The clinical efficacy of Vertigoheel in the treatment of vertigo of various etiology.

In this paper the authors describe the clinical efficacy in treatment of vertigo of various etiology. A group of 31 patients were treated with Vertigoheel medication: 14 patients suffered from vertebrobasilar arterial insufficiency, 8 patients were diagnosed as Meniere's disease, 5 patients complained of vertigo of traumatic origin and 4 patients suffered from neuronitis vestibularis. The authors found regression of clinical symptoms in the majority of cases in the investigated group who were treated with Vertigoheel.

An objective evaluation of retrocochlear function by means of CNT (Cochlear Nerve Tester).

Indications for hearing implants in profoundly deaf patients have been presented. Auditory pathway status was evaluated by application of electric stimulation of cochlear nerve. The electric stimulus originated from Cochlear Nerve Tester. Obtained sound sensations might be revealed on ABR pattern.

[The mechanism and consequences of certain cranio-facial injuries]. / A propos du mécanisme et des conséquences de certains traumatismes du massif crânio-facial

The authors present the mechanism of post-traumatic lesions of the bones of the cranio-facial mass, during attention to the possibility of radiographic detection 6 or 9 days after traumatism.

[A graphical method for the assessment of the sensitivity of the vestibular system (author's transl)]. / Méthode graphique de l'appréciation de la sensibilité du système vestibulaire.

The authors present a graphical method for the assessment of the sensitivity of the vestibular system. With the aid of this method it is possible, with a high degree of probability, to exclude the existence of disturbances (80%) or confirm the presence of disease.

Dominant symphalangism and conductive hearing loss.

Dominant symphalangism in three generations is presented in this paper. Conductive hearing loss of a 14 year old male patient with proximal symphalangism was due to fixation of the stapes.

[Intermittent reaction in the electronystagmographic pendular test in chronic carbon disulfide poisoning]. / Reakcja przerywana w elektronystagmograficznym tescie fotela wahadlowego w przebiegu przewleklego zatrucia dwusiarczkiem wegla.

101 past workers of artificial fibres plant (average age 50.5 years +/- 6.1, average length of employment 21.8 years +/- 6.0, disabled due to recognized chronic carbon disulphide poisoning of various clinical forms, have been examined. Apart from routine ENG examination (recording at rest and after kinetic, caloric and optokinetic stimulation), the pendular swivel chair test has been carried out. Tönnies electronystagmograph coupled with electronically controlled swivel chair D-420 has been used, programmed for pendular motion with angular acceleration values 1 degree/sek2. Analysis of electronystagmographic records after pendular stimulation has revealed the characteristic intermittent nystagmus reaction in 50.5% of subjects. Occurrence of such nystagmus pattern increased with patients age and CS2 exposure duration, amounting in particular clinical forms of poisoning to the following: 91% in encephalopolyneuropathy, 70% in encephalopathy and 35% in polyneuropathy. The authors regard the electronystagmographic evaluation of vestibular system done with the pendular swivel chair as significant aid in diagnosing toxic labyrinthopathies due to CS2 poisonings. On the other hand, intermittent nystagmus reaction may be indicative of the central nature of the lesions.

[Respiratory indicators after laryngectomy]. / Zachowanie sie wskazników wentylacji pluc u chorych po operacju wyciecia krtani.

35 males aged 48--65 were spirometrically examined prior to treatment and following an operation. Excision of neoplastic larynx and tracheostoma breathing were found to result in defected lung ventilation. The defected lung ventilation depends on the size of neoplastic infiltration and its location, but primarily on the degree of narrowing of larynx lumen.

[Dosimetric evaluation of noise and results of the audiometric examination of a selected group of workers in the refinery-petrochemical industry]. / Ocena dozymetryczna halasu i wyniki badan audiometrycznych w wybranej grupie pracowników przemyslu rafineryjno-petrochemicznego.

Sonometric and dosimetric measurements of noise at a dozen workplaces of three divisions in a refinery-petrochemical plant have been made. The equivalent level allowable with a view to hearing protection was found to be exceeded by 1-3 dBA at some workplaces. The tonal audiometric test was used to determine threshold levels for 250-8000 Hz frequencies in 122 workers. The present acoustic conditions at the test workplaces do not pose a risk of a significant hearing loss. Only a slight high-frequency hearing loss which might result from noise exposure was diagnosed. Not a single case of occupational hearing impairment conformable with the mandatory diagnostic and certificatory rules was reported.

[Evaluation of the senses of taste and smell in petroleum chemistry workers based on 3-year observations]. / Ocena zmyslu smaku i powonienia u pracowników petrochemii na podstawie trzyletnich obserwacji.

The authors have presented results of examinations of the smell and taste senses in 547 petrochemistry, workers, and 100 cotton industry workers composing a control group. In both groups, those aged 26 -- 35, with long duration of employment, predominated. In the primary group i.e. petroleum chemistry workers, dysgeusia has been found in 319 (58.3%) subjects with no reaction at all in 102 (18.6%) persons. Hyposmia has been found in 238 (43.5%) and anosmia in 50 (9.2%) subjects. In the control group, dysgeusia has been found in 69%, whereas anosmia in 24% of subjects.

