Wyniki wyszukiwania - Biblioteka Nauki

1

Rhabdomyoma of the Parapharyngeal Space – A Case Report

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Sieniawska-Buccella O. , Osuch-Wójcikiewicz E. , Kazimierska K. , Kukawska M. , Rzepakowska A. , Niemczyk K.

Polski Przegląd Otorynolaryngologiczny

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2020

|

tom 9(2)

54-57

EN

Introduction: Rhabdomyomas (RM) are rare benign mesenchymal tumors. They are a much more uncommon entity than their malignant counterparts, rhabdomyosarcomas. Rhabdomyomas fall into two general categories: cardiac tumors and extracardiac tumors. Extracardiac myomas are among the rarest tumors in humans and can be classified as fetal and adult, depending on the degree of differentiation of individual tumors by light microscopy. Adult extracardiac myoma is most commonly characterized by the occurrence in the head and neck, and mainly in the laryngeal and pharyngeal area. Case report: This article presents a case of rhabdomyoma of the parapharyngeal space with a review of world literature.

2

Diagnosis in Muscle Tension Dysphagia

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Krasnodębska P. , Jarzyńska-Bućko A. , Szkiełkowska A. , Miaśkiewicz B. , Skarżyński H.

Otolaryngologia Polska

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2021

|

tom 75(1)

16-22

EN

Introduction: Patient-reported outcome measures have been used within the otorhinolaryngologic disorders’ field for many years to compare patient’s perception of the severity of symptoms and the effectiveness of a therapeutic approach. Questionnaires that evaluate dysphagia are relatively complex instruments aimed mostly at patients with neurological or malignant diseases. The ICD-10 classification specifies only one broad term – dysphagia (R13). Introduction of Muscle Tension Dysphagia (MTDg) in 2016 by Kang completed the spectrum of the nomenclature. This dysphagia type is defined as a type of laryngeal muscle tension disorder manifesting primarily as swallowing difficulty with or without any accompanying organic cause, laryngeal hyperresponsiveness and/or nonspecific laryngeal inflammation. Aim: Since there were no clear diagnostic and therapeutic perspectives on the group of patients with MTDg, the aim of this work was to analyse selected diagnostic tools used for the evaluation of swallowing disorders in the context of finding the most suitable tools for patients with Muscle Tension Dysphagia. Material and method: The material of the work included 61 patients. Each patient underwent otolaryngologic, phoniatric and speech therapist’s examination, Functional Endoscopic Evaluation of Swallowing (FEES) and filled out questionnaires concerning dysphonia and dysphagia symptoms. Results: The results of the work showed that patients with MTDg were characterised by correct results of FEES examination, prolonged swallowing, features of inappropriate mucous and oropharyngeal muscle function. Conclusions: The Swallowing Disorder Scale (SDS), developed by the authors, correlated best with the cause of dysphagia. The questionnaire corresponded well with the degree of severity. In the diagnostic process of MTDg one of the key tasks is the differentiation with patients with non-normative swallowing patterns. Apart from specialistic consultations with otolaryngologist and speech therapist, while diagnosing MTDg we recommend using objective (FEES, videofluroscopy, SEMG) and subjective (SDS, DHI, EAT-10 surveys) assessment tools. In our opinion, the inclusion of questionnaires to detect reflux syndromes is also important in the causal treatment of ailments.

3

Characteristics of swallowing disorders in patients with dysphonia

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Krasnodębska P. , Szkiełkowska A. , Jarzyńska-Bućko A. , Włodarczyk E. , Miaśkiewicz B.

