The major part of the examined patients were women and men with the secondary and high level of education, 47,76% and 35,82%, and 58,97% and 35,91% respectively. The patients were informed by mass media about the planned preventive medical examinations - 80,60% women and 79,49% men. The most common symptoms reported by women were: hoarse voice in 61,19% cases, dysphagia in 32,84% cases and burning sensation and/or pain in the oral cavity in 29,85% cases. The examined male patients mainly showed hoarse voice (46,15%), other symptoms (43,59%) and dysphagia (25,64%). 28,35% women and 28,20% men smoked cigarettes, while passive smokers were 22,38% and 25,64% respectively. Alcohol consumption was reported by 67,16% women and 82,05% men, rather occasionally. Having oral sex was noted in 25,37% women and 38,46% men, mostly with multiple sexual partners. Among the studied patients, 13,43% women and 5,12% men suffered from malignant cancer, including 2,98% women and 2,56% men who reported head and neck carcinoma in the medical interview. On the basis of the interview and ENT examination, 11,94% women and 17,94% men were qualified for the extended oncological diagnostics. Conclussion. The Fourth Head and Neck Cancer Awareness Week shows the increased interest in preventive screening, especially oncological screening, and thus the necessity of such preventive activities in the future.
Słowa kluczowe: metody diagnostyczne, ocena czynności głosu, potrzeby foniatryczne i logopedyczne
Among 3,574 patients operated on due to chronic inflammatory changes, on histopathology, inverted papillomas were diagnosed in 80 cases (2.23%); thus, all patients qualified for endoscopic surgery due to inflammatory or hypertrophic changes should undergo rhino-fiberoscopy. Recurrence of inverted papillomas was observed in 17.50%, typically in patients with nasal polyps that co-occurred with inverted papillomas. We regard rhino-fiberoscopy as the most valuable method for detecting tumour recurrence in patients after surgery for inverted papillomas.
Each case of sensorineural hearing loss, particularly unilateral sensorineural hearing loss, requires expanded hearing tests and auditory brainstem evoked potentials tests. An incorrect brainstem evoked potentials recording such as: an elongated latency of the 5th wave, an elongated interlatency of 1-2-3 and 1-2-3-4 waves, requires a contract-enhanced magnetic resonance imaging to diagnose cerebellopontine angle tumours.
Introduction:The aim of the dissertation was to evaluate the parameters of acoustic and function analysis of the voice in patients with functional and organic dysphonia by using the DiagnoScope "Specjalista" computer program. Material and methods:The study was performed in 131 people aged 21-82 years (the mean age was 48,34 years), including 75 women, at the age of 21-75 years and 56 men at the age of 22-82 years, all treated in the Clinic of Otolaryngology, Laryngological Oncology, Audiology and Phoniatrics of the Military Medical Academy Memorial University Hospital -Central Veterans' Hospital. The study participants were divided into 3 groups: I -45 patients aged 22-82 years with functional dysphonia (hyperfunctional type dysphonia), II -45 patients aged 28-80 years with chronic hypertrophic laryngitis (polyp of the vocal fold, hypertrophy of the vocal fold, Reinke-type edema-hypertrophic changes in the vocal folds), III -41 individuals, including students of the Faculty of Military Medicine of the Medical University of Łódź, at the age of 21-70 years, without disease symptoms within the vocal organ. The following examinations were performed: a laryngological subject and object examination, a videolaryngoscopic and stroboscopic examination of the larynx (including the GRBAS scale), and a videolaryngostroboscopic-phoniatric examination, encompassing the following parameters: regularity of vibrations of the vocal folds, amplitude of vibrations, marginal shift, glottis closure, voice range, the way of creating the voice, voice reposition, time of phonation) and an acoustic and voice performance diagnostic analysis by the means of the DiagnoScope "Specjalista" program. results:The results obtained suggest that the differentiation of pathological voices from normal voices is statistically significant for parameters such as: Jitter, RAP, PPQ, AFO, SimpleQ, Shimmer, APQ, Q, APQ, HPQh, RHPQ, RHPQh, R2H, U2H, U2Hl, U2Hh, NHR, Yg. In the function analysis, statistically significant differences were found in all parameters. conclusions:The videolaryngostroboscopic examination, voice rating scales, and the objective analysis of the voice provide an appropriate set of tests that determine the nature of voice disorders. The acoustic and function analysis of the voice enables an early diagnosis of dysphonia, both functional and organic. The acoustic and function analysis is an objective method of assessment of the voice disorders which renders it possible to use it in judicature.
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