Zastosowanie bipolarnej termoterapii śródmiąższowej w leczeniu przerostów małżowin nosowych

Disturbance of nasal airflow occurs in about 30% of human population. Turbinate hypertrophy is frequently the base of many nasal obturative diseases. The aim of this study was to determine short- term and long term effects of the radiofrequency therapy (RFT) for patients with turbinate hypertrophy. Forty- one patients with inferior turbinate hypertrophy (19 females and 22 males) were enrolled in this study prospectively. The examination included: rhinoscopy, subiective visual analogue scale (VAS) score, in which a patient described his symptoms in points from 0, (always very good nasal airflow) to 10 points (always total obstruction) and anterior rhinomanometry. The clinical assessment was before radiofrequency-turbinectomy and within the days 7 to 25 afther this therapy (follow-up 1) and 12 months later (follow-up 2). RFT was performed in local anesthesia (1% Lidocain) by means of CELON. Rhinoscopy before RFT revealed turbinate hypertrophy, which was decreased in the follow-up examination. Subjective improvement of nasal airflow was felt by 39 patients (95%) at follow–up 1. At follow–up 2 fifteen patients (37%) reported a decreased nasal airflow when compared with the follow-up 1. Rhinomanometric results were better at follow-up 1 for the left side (p = 0,0003), the right side (p = 0,0002) and both sides altogether (p = 0,0001). The improvement continued at follow-up 2 for the left side (p = 0,0004), the right side (p = 0,001) and both sides (p = 0,001) when compared with rhinomanometry before RFT. There were not statistically significant differences between the rhinomanometric results at follow–up 1 and follow-up 2. Bipolar radiofrequency thermal ablation is an effective method for the therapy of turbinate hypertrophy

Turmeric and Cumin Instead of Stock Cubes: An Internet Survey of Spices and Culinary Herbs Used in Poland Compared with Historical Cookbooks and Herbals

(Background) Culinary cultures undergo dramatic changes due to globalization; however, the shift in the use of culinary spices and herbs is little documented. We aimed to list seasoning products used in contemporary Polish cuisine and assess whether they have roots in historic recipes. (Methods) Via an online questionnaire distributed via social media, we gathered data from 916 respondents from all over Poland. (Results) Altogether 132 single-ingredient taxa of plant or fungi species were mentioned in the questionnaire. Capsicums, black pepper, turmeric, oregano, cinnamon, marjoram, ginger, basil, thyme, and bay leaf were the 10 most quoted seasonings throughout the year. While local herbs are likely to have been long used in local cooking, the most commonly used spices have been known in Poland since at least 17–18th c. However, a few Asian, mainly Indian spices have become mainstream in the last few years. In particular, these are turmeric, cumin, and fenugreek. The seasonings which decreased the most are various seasoning mixes and stock cubes, unpopular due to the large amount of monosodium glutamate and salt. (Conclusions) Polish cuisine is undergoing a strong process of globalization, and curry spices have become standard cooking ingredients

The use and economic value of manna grass (Glyceria) in Poland from the Middle Ages to the twentieth century

Manna grass (mainly but not exclusively G. fluitans) used to be widely gathered in most lowland areas of the present territory of Poland and western and southern Belarus. It had an important function as a component of tribute paid to local landowners by villagers, which led to the persistence of manna gathering even when this was not sustainable for peasants themselves. Manna grass was always an expensive food due to its time consuming gathering, but appreciated for its sweet taste and often served as dessert. In the nineteenth century marshes shrank significantly and the payment of tribute disappeared from the local economy, which gradually led to the total abandonment of Glyceria use around 1914. This article provides a detailed overview of Glyceria use as food within the borders of the former Polish-Lithuanian Kingdom (now Poland, Lithuania, western Belarus and western Ukraine) based on archaeobotanical, historical and ethnographic sources. The evidence for the continued use of manna since at least medieval times is abundant in historical accounts and ethnographic studies, but little has been reported in archaeobotanical findings due to the relatively small amounts of Glyceria consumed

Phonatory compensation in patients with larynx cancer after CO2 laser cordectomy

Introduction: CO2 laser endoscopic cordectomy is the method of laryngeal cancer treatment. The type of cordectomy (I–VI) depends on the extent of the tumor. Endoscopic laser surgery provides more satisfactory phonation conditions in comparison to open surgical procedures. The aim: The aim of the study was to classify phonatory compensation mechanisms after CO2 laser cordectomy using the HSDI. M aterial and methods: The study included 30 men treated and diagnosed at the Department of Otolaryngology and Department of Clinical Phonoaudiology and Logopedics, Medical University of Bialystok. The control included 30 men with no pathological changes in the larynx. Type III, IV and Va CO2 laser cordectomy have been for glottis cancer treatment. Postoperative evaluation has been conducted 6 months after the surgery. HSDI has been used in larynx visualization. R esults: Type I compensation occurs most frequently in patients after type III cordectomy. Advanced glottis cancer, as an indication for type IV and V cordectomy, leads to epiglottic hyperfunction and phonation involving vestibular folds – type II and III compensation. Type IV compensation is most frequent in type IV cordectomy. C onclusions: The type compensation is connected with the extent of glottis resection. In cordectomy including anterior commissure and the part of opposite fold (type Va), supraglottic hyperfunction with the participation of vestibular folds (type II and III compensation) has been recorded. Transmuscular cordectomy (type III) most often resulted in type I compensation. Type III-Va cordectomy caused reduction or absence of MW, decrease in amplitude and aperiodicity of vibrations in HSDI

