History of otolaryngology department of Military Medical Academy

Establishing the Chair of Laryngology with the Clinic of the Military Medical Academy was connected with inauguration of the Military Medical Academy in Lód? on the 1st July, 1958 (the Resolution of the Cabinet Council No. 477 / 57 dated 7th November, 1957 and the Order of the Minister of National Defence No. 03 / Org. dated 19th May, 1958) on the basis of the Military Centre of Medical Training, the Central Clinical Hospital in Lód? and the Central Hospital of the Ministry of National Defence in Warsaw. In fact the Chair of Laryngology with the Clinic of the Military Medical Academy was established in September 1958 with Major Antoni Kwilman, M.D. - senior lecturer - appointed to be a temporarily performing duties head of the institution until April 1959. Considering its successive Heads the forty-five years history of the Otolaryngology Clinic at the Military Medical Academy can be divided into four periods. Period I. In April 1959 Assistant Professor Józef Borsuk, MD, PhD (Professor later) was appointed to be the first Head of the Chair of Laryngology and the Clinic. Within scientific scope the Chair cooperated with the Nofer Institute of Occupational Medicine in Lód?, the Military Sanatorium Unit in Ciechocinek and foreign Centres from the then German Democratic Republic and Czechoslovakia. Period II. Since the 1st October 1974 the Chair of Laryngology with the Clinic and since the 1st November that year the Otolaryngological Clinic at the Institute of Sense Organs the Military Medical Academy was run by Assistant Professor Bo2ydar Latkowski, MD, PhD - another Head appointed by the Minister of National Defence - who managed it until the 30th November 1987 and was the only civil Head of the Clinic. Period III. On the 1st December 1987 the third Head got in charge of the Otolaryngological Clinic at the Military Medical Academy - the then senior lecturer at the Clinic - Piotr Zalewski MD, PhD (the Military Medical Academy graduate). Period IV. By open competition on the 1st day of October 2003 Prof. Jurek Olszewski, MD,PhD was appointed to the Head of the Otolaryngology and Phonoaudiological Rehabilitation Clinic and simultaneously has been occupying the position of the Dean at the Faculty of Physiotherapy the Medical University of Lód?.     

Neoplasms of paranasal sinuses in material of ENT Department MSS Hospital in Warsaw between 2006-2007

Tumors of paranasal sinuses present a small percent of tumors detected in the region of head and neck 3-4% and they present a fraction of a percent of tumors in general /0.16%/. MATERIAL: In the years 2004 and 2005, the National Register of Neoplasms recorded 120 and 132 cases of malignant tumors of paranasal sinuses, respectively. Between 2006-2007 we treated 15 patients with tumors of paranasal sinuses underwent treatment at the ENT department of the MiEdzyleski Szpital Specjalistyczny in Warsaw. The following were analyzed: the advancement stage of the tumor, symptoms, the time that has elapsed from the first appearance until the admission for treatment at the department, the methods of treatment, and the histological differentiation of neoplasms. THE RESULTS: We detected the following:--benign neoplasms: 2 cases of angiofibroma, 3 cases of inverted papilloma;--malignant tumors: 4 cases of Ca planoepitheliale, 1 instance of adenocarcinoma, 1 instance of Ca anaplasticum, 1--melanoma, 1--esthesioneuroblastoma, 1--lymphoma malignum, 1--metastatic tumor. THE CONCLUSIONS: at the moment of the admission for treatment at the ENT department, the advancement stage of tumor T3/T4, from the first signs until the proper diagnosis was that marked with the passage of eight months. Ca planoepitheliale is the most common type of malignant tumors of paranasal sinuses. It is only good cooperation between the surgeon and the pathologist which makes it possible to put the proper diagnosis.     

Otogenic brain abscesses in a patient sample of the otolaryngology clinic of the Poznan Medical Academy 1953-1984

Between 1953-1984 we treated 64 otogenic brain abscesses (44 of the temporal lobe and 20 of the cerebellum). This material included 2 cerebral abscesses and 1 cerebellum abscess in children. In 3 cases the abscess was a complication of acute otitis media. 84% of patients with a temporal lobe abscess and 85% with a cerebellar abscess recovered. Treatment consisted of removal of the inflammatory process in the middle or inner ear with subsequent puncture of the abscess and replacement of the pus by antibiotic solution. Otologic, neurologic, ophthalmolgic, EEG and CT examinations were performed on 50 patients. Residual signs of epilepsy were found in 6 patients. Forty one patients resumed work or study. The merit of computer tomography (CT) in diagnosing brain abscesses is emphasized. Since CT has been used a successful outcome has been obtained in 8 cases and a fatal result in 1.     

Draf III procedures: the ENT Department, Medical University of Warsaw experience

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.     

Sialocysts of the parotid glands

Sialocysts of salivary glands are outnumbered greatly by pseudocystic lesions, exemplified by mucoceles. In the major salivary glands, sialocysts are preponderantly lesions of the parotid glands, where they are classified as 1) salivary duct cysts, 2) lymphoepithelial cysts, or 3) dysgenetic or congenital cysts. All arise from salivary ducts and have no relation with the branchial apparatus.     

Bilateral basal-cell adenomas in the parotid glands

A rare case of bilateral basal-cell adenomas in the parotid glands of a 65-year-old woman is reported. There have been only four previous reported cases of bilateral parotid basal-cell adenomas, all of which occurred synchronously with dermal cylindromas. The present lesion is the first case reported in the English literature of bilateral parotid basal-cell adenoma without coexisting dermal cylindroma. Histological examination revealed that the left tumour had adenoid cystic change, which closely resembled adenoid cystic carcinoma. This case is of interest not only because of the raity of bilateral parotid basal-cell adenomas, but also because of the necessity for differentiation from adenoid cystic carcinoma in order to plan appropriate treatment.     

经乳突面神经减压术治疗贝尔氏面瘫

目的探讨经乳突面神经减压治疗贝尔氏面瘫的手术适应症、手术方式、手术时机及疗效。方法回顾性分析33例经乳突面神经减压手术治疗的贝尔氏面瘫病例,比较分析手术时机、减压部位对术后面神经功能恢复的影响。结果经乳突面神经次全程减压手术有效率为77.3%,恢复至H-BⅠ、Ⅱ级的占总数的54.5%。其中发病3个月内接受减压的病人术后恢复至Ⅰ级、Ⅱ级所占比例62.5%(10/16),2个月内接受减压手术的10例病人中7例恢复至H-BⅠ、Ⅱ级,占总数70%。恢复至H-BⅢ级的3例,占总数30%,无Ⅳ级或更差病例。结论对面神经变性超过90%的发病3个月内的贝尔氏面瘫患者行面神经次全程减压手术治疗可有效降低患者预后至Ⅲ级或更差的几率。     

Tumors of the minor salivary glands

Ten to 15% of all salivary gland tumors arise from the minor salivary glands, which are distributed throughout the upper aerodigestive tract. Most of these tumors occur in the oral cavity, and there is a much higher incidence of malignancy than is the case with the major salivary glands. The pathologic appearance, clinical features, treatment, and prognosis of minor salivary gland tumors are discussed. Particular reference is made to the role of adjuvant radiotherapy in improving the control rate after surgical excision.