Otolaryngologia Polska

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2020

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tom 74(2)

17-22

EN

Introduction: Coexistence of dysphagia with voice disorders is a topic rarely raised in the literature. Particular attention is paid to the aspect of dysfunction of laryngeal and pharyngeal muscles. Aim: The aim of the study was to analyse cases of patients with dysphonia in relation to coexistence of swallowing disorder. Material and method: The material of the study included 515 patients hospitalised due to dysphonia in 2018. Patients whose interview indicated swallowing difficulties were subjected to additional diagnosis for dysphagia (FEES, extended speech therapy test, SEMG). R esults: 11.8% of people requiring treatment for voice disorders reported coexistence of swallowing difficulties. Dysphagia was diagnosed in 9.3%. The percentage of respondents diagnosed with swallowing disorder differed depending on the type of underlying disease and was the highest in the group with neurological disorders. Analysis of the correlation between the severity of dysphagia (according to the assessed grade, DHI, EAT-10 results) and the severity of VHI showed a weak correlation between VHI and EAT-10 (p = 0.1), statistically significant correlations (p < 0,05) between the value of VHI and RSI in people with diagnosed neurological disease, between the value of VHI and DHI in people with hyperfunctional dysphonia and the value of VHI and BMI and EAT- 10 in people with chronic laryngitis. Moreover, statistically significant correlations were found between the severity of dysphagia and EAT-10 and DHI (p < 0.05). The speech therapy test indicated the co-existing problem of non-normative swallowing pattern. The electromyographic study showed the largest asymmetries in recording the average and maximum amplitude from masseters. C onclusions: Treatment of patients with voice disorders requires interdisciplinary care. A history of dysphagia in these patients should complement the medical history of voice disorders. The characteristics of swallowing disorders vary depending on the cause of the voice disorder and their co-occurrence affects on average 9.3% of patients. Coexistence of muscle tension dysphagia with voice disorder requires separate diagnostic protocol. Logopaedic procedure ought to be a key element in the interdisciplinary care of patients suffering from muscle tension dysphagia.

4

A giant aneurysm of the internal carotid artery, which caused dysphagia: case study and short review of literature

100%

Vasileiadis I. , Kapetanakis S. , Fiska A. , Vasileiadis D. , Dimitriou T.

Folia Morphologica

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2010

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tom 69

|

nr 4

EN

The retropharyngeal space is a virtual space behind the pharynx, which extends from the scull base to the level of the fourth thoracic vertebra. Many retropharyngeal masses can cause dysphagia or airway obstruction. We report the case of a 69 year-old woman with a much enlarged aneurysm in the extracranial portion of the left internal carotid, causing dysphagia, and a short review of the relevant literature. (Folia Morphol 2010; 69, 4: 267–270)

5

Diagnosis in Muscle Tension Dysphagia

100%

Krasnodębska P. , Jarzyńska-Bućko A. , Szkiełkowska A. , Miaśkiewicz B. , Skarżyński H.

Polish Journal of Otolaryngology

|

2021

|

tom 75

|

nr 1

16-22

EN

Introduction: Patient-reported outcome measures have been used within the otorhinolaryngologic disorders’ field for many years to compare patient’s perception of the severity of symptoms and the effectiveness of a therapeutic approach. Questionnaires that evaluate dysphagia are relatively complex instruments aimed mostly at patients with neurological or malignant diseases. The ICD-10 classification specifies only one broad term – dysphagia (R13). Introduction of Muscle Tension Dysphagia (MTDg) in 2016 by Kang completed the spectrum of the nomenclature. This dysphagia type is defined as a type of laryngeal muscle tension disorder manifesting primarily as swallowing difficulty with or without any accompanying organic cause, laryngeal hyperresponsiveness and/or nonspecific laryngeal inflammation. Aim: Since there were no clear diagnostic and therapeutic perspectives on the group of patients with MTDg, the aim of this work was to analyse selected diagnostic tools used for the evaluation of swallowing disorders in the context of finding the most suitable tools for patients with Muscle Tension Dysphagia. Material and method: The material of the work included 61 patients. Each patient underwent otolaryngologic, phoniatric and speech therapist’s examination, Functional Endoscopic Evaluation of Swallowing (FEES) and filled out questionnaires concerning dysphonia and dysphagia symptoms. Results: The results of the work showed that patients with MTDg were characterised by correct results of FEES examination, prolonged swallowing, features of inappropriate mucous and oropharyngeal muscle function. Conclusions: The Swallowing Disorder Scale (SDS), developed by the authors, correlated best with the cause of dysphagia. The questionnaire corresponded well with the degree of severity. In the diagnostic process of MTDg one of the key tasks is the differentiation with patients with non-normative swallowing patterns. Apart from specialistic consultations with otolaryngologist and speech therapist, while diagnosing MTDg we recommend using objective (FEES, videofluroscopy, SEMG) and subjective (SDS, DHI, EAT-10 surveys) assessment tools. In our opinion, the inclusion of questionnaires to detect reflux syndromes is also important in the causal treatment of ailments.