Mechanizmy kompensacji fonacyjnej u chorych z zaawansowanym rakiem głośni po chordektomii laserowej CO2

Wstęp: Endoskopowa chordektomia laserowa CO2 jest metodą leczenia raka krtani o lokalizacji w obrębie głośni, która zapewnia lepsze warunki fonacyjne w porównaniu z operacjami z dojścia zewnętrznego. Typ chordektomii (I–VI) zależy od rozległości zmiany nowotworowej. Cel: Celem niniejszej pracy była klasyfikacja mechanizmów kompensacji fonacyjnej po chordektomii laserowej CO2 u chorych z zaawansowanym rakiem głośni z wykorzystaniem techniki HSDI. Materiał i metody: Badaniem objęto grupę 30 mężczyzn (średnia wieku: 67 lat) operowanych w Klinice Otolaryngologii UMB w latach 2010–2018 i diagnozowanych w Zakładzie Fonoaudiologii Klinicznej i Logopedii UMB. Grupę kontrolną stanowiło 30 mężczyzn (średnia wieku: 64 lat) bez zmian patologicznych w krtani. W leczeniu raka głośni stosowano chordektomię laserową CO2 typu: III, IV i Va. Ocenę pooperacyjną przeprowadzono po 6 miesiącach od zabiegu. W wizualizacji krtani zastosowano HSDI. Wyniki: Typ I kompensacji fonacyjnej występuje najczęściej u chorych po chordektomii typu III. Zaawansowany rak głośni, będący wskazaniem do chordektomii IV i V typu, prowadzi do hiperfunkcji nagłośniowej i fonacji z udziałem fałdów przedsionkowych, klasyfikowanej jako II i III typ kompensacji. W chordektomii typu IV najczęściej występuje I, rzadziej II typ kompensacji fonacyjnej. Wnioski: Typ kompensacji fonacyjnej zależał od zakresu resekcji głośni. Chordektomia rozszerzona o spoidło przednie i fragment przeciwległego fałdu (typ Va), rejestrowano hiperfunkcję nadgłośniową z udziałem fałdów przedsionkowych (typ II i III kompensacji fonacyjnej). Chordektomia przezmięśniowa, obejmująca część mięśnia głosowego (typ III), powodowała najczęściej I typ kompensacji fonacyjnej. W chordektomii III–Va typu w zaawansowanym raku głośni obserwowano: ograniczenie lub brak MW, zmniejszenie amplitudy oraz aperiodyczność drgań w badaniu HSDI

Perceptual and acoustic voice analysis in patients with glottis cancer after endoscopic laser cordectomy

Introduction: Treatment of glottis cancer, despite oncological safety, should consider postoperative voice quality. CO2 laser endoscopic cordectomy allows radical removal of the tumor while maintaining respiratory, defensive and phonatory functions. The aim: The aim of the study is perceptual and acoustic evaluation of voice in patients after endoscopic CO2 III–Va laser cordectomy due to glottis cancer. Material and method: The study included 30 men after CO2 cordectomy. 13 (43%) patients underwent type III cordectomy, 6 (20%) – type IV; 11 (37%) – type Va. Voice quality has been assessed 6 months after the surgery. Control group included 30 healthy men of the same age. GRBAS scale has been used in perceptual evaluation of voice. Acoustic analysis has been performed using DiagnoScope Specjalista software. Narrowband spectrography and Maximum Phonation Time (MPT) measure has been performed. Results: In study group, voice has been classified as G1R1B0A0S0 after type III cordectomy; as G1R1B1A1S2 in type IV and as G2R1B1A0S3 in type Va. Acoustic evaluation revealed the highest values of F0, Jitter, Shimmer and NHR after Va cordectomy as well as non-harmonic components in narrowband spectrography and reduction of MPT. Conclusions: Postoperative voice quality depends on the type of cordectomy. Perceptual assessment indicates that type IV and Va cordectomy cause intensification of voice disorders. Parameters of acoustic evaluation increase with the extent of the procedure. The presence of non-harmonic components in narrowband spectrography increases with the extent of cordectomy, such as the reduction of MPT. Preservation of anterior commissure influences good voice quality in perceptual and acoustic assessment

Ocena percepcyjna i akustyczna głosu pacjentów z rakiem głośni po endoskopowej chordektomii laserowej

