Sphenoid sinus surgery

Sphenoid sinus surgery due to specific localization is placed in otolaryngologists and neurosurgeons field of interest. Surgery of this area, from one side, causes number of problems, which usually arise due to close neighbourhood of important structures, but on the other, serves as alternative approach, eliminating necessity of extended operations with craniotomies. The article summarizes results of sphenoid sinus surgery at ENT Department, University of Medical Sciences in Poznan between 1990 and 2003, as well as points out characteristic features of the surgery in this specific localization.     

Fibrous dysplasia of the temporal bone

Fibrous dysplasia of the temporal bone is a rare disease which may lead to progressive stenosis of the external auditory canal with conductive hearing loss. Sensorineural hearing loss has usually been attributed to involvement of the otic capsule or inner auditory canal. The case of fibrous dysplasia of the temporal bone in 11 years old girl was described. The conductive hearing loss with sensorineural component improved after surgical treatment.     

TOAST classification of subtypes of ischaemic stroke: diagnostic and therapeutic procedures in stroke. A four-year observation

BACKGROUND: The purpose of this study was to classify ischaemic strokes according to TOAST in patients treated in the internal disease and neurological wards of a hospital in Lower Silesia, evaluate diagnostic and therapeutic methods, and compare their treatment effectiveness according to the Rankin scale. METHODS: Two hundred and seventy-nine patients below 80 and 77 patients over 80 years of age suffering from ischaemic stroke were covered by the retrospective study. RESULTS: Patients with large-artery atherosclerosis according to the TOAST classification and over 80 years old (p = 0.001) were more frequently hospitalised in the internal disease ward (p = 0.005). Strokes caused by small-vessel occlusion were more frequent in the neurological ward (p = 0.017). CONCLUSIONS: The authors suggest the general use of the TOAST classification and an active information campaign among doctors of various specialisations about standard procedures in stroke according to AHA and EUSI guidelines.