6

Dysphagia as an interdisciplinary problem. Difficulties in the diagnostic process of the vascular anomaly: a right-sided aortic arch with aberrant left subclavian artery (case report)

100%

Maciejewska B. , Kania K. , Kowal P. , Wiskirska-Woźnica B.

Polski Przegląd Otorynolaryngologiczny

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2018

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tom 7(1)

51-58

EN

Dysphagia is an underestimated health problem. At the same time, it is a potentially life-threatening condition. Dysphagia in young adults is rare and thus it is rarely discussed in the literature. Vascular anomalies are much less frequent causes of dysphagia than structural pathologies of the digestive system, iatrogenic lesions or neurological causes. This paper presents a case of a 21-year-old woman with escalating dysphagia in the course of a congenital vascular anomaly in the form of a right-sided aortic arch with retroesophageal left subclavian artery (left arteria lusoria) and compression. The paper highlights delayed symptomatology of the congenital defect, reasons behind the long-lasting diagnostic process, and the role of the laryngological – phoniatric examination in order to exclude oral and pharyngeal causes. The differential diagnostics and treatment options are discussed thereinafter.

7

Screening tests for dysphagia

88%

Jamróz B. , Pabian M. , Chmielewska J. , Milewska M. , Niemczyk K.

|

tom 6(4)

10-13

EN

Many patients treated at hospital have difficulty with swallowing, which poses an interdisciplinary problem. We describe basic screening tests for dysphagia, which can be carried out by physicians, speech therapists, and nurses, and show how to use these tests.

8

Functional Results after Larynx-Preserving Treatment of Laryngeal Cancer. Suggestions for follow-up

88%

Vlčková K. , Tedla M.

Otolaryngologia Polska

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2019

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tom 73(5)

31-36

EN

ntroduction: Laryngeal cancer and its treatment are associated with both short- and long-term side effects, affecting laryngeal functions and having an impact on the quality of life. Material and methods: Retrospective analysis of the medical records of patients receiving surgical or non-surgical, larynx- -preserving treatment for laryngeal cancer. R esults: After termination of the treatment, the highest proportion of patients with bad voice quality was in the glottic carcinoma group (both in early and late phase), with swallowing dysfunction in the transglottic carcinoma group. Compared to the situation before the treatment, the proportion of patients with impaired voice quality (bad voice quality and loss of voice) initially decreased among all groups (except for supraglottic carcinomas), and during the first post-treatment year either increased or did not change. The proportion of patients with no swallowing dysfunction increased in the supraglottic, subglottic and transglottic carcinoma groups. D iscussion: We consider necessary the implementation of a standard pre- and post-treatment monitoring of the voice and swallowing function in the management of patients with laryngeal cancer.

9

Instrumental evaluation of dysphagia after oropharyngeal cancer surgery with free flap reconstruction

88%

Jamróz B. , Chmielewska J. , Milewska M. , Niemczyk K.

