RESUMO
The author--for many years a Head of an otorhinolaryngology department at the university hospital in Warsaw--presents his own considerations concerning the philosophy of practicing the medical doctor's profession and particularly the issue of education and work of otorhinolaryngologist.
Assuntos
Otolaringologia/história , Administração de Serviços de Saúde , História do Século XX , História do Século XXI , Otolaringologia/educação , Filosofia Médica , Polônia , Padrões de Prática MédicaRESUMO
Carcinoma of the larynx and hypopharynx are the most often head and neck malignancies. The make diagnosis of the disease early and established the best methods of treatment for individual patients is important just the same as a good relation between doctor and patient. The subject of the study has been patient's judgements about quality of diagnosis, treatment and follow-up procedures. 60 patients (10 women and 50 men) has been inquired with contents the same list of questions. All patients have been treated because of carcinoma of the larynx and laryngopharynx during last 5 years in the Department of Otolaryngology Medical Academy in Warsaw. The authors analysed all answers for questions. The general conclusions have been definite: the patient's knowledge about laryngeal and pharyngeal anatomy and functions is minimal, also they know not much about neoplasm disease and cigarettes and alcohol harmfulness. The patient's opinion at doctor's professional authority was good. It seems to be necessary to do much more to improve people health education especially wholesome behaviour.
Assuntos
Carcinoma/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Neoplasias Hipofaríngeas/psicologia , Neoplasias Laríngeas/psicologia , Aceitação pelo Paciente de Cuidados de Saúde , Cooperação do Paciente , Adulto , Idoso , Idoso de 80 Anos ou mais , Atitude Frente a Saúde , Carcinoma/terapia , Feminino , Humanos , Neoplasias Hipofaríngeas/terapia , Neoplasias Laríngeas/terapia , Masculino , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Educação de Pacientes como Assunto/métodos , Relações Médico-Paciente , Polônia , Inquéritos e Questionários , Fatores de TempoRESUMO
The authors described a technique and presented the results of the modified labyrinthectomy in 9 cases. A labyrinthectomy was performed during the removal of neuromas by translabirynthine approach, in advanced unilateral Meniere disease, in a huge perylimphatic fistula and in a case of labyrinthitis latens. In 3 cases of the neuromas removal the residual hearing was preserved. In remained cases of labyrinthectomy hearing was preserved partially.
