Beata Miaśkiewicz

Publications of Beata Miaśkiewicz

• [Quality of voice after implantation of hyaluronic acid to the vocal folds - preliminary report].

  Authors: Agata Szkiełkowska, Beata Miaśkiewicz, Marc Remacle, Henryk Skarzyński

  Otolaryngologia polska. The Polish otolaryngology. 11/2011; 65(6):436-42.

  Method of vocal folds implantation with allogenic materials has been applied in medical centre all over the world for over 30 years. this voice improving method is usually applied in severalMethod of vocal folds implantation with allogenic materials has been applied in medical centre all over the world for over 30 years. this voice improving method is usually applied in several indications such as: presbyphonia, vocal folds paralysis, glottis insufficiency, vocal fold scars or sulcus vocalis. all of these illnesses prevent the patients to obtain full glottis closure and produce good quality voice. TO assess quality of voice after implantation of hyaluronic acid to the vocal folds. Consisted of 15 patients, who underwent surgical implantation of hyaluronic acid to the vocal folds. 10 patients had the procedure performed on both sides of the larynx, this group included 6 patients with vocal insufficiency of the glottis, 2 with scars and atrophy of the vocal folds and 2 with presbyphonia. In 5 cases the hyaluronic acid was applied on one side of the larynx. The group included 4 patients with vocal folds paralysis and one person with single sided scars and atrophy of the vocal fold. Each patient was examined with videostroboscopy and underwent objective and subjective assessment of voice. Hyaluronic acid was injected surgically under Jet Ventilation general anesthesia. In two cases during the procedure scars were removed from the vocal folds. All patients after hyaluronic acid augmentation took part in the rehabilitation program that included series of voice emission exercises before operation and up to 3 months after the procedure. Examination was performed 1, 3 and 6 months after injection. In all cases improvement of quality of voice was obtained which was stated by a physician and the patients subjectively. Improvement of harmonic voice structure was confirmed by spectrographic record. Acoustic examinations revealed that the improvement was obtained within parameters describing frequency, amplitude disturbance and noise existence. Injection of the hyaluronic acid to the vocal folds improves functional phonation and quality of voice in cases of patients with glottis insufficiency. Injection of the hyaluronic acid to the vocal folds is an efficient method improving quality of voice and can be safe alternative for no surgery method in rehabilitation of voice. This method is a simply, effective and quickly to improve of voice disorders.

• [Assessment of voice in patients with Reinke's oedemas treated with laser microsurgery].

  Authors: Agata Szkiełkowska, Beata Miaśkiewicz, Elzbieta Włodarczyk, Anna Wakarowa, Henryk Skarziński

  Otolaryngologia polska. The Polish otolaryngology. 01/2008; 62(1):82-7.

  This investigation was undertaken for perceptual and acoustic analysis of voice in patients with Reinke's oedemas treated with laser microsurgery. Material of the study included 45 patients in theThis investigation was undertaken for perceptual and acoustic analysis of voice in patients with Reinke's oedemas treated with laser microsurgery. Material of the study included 45 patients in the age of 23 to 65 presenting to Foniatric Clinic with dysphonia in Reinke's oedemas. Patients were divided into 3 groups according to Yonakawa's classification of Reinke's oedemas. All patients were treated with CO2 laser microsurgery. Voice assessment was made subiectively with GRBAS scale and objectively using multidimensional voice parameters analysis (MDVP). The examination was undertaken preoperatively and 4 weeks after operation. The results of our study show relationship between quality of voice after surgery and the stage of evolution of Reinke's oedemas according to the applied classification.

• [Therapeutic difficulties in spasmodic dysphonia--case report]

  Authors: Agata Szkiełkowska, Beata Miaśkiewicz, Sylwia Baczyńska-Swierczyńska, Eliza Szymańska

  Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego. 06/2006; 20(119):557-9.