Polski Przegląd Otorynolaryngologiczny

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2016

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tom 5(4)

22-28

EN

Introduction: Assessment of usefulness of instrumental method of evaluation of dysphagia in creating a therapeutic plan among patients after oropharyngeal cancer surgery with free flap reconstruction. Material and Method: Seven patients after oropharyngeal cancer surgery with free flap reconstruction hospitalized from January to September 2016 in the ENT Department of Warsaw Medical University were included in this study. All patients underwent few times after surgery: clinical swallowing examination, water swallowing screening test and fiberoptic endoscopic evaluation of swallowing and/or videofluoroscopy. Results: All patients were diagnosed with dysphagia and had unitentional weight loss (average 5,9% of initial weight during 3 months). In water swallowing test only three participant achieved negative score for 5 ml, and two for 10 ml, 20 ml and 90 ml of water. Fiberoptic endoscopic evaluation of swallowing was analyzed for swallowing patterns and laryngeal pathology. FEES showed following abnormalities: aspiration (saliva, liquid), penetration (puree, liquid), premature swallowing (liquid, puree) and multiswallowing (liquid, puree, solid food), retention (saliva, puree, liquid, solid food). Videofluroscopy showed on the first place problems with oral phase of swallowing: difficulty forming and propeling bolus, tongue pumping movements, oral cavity residue, premature spillage and delayed oral onset. During the pharyngeal phase we observed: residue in valleculae and piriform sinuses, reduced laryngeal elevation, penetration and aspiration, multiple swallows. Conclusion: Instrumental assessment of swallowing helps during diagnostic and therapeutic process of patients with dysphagia after oncological treatment. a.

10

The rare case of lipoma of posterior wall of the pharynx and parapharyngeal space

88%

Nowak K. , Banaszewski J. , Szyfter W.

Polski Przegląd Otorynolaryngologiczny

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2015

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tom 4(3)

48-51

EN

The paper presents the rare case of lipoma of parapharyngeal space and oropharynx in 46-year-old man who came out suddenly while eating, giving the feeling of an obstacle in the throat. Preoperative diagnosis was based on a characteristic image of KT (low density, presence of capsule, lack of contrast gain and the use of fat suppression technique). The tumor was surgically removed in its entirety, from reaching the mouth. Emphasized the rarity of tumors of the weaving within the parapharyngeal space and throat, conditioned by a small amount of fat in this area, as well as the possibility of turbulent obstructive symptoms caused by the sudden disclosure of a tumor located deep in the tissues.

11

Aspekty diagnozy i terapii zaburzeń połykania w schorzeniach pozapiramidowych na przykładzie choroby Parkinsona

88%

Lewicka T. , Stompel D. , Boczarska-Jedynak M.

Logopedia Silesiana

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2014

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nr Logopedia Silesiana nr 3

115-124

EN

In the article aspects of diagnosis and therapy of swallowing disorders in extrapyramidal illnesses on the example of Parkinson disease were presented. Parkinson disease belongs to neurodegenerative illnesses of the central nervous system. Its most characteristic manifestation is the socalled Parkinsonian triad i.e. muscular rigidity, slow down motions and passive tremor. Neurogenic dysphagia appears very offen in the Parkinson disease. That is why the specific opinion on swallowing makes up the basis to the introduction of rehabilitation methods conditioning improvement and reconstruction of correct function of swallowing. This article presents instrumental and noninstrumental methods of evaluating patients with Parkinson disease and dysphagia as well as therapy methods of swallowing disorders.

12

Functional Results after Larynx-Preserving Treatment of Laryngeal Cancer. Suggestions for follow-up

88%

Vlčková K. , Tedla M.

Polish Journal of Otolaryngology

|

2019

|

tom 73

|

nr 5

31-36

EN

Introduction: Laryngeal cancer and its treatment are associated with both short- and long-term side effects, affecting laryngeal functions and having an impact on the quality of life. Material and methods: Retrospective analysis of the medical records of patients receiving surgical or non-surgical, larynx- -preserving treatment for laryngeal cancer. Results: After termination of the treatment, the highest proportion of patients with bad voice quality was in the glottic carcinoma group (both in early and late phase), with swallowing dysfunction in the transglottic carcinoma group. Compared to the situation before the treatment, the proportion of patients with impaired voice quality (bad voice quality and loss of voice) initially decreased among all groups (except for supraglottic carcinomas), and during the first post-treatment year either increased or did not change. The proportion of patients with no swallowing dysfunction increased in the supraglottic, subglottic and transglottic carcinoma groups. D iscussion: We consider necessary the implementation of a standard pre- and post-treatment monitoring of the voice and swallowing function in the management of patients with laryngeal cancer.