Wstęp: W terapii raka głośni, oprócz wskazań z zakresu chirurgii endoskopowej, należy uwzględnić pooperacyjną jakość głosu. Endoskopowa chordektomia laserowa CO2 pozwala na radykalne usunięcie zmiany nowotworowej z zachowaniem oddechowej, obronnej i fonacyjnej funkcji krtani. Cel: Celem pracy jest ocena percepcyjna i akustyczna głosu u chorych po endoskopowej chordektomii laserowej CO2 III–Va typu z powodu raka głośni. Materiał i metoda: Badaniem objęto grupę 30 mężczyzn z rakiem głośni po endoskopowej chirurgii laserowej CO2. U 13 (43%) wykonano chordektomię typu III, u 6 (20%) – typu IV, u 11 (37%) – typu Va. Ocenę jakości głosu przeprowadzono pół roku po operacji. Grupę kontrolną, liczącą 30 osób, stanowili zdrowi mężczyźni w tym samym wieku. W ocenie percepcyjnej głosu zastosowano skalę GRBAS. W ocenie akustycznej głosu wykorzystano oprogramowanie Diagnoscope Specjalista. Wykonano spektrografię wąskopasmową, analizowano wartość maksymalnego czasu fonacji (MPT). Wyniki: W grupie operowanych pacjentów głos w skali GRBAS klasyfikowano jako: G1R1B0A0S0 w III typie, G1R1B1A1S2 w IV typie oraz G2R1B1A0S3 w Va typie chordektomii. W ocenie akustycznej głosu najwyższe wartości F0, Jitter, Shimmer i NHR rejestrowano w Va typie chordektomii, jak również stwierdzono obecność licznych składowych nieharmonicznych w spektrografii wąskopasmowej oraz skrócenie MPT. Wnioski: Pooperacyjna jakość głosu zależy od typu chordektomii laserowej. W ocenie percepcyjnej typy IV i Va chordektomii powodują nasilenie dysfonii pooperacyjnej. Parametry oceny akustycznej głosu po chordektomii ulegają podwyższeniu wraz z rozległością zabiegu. Obecność składowych nieharmonicznych w spektrografii wąskopasmowej wzrasta wraz z rozległością wykonanej chordektomii, podobnie jak skrócenie MPT. Zachowanie spoidła przedniego w chordektomii poprawia jakość głosu w ocenie percepcyjnej i akustycznej

The multicenter study result of diagnosis and treatment laryngeal carcinoma in Poland from 2001 to 2010

Introduction: The laryngeal cancer is the most frequently diagnose malignancy in head and neck region. The highest morbidity is within male patients in the age range between 50 and 70 years. The multicenter study, coordinated by Oto-laryngology Department of Medical University of Warsaw, was designed to investigate the epidemiology of laryngeal cancer in Poland from 1980 and to analyze the evolution of diagnostic and therapeutical procedures over the years.Material and methods: There was performed retrospective analysis of the medical records of patients with laryn-geal cancer hospitalized and treated in 12 otolaryngology centers in Poland from 2001 to 2010. The Microsoft Access 2003 (SP 2) platform was used to collect the data and subsequent statistical analysis.Results: There were collected data from 4124 patients, 3682 men (89,3%) and 442 women (10,7%). The largest group consisted of patients in the age range between 50 and 60 years (41,5%) and the second large group was of those be-tween 60 and 70 years (29,6%). The history of heavy cigarettes smoking was obtained from 81,3% of patients. Re-garding the staging of laryngeal cancer, there were 1634 patients with cancer stage of I or II, including 5 patients with carcinoma in situ and 2490 patients with III or IV stage. The most frequent localization of the cancer was the glottis, followed with invasion of all three laryngeal levels and tumors occupying both the epiglottis and glottis. The major-ity of patients – 1367 (33%) – has the T3 tumor advancement. The lymph nodes metastases (N) were present in 1216 (29,5%) patients and among them the N2b and N2c advancement ( lymph node larger than 6 cm, multiple) was de-tected in 533 of patients (13%). The lymph nodes involvement occurred in majority within advanced tumors of T3 or T4a. Considering the treatment options they varied depending on the staging of laryngeal cancer. The sole surgical procedures were performed in 73,7% of patients with cancer stage of I or II and in only 28.6% of patients with the stage of III or IV. The advanced tumors were in majority treated with the combined therapy: surgery and radiotherapy. The overall survival in patients with cancer stage of I and II was 64% and 61% for those with stage III and IV.Conclusions: The rate of laryngeal cancer detection is quite high in Poland, however the period from the onset of symptoms until diagnosis should be reduced. The effectiveness of surgical treatment is definitely unsatisfactory. The project to create a multicenter permanent base for monitoring the course of diagnosis and treatment in patients with laryngeal cancer surely will verify the procedures and enable to achieve better results. Continuation of this project is a task for all otorhinolaryngologists.KEYWORDS:laryngeal carcinoma, epidemiology, clinical characteristics, multicenter stud