[Alloplastic valve vocal prosthesis to serve for rehabilitation speech after total laryngectomy]. / Alloplastyczna wentylowa proteza glosowa do wyksztalcania mowy zastepczej u chorych po calkowitym usunieciu krtani.

The authors have presented structure and method of implantation of alloplastical valve vocal prosthesis to serve for rehabilitation speech after total laryngectomy.

[A rare case of multiple neoplasms of parotid gland: adenolymphoma and squamous cell carcinoma]. / Rzadki przypadek pierwotnego mnogiego nowotworu slinianki przyusznej: gruczolakotorbielaka limfatycznego i raka plaskonablonkowego.

The authors have presented a very rare case of multiple primary neoplasms of parotid gland: adenolymphoma and squamous cell carcinoma. Primary multiple neoplasms and multifocal neoplasms are a very complex problem and therefore have been a topic of many articles. The authors describe mechanism of origin, frequency of occurrence, possibilities of diagnostics. The main reason of these neoplasms origin are simultaneously exposure of the tissue to damaging factors and special tissue sensitivity.

[Histological and clinical analysis of mesenchymal malignant neoplasms (soft tissue sarcomas) of head and neck region in the data of I ENT Department of Silesian Medical Academy]. / Analiza histokliniczna nowotworów zlosliwych pochodzenia mezenchymalnego (miesaków tkanek miekkich) regionu glowy i szyi na podstawie materialu operacyjnego I Katedry i Kliniki Laryngologii Slaskiej Akademii Medycznej w Katowicach.

Between the years 19890-1998 in I ENT Department of Silesian Medical Academy were treated surgically 15 patients suffering from soft tissue sarcomas of head and neck region. Patomorphological examination showed: fibrosarcoma (4 cases), haemangioendothelioma malignum (2 cases), rhabdomyosarcoma (2 cases), schwannoma malignum (2 cases), fibrohistiocytoma malignum (2 cases), tumor mixtus mesenchymalis (1 case), haemangiopericytoma malignum (1 case), extrasceletal osteosarcoma (1 case). Sarcomas were localised in paranasal sinuses (7 cases), orbita (5 cases), parapharyngeal space (1 case), parotid gland (1 case) and bucca (1 case). All those patients were treated surgically and most of them were irradiated postoperatively. The authors have presented the diagnostic and methods of treatment of soft tissue sarcomas. According to our experience and data of the literature the method of choice in treatment soft tissue sarcomas should consist of surgery and radiation therapy postoperatively.

[A rare case of the thyroid tissue in the right carotid triangle]. / Rzadki przypadek odszczepionej tkanki tarczycowej umiejscowionej w trójkacie tetnicy szyjnej.

Authors have described a rare case of split of the thyroid tissue in the right carotid triangle in 41 years-old-man. They lay stress on difficulty with making right preoperative diagnosis. A growth in the right carotid triangle was surgically excised, and the microscopic examination of the specimen revealed thyroid tissue with collide goiter. Because this entity cannot be clinically distinguished from the others neck tumors, split of the thyroid tissue should be considered in the differential diagnosis.

[Air conduction threshold values in expanded range of frequencies (250 Hz-18 kHz) in otologically normal persons as assessment of mobility hearing organ in presbycusis]. / Wartosci progowe przewodnictwa powietrznego w rozszerzonym zakresie czestotliwosci (250 Hz-18 kHz) u osób otologicznie normalnych jako ocena wydolnosci narzadu sluchu w procesie starzenia sie organizmu czlowieka.

High-frequency hearing loss is most significant for the organ of hearing aging. Air conduction threshold measurements were taken in 4 groups (aged 31-40, 41-50, 51-60, 61-70 years) of otologically normal persons in expanded range of frequencies (250-18,000 Hz). The threshold of air conduction increase parallel to age and to pure tone frequency was stated.

[Cases of pleomorphic adenoma originating in the minor salivary glands]. / Przypadki gruczolaka wielopostaciowego wywodzacego sie z drobnych gruczolów slinowych.