[Current and retrospective problems of treatment of occupational hearing loss of the cochlear type]. / Wspólczesne i perspektywiczne problemy leczenia zawodowych uszkodzen sluchu typu slimakowego.

The prevalence of occupational hearing impairment constantly increases, thus there are more and more people who become deaf and disabled from carrying on their jobs and normal social contacts. The technical efforts aimed at limiting exposure to noise, as well as medical prophylactic activities are not efficient enough. Therefore the authors analyse the possibilities of occupational hearing impairment treatment. Pharmacologic preparations likely to affect the temporary and permanent threshold shift, are considered. Within operative treatment, microsurgical technique of implanting microelectrodes to the cochlea is presented, basing on the authors' experiments with 4 patients op]erated and rehabilitated with this method.

[Theories attempting to explain the significance of the paranasal sinuses]. / Teorie próbujace wyjasnic znaczenie zatok przynosowych.

The author presents 12 theories which try to evaluate the significance of paranasal sinuses. A vast amount of references on this subject and additionally this paper do not explain the role of paranasal sinuses in human. In the author's opinion the most probable is the amortizative and constructive theory based on antropometric studies and experimental head traumas.

[Remarks concerning didactics based on personal experiences]. / Uwagi dotyczace dydaktyki na podstawie wlasnych doswiadczen.

The author described own experiences concerning didactics in a medical school, particularly elements of practical training in otolaryngology.

[The story of one invention--the paper about rehabilitation of deafness]. / Historia pewnego wynalazku--rzecz o rehabilitacji gluchot.

Author described his own patented idea, concerning magnetic induction in transfer signals to receptors of cochlea. This system made possible without touch transfer signals from microcomputer to electrodes implanted surgically to cochlea during rehabilitation of deafness by method cochlear implants.

["Oto" -- the episode in the strange world of Vincent van Gogh]. / "Oto"--epizod w dziwnym swiecie Vincenta van Gogha.

The author described briefly life of Vincent van Gogh, particularly performed episode of ear's cutting.

[On "Position of Brünings++" during caloric tests]. / W sprawie tzw. "V pozycji Brüningsa" podczas stymulacji kalorycznych.

In common opinion one of the sitting position used during caloric tests is "position V of Brünings". The name of this position is incorrectly applied by a lot of authors (without knowledge of original paper of Brünings [1]. This designation could concern a modification of position V, presented by Barre in 1927 [2].

[My adventure with otosclerosis]. / Moja przygoda z otoskleroza.

The author presents his own experience in surgical treatment of otosclerosis in 373 patients. He particularly exposes results concerning hearing level after surgical procedures and discusses progress of symptoms which accompany otosclerosis like vertigo or dizziness and tinnitus in the context of bibliography data. He also looks at the complications occurring during procedures and following them. Worth noticing is presentation of long term results after 10-year follow-up.

[Remarks on creating skin flaps in so-called closed two-step tympanoplasty]. / Niektóre uwagi o wytwarzaniu platów skórnych w tzw. tympanoplastykach zamknietych wykonywanych dwuetapowo.

The most often used skin-flap techniques in one-step and two-steps closed tympanoplasties are discussed. The correct plastic surgery of the meatal skin gave good results. In the ENT Clinic of the Medical Academy in Lódz techniques most often used are two-flaps tympanoplasties with anterior and posterior pedunculated flaps or tympanoplasties with a single pedunculated flap.

[Current trends in stapedial surgery]. / Aktualne trendy w chirurgii strzemiaczka.

The authors discussed their experiences of otospongiosis++ surgery in 949 patients as regards to technical differences, final results and complications. The review of literature was also described.

[Recording of electric evoked responses from the distal field of the vestibular part of the VIII nerve. Preliminary report]. / Rejestracja elektrycznych odpowiedzi wywolanych z odleglego pola w czesci przedsionkowej nerwu VIII. Doniesienie wstepne.

The authors described the results of distant field registration of evoked responses from the vestibular part of acoustic nerve. The investigations were carried out as a preliminary pilot study and were successful in obtaining the repeatable responses in guinea pigs. The detailed informations about the stimulation, reception and average technique equipment were enumerated. The variant proposition of the extraction of side motor disturbances was done.

[Extrameatal myringoplasty in the treatment of tympanic membrane perforations]. / Myringoplastyki zewnatrzprzewodowe w leczeniu ubytków blony bebenkowej.

The clinical analysis of the patients after tympanic membrane reconstruction with the temporal muscle fascia has been conducted. The total number of 145 patients, operated at the Otosurgery Department Medical University of Lodz, was divided into 2 Groups. Group 1 (n = 75) patients with chronic otitis media (central perforation and mobile ossicular chain). The preoperative mean conductive hearing deficit of 20 dB was observed in all evaluated patients. After surgery a satisfactory hearing improvement was observed in 90% of the patients. Group 2 (n = 70) patients with the reconstructed postero-superior part of the tympanic membrance and if necessary external auditory canal wall reconstruction. The mean conductive hearing deficit of up to 30 dB was observed before the surgery. Postoperatively in 75% of patients the hearing improvement was observed as well as the satisfactory healing of fascia implant. The postoperative evaluation indicates a better hearing improvement after the myringoplasties with the prefascial lamina than in the myringoplasties performed in the traditional ways.