[Double adenoid cystic and squamous cells carcinoma of the hypopharynx and larynx. A contribution to the issue of multicomponent neoplasms]. / Podwójny rak gruczolowo-torbielowaty i plaskonablonkowy czesci krtaniowej gardla i krtani. Przyczynek do problematyki wieloskladnikowych nowotworów zlosliwych.

Bicomponent cancer of the piriform fossa and larynx of 55 years old man has been described. The patient was treated surgically and by radiotherapy. The performance of laryngectomy and partial pharyngectomy with conservative bilateral neck dissection was used as surgical treatment. In histopathological findings of postoperative specimens two types of neoplasms: squamous cells and adenoid-cystic cancers were stated. The authors presented opinions on the affection arising of multicomponent tumours of the aerodigestive truct.

[Impairment of the vocal fold after radiotherapy as a significant sign of the persistent laryngeal cancer]. / Unieruchomienie faldu glosowego po radioterapii jako objaw wskazujacy na obecnosc przetrwalego raka krtani.

Among 30 patients suffered from laryngeal cancer and treated surgically after failed radiotherapy histologic study of vocal folds were performed. The aim of this study was to find a cause of impairment of the vocal fold after radiotherapy. In 27 cases histologic specimens shown the presence of the cancer in the impaired vocal fold, but only in specimens of 3 patients which had immobile fold, author find massive inflammatory process. These data show that impairment vocal fold after radiotherapy is a significant sign of the presence of the persistent laryngeal cancer.

[The results of salvage surgery in the patients with the laryngeal cancer after failed radiotherapy]. / Wyniki chirurgicznego leczenia chorych z rakiem krtani po niepowodzeniu radioterapii.

The authors present material of 50 patients suffered from laryngeal cancer, who had performed salvage laryngectomy after failure radiotherapy. Greatest influence on the results of treatment had local and regional advanced of cancer and immediately tracheotomy before laryngectomy. The performance oft total laryngectomy is advocated as a salvage treatment in the ceases of failed radiotherapy. The authors underline that performance of laryngectomy after obtaining of laryngeal cancer on the basis of histopathological examination in a number of cases delayed the surgical treatment and thus caused in some of them that the patient's chance to be cured was lost.

[An unusual case of the otogenic purulent thrombosis of the sigmoid sinus and internal jugular vein]. / Rzadki przypadek usznopochodnego zakrzepowo-ropnego zapalenia zatoki esowatej i zyly szyjnej wewnetrznej.

The authors present a case of 51 years old female suffering from the purulent thrombophlebitis of the sigmoid sinus and internal jugular vein. The disease developed in the course of chronic otitis media. During first 2 weeks she was treated with antibiotics because of the septic fever without significant otogenic symptoms. An incidental otolaryngologic examination showed the reason of the illness. The authors emphasise the thrombophlebitis process extended from transverse sinus to the lower end of internal jugular vein. Nowadays the otogenic thrombophlebitis complications are rare, but the knowledge of them is indispensable in the everyday practice. The authors emphasise the necessity of cooperation otolaryngologists with other specialists. Especially it is important in the Polish new model of health service, which place the main role of the treatment to general practitioners.

[Teratoma in the middle ear and throat of an infant]. / Guz potworniakowy (teratoma) ucha srodkowego i gardla u niemowlecia.

The authors present a case of an 8-moth-old female infant treated for prolonged otitis media. The inflammatory process was connected with teratoma of tympanum and throat. The authors discuss presumable connection of the both masses. The child was completely cured by surgical treatment.

[Nasal dermoid cysts and sinuses]. / Przetoki i torbiele skórzaste nosa.

The authors discuss problems of the nasal dermoids treatment. They point at difficulties with settlement of right term of operation, and they stress that X-ray diagnosis before operation should be taken into consideration to exclude the contact of the dermal cyst or sinuses with cranial cavity. They confirm necessities of radical removal of the cyst or/and the sinus to gain the recovery. They analyse the material of 6 patients with dermal cysts or sinuses who were operated since 1988 to 1997 in the ENT Department of Municipal Hospital, Gdynia. They were 4 boys and 2 girls. In each case a cyst with fistulas was observed. All children were treated surgically, and their ages were 2-14 years (mean 6 1/2). In 2 cases there was self-existent destruction of the nasal bones, other 2 patients had median rhinotomy made, in 2 cases only simple excision of the cyst and sinuses was performed. In any case it was no recurrence of the disease (time of follow-up is 1-10 years). The analysis is illustrated with two case reports. The first case was a 2-year-old boy who had a dermal cyst with sinus penetrating into the cranial cavity. CT imaging did not reveal obvious evidences of that. During operation, a momentary CSF leak was observed but it was stopped using oxycel and tissucol. The second case, a 7-year-old boy, was treated by curettage of the dermoid, with recurrence after 6 months. This patient was cured after total resection of the cyst and sinuses. In conclusion, the authors present in detail signs that can attest that contact of the cyst with the cranial cavity exists. They stress the necessity of right surgical treatment in cases of dermal cysts of the nose to avoid recurrence or complications.

[Merkel cell carcinoma of the auricle]. / Rak z komórek Merkela malzowiny usznej.

A case of a 80-year-old woman suffering from Merkel cell carcinoma of the auricle with regional cervical lymph nodes metastases has been described. Surgical treatment (tumour and regional lymph nodes dissection) was applied at first. Metastasis to one lymph node was established in postoperative histological examination. Chemotherapy (farmorubicin, cyclophosphamide, vincristine) in 3 cycles was applied within 2 months. In spite of the above, 4 months after tumour excision, metastatic lymph node manifested in the neck. Combined treatment, radical neck dissection and radiotherapy was applied then.

[Mycosis infection (candidiasis) of the lingual thyroid gland]. / Grzybicze (drozdzycowe) zapalenie tarczycy jezykowej.

The authors present a case of 60-year-old woman who suffered from a mycosis (Candidosis) infection of the ectopic lingual thyroid gland. Intensive inflammatory process caused enlargement of lingual goiter and dysphagia occurred consequently. Right diagnosis was made after scyntygraphic examination (the presence of lingual thyroid gland only), as well as histopathological and microbiological examinations which revealed the presence of Candida forms. Recovery was achieved after 5 weeks of antifungal treatment--Diflucan during a 2-week initial period, then followed by 3 weeks of local treatment with nystatin.

[Dilemas in the evaluation of post-radiation lesions of the larynx]. / Dylematy w ocenie zmian popromiennych krtani.

The authors analyse the post-radiation lesions in larynx taking into consideration the cases of coexistence with residual or recurrent tumour. They underline the difficulties in obtaining a true picture of the condition of the larynx on the basis of histopathological examination. In a number of cases repeated histopathological examinations delayed the surgical treatment and thus caused in some them that the patient's chance to be cured was lost. The authors characterise clinical symptoms with strongly suggest the presence of tumour in those cases.

[Head and neck lymphomas in the material of the ENT department of Municipal Hospital in Gdynia in 1977-1996]. / Chloniaki glowy i szyi w materiale Oddzialu Otolaryngologicznego Szpitala Miejskiego w Gdyni w latach 1977-1996.

The authors present data relating to patients with malignant lymphoma of the head and neck diagnosed at the ENT Department, Municipal Hospital in Gdynia, during the years 1977-1996. The material is analysed in relation to the sex and age of the patient and the localisation of tumour. Some cases are presented in detail depending on localisation or difficulties in diagnosis (lymphoma of the larynx and ethmoidal sinus).