The authors present 6 cases of adenoma pleomorphum localized out of salivary glands-2 of them on palate, 1 in external auditory canal, 1 in larynx, 1 in lacrimal gland and 1 in parapharyngeal space. All patients were treated surgically.

[The assessment of lateral orbitotomy by Krönlein-Reese-Berke in surgical treatment of primary non-malignant orbital tumors]. / Ocena dostepu bocznego do oczodolu metoda Krönleina-Reesego-Berke'a w leczeniu operacyjnym pierwotnych niezlosliwych guzów oczodolu.

AIM: The assessment of lateral orbitotomy by Krönlein-Reese-Berke was made to evaluate the possibility of radical removal of primary orbital tumors, function of visual system and cosmetic effect after lateral orbitotomy. MATERIAL AND METHODS: The authors analysed a group of 14 patients treated for primary non-malignant orbital tumors. They were treated in I ENT Clinic of Silesian Medical Academy in Katowice surgically by Krönlein-Reese-Berke lateral orbitotomy. A control examination (after 3 years) performed in all 14 patients did not show recurrence of tumor, the motility of the eye ball and visual function was normal, cosmetic effect was good. CONCLUSIONS: We suggest that in the cases of primary non-malignant tumors localised in the lateral part of the orbita, orbitotomy by Krönlein-Reese-Berke is the optimal surgical approach.

[Primary orbital tumors treated surgically in ENT department of Silesian Medical Academy in Katowice]. / Leczenie operacyjne chorych z pierwotnymi guzami oczodolu. Material I katedry i kliniki laryngologii slaskiej AM w Katowicach.

Primary tumours of orbital cavity are a difficult diagnostic and therapeutic problem from a borderline of ophthalmology, laryngology and neurosurgery. Particular anatomical relations of orbital cavity surrounded by paranasal sinuses, cranial cavity cause that it has become an interdisciplinary region and the best method of therapy is multispecialistic surgical treatment ("team approach"). In this article the classification and general symptomatology of orbital cavity primary tumours were presented. 37 patients suffering from primary orbital tumours were treated surgically in the ENT Department of Silesian Medical Academy in Katowice. The patients were aged from 23 (woman with neurosarcoma) to 73 (man with melanoma). All patients were treated surgically: 15 of them by orbital exenteration, 10 by lateral orbitotomy m. Kronlein-Reese-Berk, and 12 by canthotomy. Special attention was paid to possible postoperative complications.

[Prosthesis to reconstruction of transmissive system in the middle ear]. / Protezka do rekonstrukcji ukladu transmisyjnego w uchu srodkowym.

Authors have described prothesis to reconstruction of transmissive system in middle ear, which has received using patent no PL 54142 Y1.

[Plastic tracheostomy tube of Luer's type]. / Rurka do tracheotomii z tworzywa sztucznego typu Luer.

The authors describe a plastic tracheostomy tube which has been accepted as the registered model No: PL 54620 Y1. The presented tube is applied in patients in I ENT Department of the Silesian Medical Academy in Katowice. The authors presented advantages of plastic tracheostomy tube.

[A rare case of multiple primary malignant neoplasms of parotid gland: fibrosarcoma and squamous cell carcinoma]. / Rzadki przypadek pierwotnego mnogiego nowotworu zlosliwego slinianki przyusznej: wlókniako-miesaka i raka plaskonablonkowego.

Primary multiple malignant neoplasms and multifocal neoplasms are a very complex problem and therefore have been a topic of many articles. The mechanism of origin, frequency of occurrence, co-existence of neoplasms in functionally similar organs (uterus, mammary gland), heredity, a possibility of diagnostic and therapy are the most interesting aspects. Frequency of multiple primary malignant neoplasms occurrence is about 2-8% and still increases. Pathogenesis of multifocal and multiple neoplasms has rarely been a subject of articles. A simultaneous exposure of a tissue to damaging factors and special tissue sensitivity are the main reasons for neoplasms origin in this group. The authors present a rare case of parotid gland multiple neoplasm: fibrosarcoma and squamous cell carcinoma, as well as discuss the diagnostics, therapy, and prognosis of multiple neoplasms.

