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The rapid change in sinonasal inverted papilloma incidence – the epidemiological analysis

100%
Zydroń R., Greczka G., Wierzbicka M.
Otolaryngologia Polska
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2017
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vol. 71(1)
30-33
EN
In recent years, the incidence of sinonasal inverted papilloma (IP) in a stable population has increased significantly. The aim of the study was to analyze the occurrence of IP between the years 2002-2012 in relation to epidemiological factors in an unalterable area. Moreover, we wanted to start a discussion about the difficulties in determining the inci¬dence of benign lesions that are not included in registers. This retrospective study included a group of 69 patients who were treated in the Department of Otolaryngology, ENT Oncology, Poznań University of Medical Sciences. In 2006, we noticed a sudden change in referrals. We compared two groups of patients who were referred during two differ¬ent time periods: 11 patients (2002-2006) and 58 patients (2007-2012). Despite a marked difference in the number of patients, there were no differences between the groups in tumor location (p>0.05), stage (p=0.16), duration of symp¬toms (p=0.39), place of residence, and smoking (p=0.41). The patient`s age was the only variable that differed significantly between the groups (48.45 vs. 56.93 years; p=0.043569, respectively).
2
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Principles of qualification and surgical treatment of the nose and paranasal sinuses in the era of COVID-19

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Witkowski P., Skorek A.
Polski Przegląd Otorynolaryngologiczny
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2020
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vol. 9(4)
51-54
EN
Introduction: The COVID-19 pandemic is one of the greatest challenges of modern medicine. Despite implemented social and economic restrictions, the epidemiological situation is still dynamic. Otolaryngologists, especially rhynologists, are at particular risk of SARS-CoV-2 infection. In order to reduce the spread of the virus, it is necessary to implement procedures to minimize the risk of transmission between healthcare professionals and patients. Due to the location of the virus, it is very important with regard to rhinologic procedures and surgery. Literature review: We reviewed the literature on the topic and presented effective methods of reducing the likelihood of virus transmission during surgery of the nasal and paranasal sinuses performed in our center. It is important that the restrictions brought about by the pandemic do not affect the length of diagnostic process and delay initiation of oncological treatment. Malignancies of the nasal region and paranasal sinuses are detected relatively late due to the time the symptoms appear, and further delays starting therapy can be extremely unfavorable. We believe that at present rhinologic procedures, especially in people with unknown epidemiological status, should be limited to the necessary minimum – life-threatening conditions and tumor resections. Even in such cases, however, it is necessary to strictly follow the procedures in order to reduce the risk of virus transmission. We hope that implementation of the guidelines presented in this work will help fight against the current pandemic and its subsequent waves.
3
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Scientific tools for collecting and analysing medical data in rhinology

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Tretiakow D., Skorek A.
Polski Przegląd Otorynolaryngologiczny
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2020
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vol. 9(3)
40-46
EN
Introduction: In the era of „Evidence Based Medicine” knowledge of methodology and scientific trends is an indispensable tool for both practitioner and physician-scientist. The ability to interpret data obtained from the literature allows for better diagnosis, treatment and control of patients. The generally accepted structuring of published data and unification of research tools also allows for conducting original and review papers based on our own results. The Aim: The purpose of our work was to search for and present scientific tools (questionnaires, scales and checklists) used to collect data in rhinology. The results of these studies were published in reputable magazines in the period 2000–2019 in English. Material and method: To search for articles, we used MEDLINE, PubMed and Scopus date bases. Conclusions: The use of generally accepted check-lists and questionnaires in the collection of clinical data and their assessment allows to significantly increase the quality of the collected data and their scientific attractiveness, which in turn is applied to the easier possibility of publishing the obtained results and further citing them in reputable specialist journals.
4
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Clinical outcomes of treatment of sinonasal inverted papillomas (IPs) depending on the surgical technique and learning curve.

