[Primary hyperparathyroidism--case report and review of the literature]. / Pierwotna nadczynnosc przytarczyc--opis przypadku i przeglad literatury.

We present case report of primary hyperparathyroidism treated surgically as well as a review of literature concerning this subject. The disease of not well known etiology presents with elevated parathormon levels and hypercalcemia. Primary hyperparathyroidism which states 85% percent of all kinds of hyperparathyroidism is usually parathyroid adenoma, in 11-15% glandular hyperplasia and in 1-4% parathyroid cancer. Clinical symptoms are muscle weakness and fatigue, nephrolithiasis, occasionally peptic ulcers, pancreatitis, hypertension. Laboratory test reveal increased level of PTH, hypercalcemia, elevated alkaline phosphatase levels and decreased phosphorus levels. Diagnostic imaging techniques such as ultrasonography, MRI or CT have sensitivity about 52-75%. Highest sensitivity in localization of ectopic parathyroid adenoma has sestamibi scintigraphy with technetium-99. Skeleton x-rays show typical changes in distal parts of bones and osteopenia. Treatment of choice is surgical excision of adenoma. Normalization of PTH and calcium levels after surgery and improvement of renal, musculoskeletal and circulatory system function could be achieved in 95%. Most common complications are recurrent laryngeal nerve injury, hypo- or hyperparathyroidism, bleeding or stridor.

[Effectiveness of therapeutic (NI, N2) modified radical neck dissection (MRND) in patients with laryngeal cancer]. / Efektywnosc operacji radykalnej zmodyfikowanej w leczeniu klinicznie obecnych przerzutów regionalnych raka krtani.

OBJECTIVE: Efficacy of modified radical neck dissection in treatment of laryngeal cancer with node positive neck. PATIENTS AND METHODS: Retrospective analysis of 311 patients treated with modified radical (86) or radical (225) neck dissection. Recurrence rates, local and regional, after both operations and 5-year disease free survival (Kaplan-Meier method) were analyzed. RESULTS: Regional recurrence rates in N1 group after MRND were 3% and 13% after RND. In N2 group 13% and 16% respectively. 5-year survival after MRND in N1 group was 73% compared with 60% after RND. In N2 group 5-year survival was 56% and 47%. CONCLUSION: We consider MRND as effective treatment method of node positive neck in N1 and N2 stage compared to RND with less morbidity.

[Stomaplasty for trachoestomal stenosis using rib cartilage--authors method]. / Plastyka zwezenia tracheostomii przeszczepem chrzastki zebra--metoda wlasna.

Authors present surgical procedure for treatment of tracheostomal stenosis after laryngectomy with use of 7th rib cartilage. Procedure is simple, almost without morbidity, provides good ventilatory and cosmetic results and helps in learning esophageal speech.

[Sinus barotrauma and the functional endoscopic sinus surgery]. / Barotrauma zatok a czynnosciowa endoskopowa chirurgia zatok.

Sinus barotrauma is quite common illness, which affects the passengers of the planes and the air staff. The authors describe possibilities of the course of treatment these patients with special regard to the functional endoscopic sinus surgery.

[Usefulness of neuron specific enolase in patients with head and neck malignant tumors]. / Przydatnosc oznaczen neuronowej swoistej enolazy u chorych na nowotwory zlosliwe glowy i szyi.

The authors present results of evaluation of neuron specific enolase (NSE) in 146 persons. We analyzed a concentration of NSE in preliminary study and in monitoring depending on clinical advances of tumour, mass of primary tumour and metastases to lymph nodes. Neuron specific enolase was excluded because the number of positive results was the same both in the main and control group. Our results indicate that evaluation of NSE have not height value in monitoring patients with head and neck carcinoma.

[Rare case of a large foreign body in the orbital region]. / Nietypowe cialo obce okolicy oczodolu.

The authors described a case of the patient with a foreign body of the orbit, which was glass-baquette. Arrived she at orbit by chance by skin of bottom eyelid below medial of angle of eye. Glassy foreign body (lengths about 6 cm) was removed during operation. We did not observe postoperative complications, over injury of lacrimal ducts.