  Spasmodic dysphonia is a focal form of laryngeal dystonia that causes unintended contractions of vocal folds with speech interruptions and affecting the voice quality. There are adductor (82%),Spasmodic dysphonia is a focal form of laryngeal dystonia that causes unintended contractions of vocal folds with speech interruptions and affecting the voice quality. There are adductor (82%), abductor (36%), mixed (1%) types and reported by Blitzer--respiratory adductor type with paradoxical vocal fold movement and stidor. As an example of diagnostic and therapeutic difficulties in spasmodic dysphonia and its multidisciplinary approach with needed cooperation of many specialists we presented patient with adductor spasmodic dysphonia. In stroboscopic evaluation there were observed glottic overclosure and hyperaduction in supraglotic stuctures (sphincteric). During diagnostic procedures there was made acoustic analysis by digital spectrograph (by KAY Elmetrics Company). IV degree of hoarsness and voice breaks were observed in sonogram. In multidimentional analysis there were deviations of the frequency, amplitude, noise, tremor and voice break parameters. Treatment included regular speech therapy, relaxation- and psychotherapy. The results of treatment were very instable because every stress-related problem released symptoms. Botulinum toxin injections into thyro-arytenoid muscle which had made before our hospitalisation were also not succeeding. Because of lack of etiologic factor and plenty diseases that can mimic spasmodic dysphonia, close communication between many specialists is needed.

• [Ocular and orbital symptoms in benign sinonasal neopasmas]

  Authors: Beata Miaśkiewicz, Marek Lukomski, Katarzyna Starska, Magdalena Józefowicz-Korczyńska

  Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego. 03/2006; 20(116):184-7.

  Osteoma (0.01-0.4%) and inverted papilloma (0.5-4%) are the most common benign tumours of the nose and paranasal sinuses, whereas heamangioma occurs very rare. Orbital and ocular symptoms areOsteoma (0.01-0.4%) and inverted papilloma (0.5-4%) are the most common benign tumours of the nose and paranasal sinuses, whereas heamangioma occurs very rare. Orbital and ocular symptoms are uncommon in these types of neoplasmas. AIM OF THE STUDY: Analysis of symtoms, diagnostic procedures and treatment options in 10 patients with diagnosed orbital and ocular complications of benign tumours of the nose and paranasal sinuses. MATERIAL AND METHODS: There are 4 cases of inverted papilloma, 3 cases of osteoma and 3 cases haemangioma. All patients had laryngological, ophtalmological examination, radiografic evaluation by plain film--4 cases, CT--9 patients and angiography in 1 case. Presenting orbital and ocular symptoms occured in 7 patients and in 3 left person orbital involvement was presented only radiographically and intraoperatively. In 5 cases there were correlation between orbital symptoms and radiologic findings. The most common presenting feature--orbital pain (6 patients) and proptosis (5 patients) were observed in papilloma and haemangioma. In 8 cases there were signs of bone destruction in CT, what was intraoperatively confirmed in 4 cases. RESULTS: Nine of the patients were operated: 4--lateral rhinotomies, 2--Denker's operations, 2--operations of sinus frontalis and/or ethmoidalis by external approach and in 1 case resection of maxilllary sinus's tumor were performed. In 2 patients with inverted papilloma there were recurrences 3 years followed operation. The rest of patients stay without recurrences of tumor. CONCLUSION: Orbital and ocular symptoms in benign tumors of nose and paranasal sinuses do not always correlate with radiologic and intraoperative findings.

• [Orbital complications in acute and chronic sinusitis]

  Authors: Beata Miaśkiewicz, Marek Lukomski, Katarzyna Starska, Magdalena Józefowicz-Korczyńska

  Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego. 10/2005; 19(111):388-9.

  Orbital complications in acute and chronic sinusitis occur much more rarely than previously. Orbital and ocular symptoms are also present in chronic sinusitis: mucocele, pyocele and cholesterolOrbital complications in acute and chronic sinusitis occur much more rarely than previously. Orbital and ocular symptoms are also present in chronic sinusitis: mucocele, pyocele and cholesterol granuloma. We describe 33 patients with orbital complications and analyse symptoms, diagnostic procedures and treatment options. The most frequent presenting orbital and ocular symptoms are lid oedema, proptosis, pain in orbita. We got 80% correlation in assessment of bony frame of orbita in CT and MRI with intraoperative view, in 13.3% they were false positive. Pharmacologic treatment alone was used in six patients, and 27 were treated surgically. There was one case of blindness.