88%
Zydroń R., Wierzbicka M., Greczka G.
Otolaryngologia Polska
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2016
|
vol. 70(6)
1-5
EN
INTRODUCTION: Sinonasal inverted papillomas (IPs) are a major challenge for ENT specialists. In the last decades, the number of endoscopic procedures has increased, while the percentage of external or double approach procedures has decreased. The aim of this study was to evaluate long-term IP treatment outcomes according to the applied surgical method. MATERIAL AND METHODS: the retrospective study included 69 patients (28 women and 41 men) treated during 2002–2012 in the Department of Otolaryngology and Laryngological Oncology of Poznań University of Medical Sciences. Of these patients, 47 were operated endoscopically, 16 received a double procedure and six received an external procedure. RESULTS: The recurrence rate in patients treated endoscopically was 32%, while patients treated by the external/double approach showed 64% (p = 0.03306). The recurrence rate after endoscopic surgery was 75% during 2002–2006, but was 28% during 2007–2012. There was no correlation between recurrence rate and age (p = 0.087686), gender (p = 0.42810), type of symptoms (p = 0.20955), or Krouse staging (p = 0.23658). A significant impact on relapses was the position to Ohngren’s plane (p = 0.004768) and tumor location in the anterior ethmoid (p = 0.00416). DISCUSSION: Endoscopic procedures are an effective method of IP treatment, however reasonable indications and surgeon experience should be taken into consideration.
5
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Nasal glial heterotopia – Clinical manifestation in 2.5 month-old boy

88%
Kałużna-Młynarczyk A., Pucher B., Sroczyński J., Kotowski M., Adamczyk P., Szydłowski J.
Polski Przegląd Otorynolaryngologiczny
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2019
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vol. 8(2)
43-48
EN
Nasal glial heterotopia is a rare congenital defect that is formed during embryonic development. This lesion is a part of a larger group of diseases, congenital midline nasal tumors, that occur with a frequency of one per 20,000-40,000 live births. Histologically, nasal glial heterotopia is a concentration of glial tissue which exhibits no malignant potential. We can differentiate three basic types of the disease based on the location of the lesion: 60% of nasal gliomas are extra nasal, 30% are intranasal and only 10% combine extra- and intranasal components. Because of its rare occurrence, correct diagnosis is quite difficult. We present a case of a 2.5-month-old male who was admitted to the Department of Pediatric Otolaryngology for the diagnosis and treatment of a tumor deforming the bridge of his nose. Initial differential diagnosis included encephalocele, glial heterotopia (nasal glioma), angioma, nasal dorsal cyst, rhabdomyosarcoma, lacrimal duct cysts. We performed endoscopic examination, radiological imaging (CT, MRI) and histological assessment of the lesion. The patient was diagnosed with nasal glial heterotopia (extra-and intranasal) based on diagnostic studies and clinical manifestation. The resection of the lesion was performed by means of dual access, external and endoscopic. The results of surgical treatment are satisfactory, control endoscopy showed no presence of residual tumor.
6
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Clinical outcomes of treatment of sinonasal inverted papillomas (IPs) depending on the surgical technique and learning curve.

88%
Zydroń R., Wierzbicka M., Greczka G.
Polish Journal of Otolaryngology
|
2016
|
vol. 70
|
issue 6
1-5
EN
INTRODUCTION: Sinonasal inverted papillomas (IPs) are a major challenge for ENT specialists. In the last decades, the number of endoscopic procedures has increased, while the percentage of external or double approach procedures has decreased. The aim of this study was to evaluate long-term IP treatment outcomes according to the applied surgical method. MATERIAL AND METHODS: the retrospective study included 69 patients (28 women and 41 men) treated during 2002–2012 in the Department of Otolaryngology and Laryngological Oncology of Poznań University of Medical Sciences. Of these patients, 47 were operated endoscopically, 16 received a double procedure and six received an external procedure. RESULTS: The recurrence rate in patients treated endoscopically was 32%, while patients treated by the external/double approach showed 64% (p = 0.03306). The recurrence rate after endoscopic surgery was 75% during 2002–2006, but was 28% during 2007–2012. There was no correlation between recurrence rate and age (p = 0.087686), gender (p = 0.42810), type of symptoms (p = 0.20955), or Krouse staging (p = 0.23658). A significant impact on relapses was the position to Ohngren’s plane (p = 0.004768) and tumor location in the anterior ethmoid (p = 0.00416). DISCUSSION: Endoscopic procedures are an effective method of IP treatment, however reasonable indications and surgeon experience should be taken into consideration.
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