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Inflammatory tumor of the base of the tongue as a clinical presentation of HIV infection

100%

Zwierzyńska K. , Gotlib T. , Niemczyk K.

tom 10(1)

62-64

Introduction: AIDS is a fatal disease that impairs the immunity, increasing the risk of developing opportunistic infections. Case report: We present a case of a 47-year-old patient from the ER, with bleeding from a tongue tumor. The patient reported that he had lost 25 kg in about six months and complained of swallowing disorders. HIV infection was confirmed in the patient during the diagnosis. The inflammatory tumor of the tongue was the only manifestation of HIV infection.

Zewnątrzczaszkowe zaopatrywanie ubytków opony twardej powstałych po resekcji guzów jamy nosa i zatok przynosowych naciekających podstawę przedniego dołu czaszki

88%

Held-Ziółkowska M. , Szwedowicz P. , Gotlib T. , Osuch-Wójcikiewicz E. , Niemczyk K.

tom 65(5)

126-129

Transfacial surgery with the use of microscopic end endoscopic techniques has been used for resection malignant tumors of the paranasal sinuses and anterior skuli base. After tumor resection the dura mater injuries should be carefully closed to avoid the most common postoperative complications (encephalocele, meningocele, meningitis, intracranial abscess and pneumo-encephalus). Authors analyzed cases of tumors of nasal cavity and paranasal sinuses with extension to anterior scull base treated in ENT Department of Medical University of Warsaw. In case of smali injuries to 10 mm in diameter the reconstruction was usually performed with multi-layer technique. In cases of bigger defects the dural piane was rebuild with fascia lata flap by suturing it to the dura mater. Authors conclude that malignant tumors of the paranasal sinuses and anterior skul) base can be resected entirely, together with dura mater by the extracranial approach through a lateral rhinotomy incision.

Operacje z dostępu Draf III w materiale Kliniki Otolaryngologii WUM

88%

Gotlib T. , Niemczyk K. , Balcerzak J. , Krzeski A. , Held-Ziółkowska M.

tom 64(7)

40-43

During last decades Draf III procedure gained popularity in treatment of different pathologies of the frontal sinus such as chronic sinusitis or benign tumors. We present a series of 10 patients treated with this procedure from a 2 year-period. Indications included: chronic rhinosinusitis – four patients, frontal sinus mucocele – four patients (one with destruction of the posterior table), osteoma – one patient (stage 3 according to Kennedy’s grading system), and inverted papilloma – one patient (Krouse T3 lesion). Observation period ranged from 4 months to 2 years. Results: There were no early complications. Gradual narrowing of the created ostium was observed in all of the patients. This led to total obstruction in two, and stenosis (not allowing for passing with 4 mm endoscope) in another two patients. The patient after inverted papilloma removal showed no recurrence in 11 months follow-up. Conclusion: Draf III procedure is alternative for external approach that can be used for treatment of chronic rhinosinusitis and benign frontal sinus tumors of different size.