13

Application of Volume-Viscosity Screening Test as a screening tool in swallowing disorders diagnosis

88%

Milewska M. , Jamróz B. , Chmielewska J. , Clave P.

Polski Przegląd Otorynolaryngologiczny

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2018

|

tom 7(2)

21-24

EN

It is commonly known that dysphagia is associated with primary (malnutrition, dehydration, aspiration pneumonia) as well as secondary consequences (longer hospital stay, increased treatment cost, higher risk of mortality). Therefore, screening tests in swallowing disorders, especially done in at-risk groups, are essential. The aim of screening is identification of patients at risk of dysphagia and referring patients to further instrumental methods. The test should be noninvasive, quick, easy to perform by medical staff, with highest sensitivity and specificity. An example is the Viscosity – Volume Screening Test (VVST) with 3 different consistencies at 3 volumes (5, 10 and 20 ml), with wider possibilities of this tool in safe consistency and volume indication.

14

Adaptive therapy in the rehabilitation of swallowing disorders

88%

Jamróz B. , Szałańska M. , Chmielewska J. , Milewska M. , Przekop Z. , Niemczyk K.

|

tom 6(4)

25-28

EN

Dysphagia is an interdisciplinary problem. Doctors of different specialties (phoniatrician, ENT, gastrologist, neurologist), speech language therapists, physiotherapists and dieticians should be involved in the therapy of patients. The task of the first group is instrumental evaluation of swallowing, defining the safe consistency of fluids and foods, showing effective therapeutic maneuvers (restitutive and compensatory maneuvers), and finally - adapting the optimal diet to patient's eating ability (adaptive methods). The purpose of the study is to present a modification of the consistency of fluids and foods according to the recommendations of the International Dietary Standardization Initiative (IDDSI). The work shows the basic consistencies and tests that allow for them to be checked.

15

Dysfagia w chorobie Parkinsona

75%

Zaraś K.

Logopedia

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2013

|

tom 42

231-238

PL

Niniejszy artykuł porusza problem dysfagii towarzyszącej chorobie Parkinsona – omawia zaburzenia połykania mogące pojawić się na jego ustno-gardłowym etapie, mechanizmy ich powstawania oraz metody oddziaływań neurologopedycznych, które pozwalają na bezpieczny przebieg całego procesu, ograniczenie objawów i zaadaptowanie chorego do narastających trudności.

EN

This article discusses the issue of dysphagia linked to Parkinson’s disease, debates over the swallowing disorders which may appear during its oropharyngeal stage, ways of their formation and methods of interactions in terms of SLP, which allow to secure the whole process, limit the symptoms and adapt the patient to the rising difficulties.

16

Communication of the Person with Cerebral Palsy in the Light of Longitudinal Studies

75%

Mirecka U. , Kowal E.

Logopedia

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2018

|

tom 47 EN

|

nr 2

371-386

EN

The article presents the issue of logopaedic diagnostic treatment which was conducted on the patient with cerebral palsy her late childhood and early adulthood. The authors carried out the evaluation of the language acquisition level (both oral and written) and the assessment of nonverbal communication. Types of deficits in communication and their determinants were identified, which constituted the basis of logopaedic diagnosis. Referring to the results of their own studies, the authors indicated the need of conducting longitudinal studies in logopaedics in case of patients with coupled disorders as well as creating and standardizing techniques and diagnostic tools that could be applied to carry out longitudinal studies on the groups of patients.

17

Fiberoendoscopic Evaluation of swallowing - FEES: procesure with an assesment questionare

75%

Jamróz B. , Walczak J. , Milewska M. , Niemczyk K.

