Rhinospirography in evaluation of respiratory disorders in patients with central nervous system tumors.

The aim of the study was to define respiratory disorders caused by central nervous system tumors. We investigated 51 patients (31 men, 20 women, mean age 58). They were divided into the following groups: patients with supra-, infratentorial and cranio-vertebral junction lesions. We analyzed: the localization of tumors based on CT and MRI examinations and intraoperative observation, the status of consciousness by GCS scale, neurological status and histological findings. For the estimation of dynamics of the respiratory changes, rhinospirography examination was repeated several times in the course of observation. The alterations of respiration were clearly visible in many cases. We have confirmed that respiratory disorders found by rhinospirography provide a source of important clinical information on the effect of the treatment and prognosis. We have also confirmed that changes in respiration are observed earlier than changes of consciousness.

[Clinical investigations and cytological examinations of the nose in subject exposed to cement dust]. / Badania kliniczne i cytologiczne nosa u osób eksponowanych na dzialanie pylu cementowego.

Mucous membranes of the nose of 90 persons exposed to cement dust were investigated clinically and cytologically. We found atrophic changes in 37.8% persons and hypertrophic changes in 13.3%. In a halt of the investigated persons abnormality in epithelium forms in cytological examination was demonstrated. The connection of inflammatory changes and pathological forms of the epithelium has been documented. The correlation between presentation of cement deposits and inflammatory infiltrations and atrophic and hypertrophic changes was confirmed.

[Epidemiology of malignant neoplasms of the upper respiratory tract and oral cavity in the Bydgoszcz region]. / Epidemiologia nowotworów zlosliwych górnych dróg oddechowych i jamy ustnej w województwie bydgoskim.

The authors performed epidemiological analysis of malignant neoplasms of the nose, paranasal sinuses, throat, tongue, larynx and salivary glands in Bydgoszcz area. All the patients were treated in the Otolaryngological Clinic of Medical Academy in Bydgoszcz. Patient's sex, age, profession, living and environmental conditions as well as histopathological diagnosis were taken into analysis. The data were referred to various regions of Bydgoszcz province, which were elucidated on the basis of microclimate conditions, industry, soil conditions, density of the forest area, and cultivated agriculture plants. Correlations between occurrence of oral cavity and the upper respiratory tract malignant neoplasms and living conditions as well as kind of profession in different parts of Bydgoszcz province were estimated.

[Malignant neoplasms of the tongue and tonsil-glossal angle from material obtained in the otolaryngology clinic in Bydgoszcz in the years 1981-1994]. / Nowotwory zlosliwe jezyka i kata migdalkowo-jezykowego w materiale Kliniki Otolaryngologii w Bydgoszczy w latach 1981-1994.

In the period 1981-1994 in the ENT Department, University School of Medical Sciences in Bydgoszcz, 102 patients with malignant neoplasms of the tongue and the tonsillo-glossal angle were treated. The most common group comprised patients diagnosed with "planoepithelial carcinoma" (94 persons). The number of patients with tongue malignancies increased every year. Similarly, increasing of the neoplastic grade was observed. The majority of patients underwent surgery and, in the next step, radiotherapy. We preferred a total tumor excision involving half of the tongue. Often we had to extend surgery to resection of the lateral part of throat and, in situation of extreme penetration of neoplasms, we removed the bottom of oral cavity. We concluded that in patients with malignant neoplasms of the tongue, planoepithelial carcinoma is present in more than 90 percent of cases. The tumors are diagnosed in the late period. On initiation of treatment half of the patients were presenting with T2 tumors. We confirmed infiltration of the tonsillo-glossal angle in half of the patients. Five years survival without tumor recurrence in our material was 26.47%.

[Parotid neoplasms from material in the Bydgoszcz otolaryngologic clinics in the years 1980-1994]. / Guzy nowotworowe slinianek przyusznych w materiale bydgoskiej Kliniki Otolaryngologii w latach 1980-1994.

During the years 1980-1994 159 patients with parotid tumors were treated in ENT Clinic in Bydgoszcz. 26.4% (42 patients) of tumors were malignant. The main surgical procedures were the removal of tumor, partial parotidectomy, total conservative parotidectomy and total radical parotidectomy. In malignant tumor cases the radiotherapy followed the surgery.