po całkowitym usunięciu krtani

75%
Marszałek S., Żebryk-Stopa A., Kraśny J., Obrębowski A., Golusiński W.
Polish Journal of Otolaryngology
|
2008
|
vol. 62
|
issue 6
686-690
EN
The increase of patients after total laryngectomy myofascial neck and arms area tension might be observed. Via fascial continuity it has an adverse impact on superior oesophageal constrictor, forming the “mouth of oesophagus”, which hinders learning oesophagus speech. The aim. The assessment of manual myofascial release techniques influence on the patients’ oesophagus pressure after total laryngectomy. Material. 40 patients (12 F, 28 M), aged 43-75 (middle 56,8 years), 9 months to 13 years (average 3 years) after total laryngectomy, 35 patients (87.5%) after neck lymph node’s resection, 38 patients (95%) after radiotherapy. Methods. The oesophagus pressure was checked by modified Seeman’s method. Manual myofascial release techniques were applied within head, neck, arms, upper trunk and upper limbs area. Wilcoxon and Shapiro-Wilk’s test was used for the purpose of statistical analysis. Results. A statistical significant decrease of the mean of oesophagus pressure was observed after physiotherapy treatment. The average pressure among the examined group decreased from 37,9 to 26,6 mm Hg. Conclusions. The application of myofascial manual techniques decreased an oesophagus pressure which allows patients to obtain faster oesophagus speech.
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