Polski Przegląd Otorynolaryngologiczny

|

2018

|

tom 7(3)

1-8

EN

Endoscopic examination of swallowing FEES (fiberoptic endoscopic examination of swallowing) belongs to basic instrumental examinations used in diagnostics of oropharyngeal dysphagia. It consists of three parts: I. Evaluation of the anatomy and physiology of the throat and larynx; II. Assessment of drinking and eating liquids and foods with different consistencies; III. Evaluation of the effectiveness of therapeutic maneuvers. The work aims to present the test procedure and the form used to describe it.

18

Evaluation of dysphagia among patients with chronic cough

75%

Jamróz B. , Pabian M. , Walczak J. , Milewska M. , Grabczak E. , Marta D. , Niemczyk K.

Polski Przegląd Otorynolaryngologiczny

|

2018

|

tom 7(2)

1-7

EN

Aim: The aim of the study was to determine the prevalence of dysphagia in patients with chronic cough. Material and methods: Thirty-four consecutive patients. All patients underwent physical examination, ENT assessment, functional phoniatric assessment at rest and speech, Water-Swallow Test (WST), and Fiberoptic Endoscopic Evaluation of Swallowing Disorders (FEES). Furthermore, Reflux Symptom Index (RSI) and Eating Assessment Tool 10 (EAT 10) questionnaires were performed. Results: Results of the RSI and EAT 10 questionnaires showed the risk of reflux and dysphagia in participating patients. WST positive results increase with water volume. Patients presented episodes of spillage, double swallows, penetration, aspiration and residue of food at the hypopharynx. Functional examination showed decrease of laryngeal elevation (33%) and hypertension of external laryngeal muscles. Conclusions: Results of the study showed prevalence of dysphagia in most patients with chronic chough. It seems that phoniatric assessment in those cases should be expanded and FEES examination should comprise an important part.

19

Czynniki ryzyka dysfagii u pacjentów z COVID-19

75%

Żulewska-Wrzosek J.

Logopedia

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2023

|

tom 52

|

nr 2

113-131

EN

The aim of this article is to present the risk factors for dysphagia in patients infected with SARS-CoV-2 based on available sources, both domestic and foreign. Swallowing disorders are a common symptom among patients hospitalised for COVID 19. Dysphagia has been shown to be an independent predictor of in-hospital mortality, prolonged hospitalisation, and is associated with an unfavourable prognosis in these patients. Therefore, learning about the mechanisms and factors causing swallowing disorders is very important and should be well understood. The aetiology of dysphagia in COVID-19 is multifactorial. Both the presence of risk factors for progression to severe infection, changes in the body as a result of the disease, and the treatment used can account for swallowing difficulties.

PL

Celem niniejszego artykułu jest przedstawienie czynników ryzyka wystąpienia dysfagii u chorych zakażonych wirusem SARS-CoV-2 na podstawie dostępnych źródeł, zarówno krajowych, jak i zagranicznych. Zaburzenia połykania są częstym objawem u pacjentów hospitalizowanych z powodu COVID-19. Wykazano, że dysfagia jest niezależnym predyktorem śmiertelności wewnątrzszpitalnej, przedłużonego czasu hospitalizacji oraz wiąże się z niekorzystnym rokowaniem u tych chorych. W związku z tym poznanie mechanizmów i czynników powodujących zaburzenia połykania jest bardzo ważne i powinno być dobrze poznane. Etiologia dysfagii w przebiegu COVID-19 jest wieloczynnikowa. Zarówno obecność czynników ryzyka ciężkiego przebiegu infekcji, zmiany zachodzące w organizmie na skutek choroby oraz stosowane leczenie mogą stanowić przyczynę trudności w połykaniu.

20

Photophrin PDT in palliative treatment of nonoperable oesophageal cancer in a patient at II Department of General and Oncological Surgery of Wroclaw Medical University

75%

Grzebieniak Z. , Kielan W. , Woyton M. , Marek G. , Biały D.

Acta Bio-Optica et Informatica Medica. Inżynieria Biomedyczna

|

2004

|

tom Vol. 10, nr 1-2

57-57