[The case of otologic cerebrospinal fluid leak in patient with recurrent meningeal infection]. / Przypadek plynotoku usznego u chorej z nawracajacymi zapaleniami opon mózgowo-rdzeniowych.

The authors present a cause of 51 year old female with recurrent meningeal infection. The patient had a remote history of head injury that she had almost forgotten. CT was performed but no pathology of temporal bone origin was diagnosed. DTPA+Tc99m cisternography showed an abnormal radioactive accumulation in the right middle ear at 6 and 24 hours after intrathecal injection.

[Intracranial complications of sinusitis in patients of the otolaryngology Department of the regional hospital in Olsztyn treated between 2004-2007]. / Wewnatrzczaszkowe powiklania zatokopochodne u pacjentów Oddzialu Otolaryngologicznego Szpitala Wojewódzkiego w Olsztynie leczonych w Latach 2004-2007.

Sinusitis is common disease. However intracranial complications of sinusitis are rare, but they are still a serious problem that results in high mortality. Diagnostic advantages of CT scanning and magnetic resonance imaging as well as therapeutic advantages of FESS prevent spread of complications. Patients with intracranial complications require surgery to remove the focus of infection from the sinuses and neurosurgical drain the abscess in some cases, with intensive antibiotic therapy. We presented three cases of intracranial complications treated by endoscopic sinus surgery connected with extranasal drain of frontal sinus. It is worth to emphasize the advantages of FESS over the external approaches as follows: the method treats the causative source of the disease, the morbidity is low, and it avoids facial cosmetic trauma.

[Case of esophageal foreign body complicated by mediastinitis and broncho-esophageal fistula]. / Przypadek ciala obcego przelyku powiklany zapaleniem sródpiersia i przetoka przelykowo-oskrzelowa leczony pomyslnie.

Authors describe the case of esophageal perforation in 85-year woman ended with good outcome. The patient was admitted to our ward with suspicion of foreign body in esophagus and the clinical manifestation of early stage mediastinitis. We resigned esophageal perforation debridement because of the old age and patient's poor general condition. Conservative treatment was administrated during a long period including high-doses of antibiotics and nutritional support. In the third week of patient's admission mediastinitis was cured but esophageal radiograms showed the bronchoesophageal fistula on the left side. There were no signs of self-existent closure of fistula. The patient was sent to the Thoracic Surgery Ward of John Paul Hospital in Cracow where the performance of thoracotomy was used as surgical treatment. Closure of fistula made that our patient was able to return to normal life.

[Parapharyngeal phlegmon as a complication after tonsillectomy]. / Ropowica przestrzeni przygardlowej jako powiklanie po tonsylektomii.

Authors wanted to draw attention to possibility of dangerous postoperative complications when the clinical manifestation of reactivation Herpes simplex virus infection develops during the postoperative period. We report a case of parapharyngeal phlegmon following tonsillectomy in a previously healthy 18-year old woman. On postoperative day six signs of Herpes simplex virus infection were presented in our patient. Hypoimmunity causing reactivation of virus led to evolution of septicemia and extended parapharyngeal phlegmon. Management involved parapharyngeal space drainage, broad spectrum antibiotics and gammaglobulin coverage. Treatment was successful. The patient was discharged in good condition in the fourth week of her admission.