RESUMO
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.
Assuntos
Minerais/uso terapêutico , Picrotoxina/uso terapêutico , Extratos Vegetais/uso terapêutico , Vertigem/tratamento farmacológico , Adulto , Combinação de Medicamentos , Feminino , Homeopatia , Humanos , Masculino , Pessoa de Meia-Idade , Vertigem/etiologia , Vestíbulo do Labirinto/efeitos dos fármacosRESUMO
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.
Assuntos
Cóclea/fisiopatologia , Nervo Coclear/fisiopatologia , Eletrodiagnóstico/instrumentação , Potenciais de Ação/fisiologia , Vias Auditivas/fisiopatologia , Criança , Cóclea/inervação , Implantes Cocleares , Surdez/fisiopatologia , Surdez/reabilitação , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Humanos , Fibras Nervosas/fisiologiaRESUMO
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.
Assuntos
Ossos Faciais/lesões , Traumatismos Faciais/fisiopatologia , Crânio/lesões , Ossos Faciais/diagnóstico por imagem , Seio Frontal/lesões , Humanos , Masculino , Radiografia , Seio Esfenoidal/lesõesRESUMO
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.
Assuntos
Doenças do Labirinto/diagnóstico , Testes de Função Vestibular , Adulto , Doenças do Sistema Nervoso Central/complicações , Eletronistagmografia , Feminino , Humanos , Masculino , Doença de Meniere/diagnóstico , Pessoa de Meia-Idade , Neoplasias/complicações , Otite Média/complicaçõesRESUMO
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.
Assuntos
Anormalidades Múltiplas , Dedos/anormalidades , Perda Auditiva Condutiva/etiologia , Adolescente , Anquilose/complicações , Audiometria , Ossículos da Orelha , Perda Auditiva Condutiva/genética , Humanos , Masculino , Osso Temporal/diagnóstico por imagem , Dedos do Pé/anormalidades , Tomografia Computadorizada por Raios XRESUMO
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.
Assuntos
Dissulfeto de Carbono/intoxicação , Movimentos Oculares , Vestíbulo do Labirinto/efeitos dos fármacos , Adulto , Doença Crônica , Eletronistagmografia/métodos , Humanos , Doenças do Labirinto/induzido quimicamente , Doenças do Labirinto/diagnóstico , Masculino , Pessoa de Meia-Idade , Testes de Função Vestibular/métodosRESUMO
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.
Assuntos
Laringectomia/reabilitação , Respiração , Idoso , Humanos , Neoplasias Laríngeas/cirurgia , Masculino , Pessoa de Meia-Idade , EspirometriaRESUMO
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.
Assuntos
Indústria Química/normas , Perda Auditiva Provocada por Ruído/diagnóstico , Ruído Ocupacional/efeitos adversos , Ruído/efeitos adversos , Doenças Profissionais/etiologia , Petróleo , Adulto , Audiometria , Humanos , Concentração Máxima Permitida , Pessoa de Meia-Idade , Doenças Profissionais/diagnósticoRESUMO
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.
Assuntos
Ageusia/induzido quimicamente , Poluentes Ocupacionais do Ar/efeitos adversos , Poluentes Atmosféricos/efeitos adversos , Doenças Profissionais/induzido quimicamente , Transtornos do Olfato/induzido quimicamente , Petróleo/efeitos adversos , Distúrbios do Paladar/induzido quimicamente , Adulto , Indústria Química , Humanos , Masculino , Estudos Prospectivos , Olfato/efeitos dos fármacos , Paladar/efeitos dos fármacos , Fatores de TempoRESUMO
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.
Assuntos
Auxiliares de Audição , Perda Auditiva Provocada por Ruído/reabilitação , Doenças Profissionais/reabilitação , Cóclea/inervação , Eletrodos Implantados , Estudos de Avaliação como Assunto , Feminino , Humanos , Masculino , Microeletrodos , Ruído Ocupacional , Órgão Espiral/fisiopatologia , Estudos RetrospectivosRESUMO
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.
Assuntos
Seios Paranasais/fisiologia , Infecções Bacterianas/prevenção & controle , Humanos , Mucosa Nasal/imunologia , Seios Paranasais/lesões , Seios Paranasais/cirurgia , Pressão , Ventilação Pulmonar/fisiologia , Mecânica Respiratória/fisiologia , Olfato/fisiologia , Ferimentos não Penetrantes/fisiopatologia , Ferimentos não Penetrantes/cirurgiaRESUMO
The author described own experiences concerning didactics in a medical school, particularly elements of practical training in otolaryngology.
Assuntos
Educação Médica/normas , Otolaringologia/educação , Ensino/métodos , Modelos Anatômicos , Polônia , Ensino/tendências , Materiais de EnsinoRESUMO
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.
Assuntos
Implante Coclear/história , Surdez/história , Cóclea/fisiopatologia , Implante Coclear/normas , Implantes Cocleares/história , Implantes Cocleares/normas , Surdez/reabilitação , Eletrodos Implantados/história , História do Século XX , HumanosRESUMO
The author described briefly life of Vincent van Gogh, particularly performed episode of ear's cutting.
Assuntos
Pessoas Famosas , Pinturas/história , Automutilação/história , Orelha Externa , História do Século XIX , Países BaixosRESUMO
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].
Assuntos
Testes Calóricos/métodos , Cabeça/fisiologia , Movimento/fisiologia , Humanos , PosturaRESUMO
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.
Assuntos
Otosclerose/cirurgia , Cirurgia do Estribo/métodos , Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Otosclerose/diagnóstico , Otosclerose/etiologia , Complicações Pós-OperatóriasRESUMO
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.
Assuntos
Otite Média/cirurgia , Transplante de Pele/métodos , Retalhos Cirúrgicos , Timpanoplastia/métodos , Humanos , Reoperação , Fatores de TempoRESUMO
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.
Assuntos
Otosclerose/cirurgia , Cirurgia do Estribo/tendências , Humanos , Cirurgia do Estribo/efeitos adversos , Cirurgia do Estribo/métodosRESUMO
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.
Assuntos
Potenciais Evocados Auditivos/fisiologia , Vestíbulo do Labirinto/inervação , Nervo Vestibulococlear/fisiologia , Animais , Audiometria de Resposta Evocada/métodos , CobaiasRESUMO
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.