Results of the therapy in otogenic intracranial complication in ENT Department of Voivodeship Hospital in Kalisz

On the base of literature and own experience authors present very difficult problem--diagnosis and therapy of otogenic intracranial complications. In ENT Department in Kalisz during 1984-1997 6413 patients were hospitalized, 443 because of chronic purulent inflammation of media ear. We did particular analysis of kind complications in compliance with age and sex. All patients were operated and pharmacological treated. One patient died because of puncture cerebellum abscess to IV ventricle. It is 4.76% all complications and 0.22% patients hospitalized because of chronic purulent inflammation of media ear.     

Cancers of nasopharynx in the material of ENT Department of Hospital in Kalisz

In the nasopharynx we can find malignant and non-malignant tumors. Authors present diagnostic difficulties on the base on literature and seven own cases. CT and NMR is needed to describe infiltration. Besides new methods radiotherapy and chemotherapy prognosis is poor. We have good results in early surgery in non-malignant tumors.     

Acute laryngeal dyspnea in the patient with botulism cured in 2001 year in ENT Department Hospital in Kalisz

The authors presented symptoms of botulism, diagnostics and treatment. In this case there was a necessity of urgent tracheotomy. The authors had good results because of early treatment with serum antibotulism A+B+C and symptomatic treatment. Decannulation was only after 45 days because the paralytic symptoms declined very slowly.     

咽喉结核32例报告

目的　探讨咽喉结核的发病趋势与临床变化。方法　回顾性研究第三军医大学大坪医院 1982～ 2 0 0 0年 12月间 32例咽喉结核的临床资料。结果　①咽喉结核局部病变以单一病灶为主 ,主要侵犯声带 ( 10例 ) ;②病变形态以肿块 ( 11例 )或肉芽 ( 8例 )增生为主 ;③治疗以系统抗结核治疗为主 ,手术治疗为辅。 12例患者临床愈合 ;6例行手术治疗一期愈合 ,无并发症 ;14例经系统抗结核治疗后均得到有效控制。结论　咽喉结核的既往典型特征已不明显 ,现今临床症状与局部病变密切相关。     

Tuberculosis of pharynx and larynx: a report of 32 cases]

OBJECTIVE: To evaluate the trends and the clinical changes in tuberculosis of pharynx and larynx. METHODS: The clinical data of 32 patients with tuberculosis of pharynx and larynx from Jan. 1982 to Dec. 2000 in Daping hospital were studied retrospectively. RESULTS: (1) The local manifestations were mainly single lesion that commonly involved the vocal cord (10 cases). (2) The lesions appearances were mainly the proliferation such as mass (11 cases) or granulation(8 cases). (3) anti-tuberculosis is the main treatment, the operation is the second. Twelve patients cured in clinic, six patients received operation and cured without any complications. Fourteen patients condition controlled. CONCLUSION: The classical manifestations with tuberculosis of pharynx and larynx were not exited, the new clinical manifestations were associated with local lesion in nowadays.     

原发性咽喉结核24例临床误诊分析

目的：探讨原发性咽喉结核的诊断及治疗方法。方法：回顾分析首诊误诊原发性咽喉结核24例惠者的临床资料。结果：24例均通过病理确诊,采用标准化疗方案治愈,随访6月-5年无复发。站论：患咽喉不适或声嘶等症久治不愈者应考虑结核感染的可能,及时行结核菌素试验和病理检查确诊,以免延误诊治。     

咽喉要道应予重视

2004年10月25-27日中华医学会耳鼻咽喉科分会在厦门召开了全国咽喉科专题与小儿耳鼻咽喉科学术会议，大会邀请国内专家作专题讲座5篇，国外专家讲座1篇，交流关于咽喉疾病论文120余篇。来自21个省、自治区、直辖市和香港地区的百余位医师参加了会议。     

咽喉部淋巴瘤的临床分析

目的分析咽喉部淋巴瘤的临床特征,提高咽喉部淋巴瘤的临床检出率。方法回顾性分析16例咽喉部淋巴瘤患者的临床资料。结果咽喉部淋巴瘤临床症状主要为咽喉部疼痛（14例）,咽喉部异物感（12例）,部分患者伴声嘶（6例）,发热、乏力、盗汗（5例）,呼吸困难（2例）,及痰中带血（1例）。16例患者均经电子喉镜下活检病理证实：NK/T细胞淋巴瘤11例,B细胞淋巴瘤5例。结论咽喉部淋巴瘤的临床症状无特异性,电子喉镜下病变的表现有一定的特殊性,电子喉镜检查有利于早期发现并且可以在电子喉镜引导下嵌取病变组织,结合病理结果进行疾病的诊断,减少误诊及漏诊。     

Tuberculosis of the larynx: clinical aspects in 19 patients

Laryngeal tuberculosis continues to exist in spite of extensive tuberculosis eradication campaigns. We present 19 cases of laryngeal tuberculosis seen in our institution between 1982 and 1987. From the clinical findings it is clear that the localization of the lesions has changed since the preantibiotic era. Today the spread appears to be mainly via lymphatic and hematogenic routes, as opposed to the direct spread more common previously. The fibrosis caused by the lesions is incapacitating and frequently requires surgical correction.     

Results of surgical and combined (surgery and radiotherapy) treatment in carcinoma of the larynx and hypopharynx--20 years experience of the ENT Department, District Hospital in Kielce

The epidemiological characteristic of 940 patients with carcinoma of larynx and hypopharynx, treated from 1978 to 1997 was presented, as well as the results obtained in this group with surgical and combined (surgery + rtg-therapy) treatment. There was a prevalence--75.2% of highly advanced cases (III degrees + IV degrees). The 65.6% of patients had been treated by surgery alone, and the remaining had received additional rtg-therapy after surgery. The 3-years survival rate had been achieved in 77.8%, and 5-years survival in 61.7% of the whole group. The analysis of the survival rates had proved the significant differences depending mainly to localisation of primary tumour, and clinical advancement stage of the disease.