[Laryngocele]. / Laryngocoele.

Author present four cases of mixed laryngocoele. Planocellular carcinoma of larynx was recognized at one of the four patients after 17 months from the operation of laryngocoele. A rare case of bilateral laryngocoele described by the authors was found in a woman, who was operated on in 1981 because of the internal laryngocoele at the left side. She was reoperated in 1995 a mixed laryngocoele at the right side was removed.

[Device for controlling hemorrhage in the nasal cavity]. / Przyrzad do tamowania krwotoków z jamy nosowej.

Authors describe a controlling device in a nasal haemorrhage which has been accepted as the registered model No: PL 52469-Y1. The presented device has been applied in many cases of nasal haemorrhage in patients in First Department of Laryngology of the Silesian University School of Medicine in Katowice.

[Comments on the clinical picture of Warthin's tumors]. / Uwagi do kliniki guzów Warthina.

The author present a clinical analysis of 23 cases of Warthin's tumor treated in the I Clinic of Otolaryngology Silesian Medical Academy in years 1982-1991. In 16 cases the tumor was localised in the superficial part of the parotid gland, in 3 cases a multifocus tumor was found. The Warthin's tumor in 3 patients was localised in the deep part of the parotid gland. In one patient the tumor was beyond the parotid gland.

[The surgical treatment of just one thyroid tissue on the tongue due to massive bleeding]. / Chirurgiczne leczenie jedynej tkanki tarczycowej na jezyku z powodu masywnych krwawien.

The authors present a rare case of lingual ectopic thyroid in 22 year--old--woman. A massive bleeding from the tumor occurred several times and required an urgent surgical treatment. A tracheostomy and ligation of the right external carotid artery were performed prior the removal of the tumor which was removed by medial pharyngotomy. No complications were observed. A substitutive hormonal therapy was administered. Six months after the tracheostomy tube was removed.

[The accuracy of fine needle aspiration biopsy (BAC) for pathomorphological diagnosis of head and neck neoplasms]. / Zgodnosc wyniku biopsji aspiracyjnej cienkoiglowej (BAC) z rozpoznaniem patomorfologicznym w guzach glowy i szyi.

The authors present the results of fine needle aspiration biopsy in 58 patients with tumors of head and neck. Cytological and pathomorphological correlation was evaluated in all patients. The highest accuracy of cyto-pathomorphological was obtained in parotid gland tumors, both benign and malign, and in lymph nodes of the neck. The lowest accuracy was obtained in tumors of the orbit.

[Rare primary malignant orbital neoplasms treated surgically in the I Clinic of Otolaryngology of the Silesian Medical Academy in Katowice in the years 1992-1995]. / Rzadkie pierwotne zlosliwe nowotwory oczodolu leczone operacyjnie w I Katedrze i Klinice Laryngologii Slaskiej AM w Katowicach w latach 1992-1995.

14 patients suffering from primary orbital tumours were treated surgically in the Otolaryngological Department in Silesian Medical Academy in Katowice in the years 1992-1995. The patients were aged from 23 (woman with neurosarcoma) to 67 (woman with haemangioma). All patients were treated surgically: 8 of them by lateral orbitotomy m. Krönlein-Reese-Berk, 3 of them by orbital exenteration, and 3 of them by canthotomy. The author analysed 3 very rare cases of primary orbital malignant neoplasms: neurosarcoma, rhabdomyosarcoma and additionally I case with fibrosarcoma, osteosarcoma and chondrosarcoma simultaneously.

[A large noncapsulated lipoma of the pharynx]. / Rozlegly nieotorbiony tluszczak gardla.

The authors present a case of a large, noncapsulated pharyngeal lipoma. Surgical extirpation followed the tracheostomy and ligature of the external carotid artery.