Hanna Zielińska-Bliźniewska

Publications of Hanna Zielińska-Bliźniewska

• The comparison of the influence of various types of anaesthesia on perioperative bleeding control in endoscopic paranasal sinus surgery.

  Authors: Jarosław Miłoński, Hanna Zielińska-Bliźniewska, Rafał Sobański, Jurek Olszewski

  Otolaryngologia polska. The Polish otolaryngology. 03/2012; 66(2):122-125.

• Electronystagmography versus videonystagmography in diagnosis of vertigo.

  Authors: Piotr Pietkiewicz, Renata Pepaś, Wiesław J Sułkowski, Hanna Zielińska-Bliźniewska, Jurek Olszewski

  International journal of occupational medicine and environmental health. 03/2012; 25(1):59-65.

  Vertigo is a very common symptom mainly caused by the lesion of vestibular system (peripheral or central) and often accompanied by some work-related diseases and occupational intoxications. The aimVertigo is a very common symptom mainly caused by the lesion of vestibular system (peripheral or central) and often accompanied by some work-related diseases and occupational intoxications. The aim of this study was to assess the value of electronystagmography (ENG) and videonystagmography (VNG) for diagnosing vertigo of various origin. The study included four groups, 25 subjects each, of patients suffering from vestibular disorders of peripheral, central and mixed origin versus healthy controls. All were examined by means of ENG and VNG, using the bithermal caloric test with 30°C and 44°C air irrigations of the ears. The findings (frequency of induced nystagmus FRQ, its slow phase velocity SPV, canal paresis CP, directional preponderance DP, vestibular excitability VE) were analysed and compared. In all patients with vertigo due to vestibular neuritis, barotrauma and kinetosis, significant CP, the important sign of peripheral site of vestibular lesion was identified both in ENG and VNG. None of the patients with central origin disorders showed CP in VNG; in the majority of cases DP was observed. However, in ENG we found CP in 5 patients with central origin disorders. There were no essential differences between ENG and VNG in measurements of FRQ and SPV except for higher values in VNG in controls and patients with mixed vertigo. The results suggest that the VNG should be recommended in preference as the valuable method to assess vertigo and to discriminate between the peripheral and the central vestibular lesions.

• [Evaluation of tobacco smoking addiction and passive exposure to tobacco smoke in students of medicine].

  Authors: Hanna Zielińska-Bliźniewska, Justyna Młódzik, Jurek Olszewski

  Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego. 12/2011; 31(186):353-6.

  Active and passive tobacco smoking by students of medical universities show that medical studies cannot be an effective barrier against continuing or even commencing smoking. The aim of the study wasActive and passive tobacco smoking by students of medical universities show that medical studies cannot be an effective barrier against continuing or even commencing smoking. The aim of the study was an evaluation of tobacco smoking and passive exposure to environmental tobacco smoke in the Physiotherapy students of Faculty of Military Medicine Medical University of Lodz. There were 565 Physiotherapy students of between 1-5th year of studies, including 394 women and 171 men (mean age 22.41), who were covered by the questionnaire research. The author's form of the questionnaire consisted of closed questions about demographic data and data on active and passive smoking. Prior to completing the questionnaire each student signed an informed consent as well as had an opportunity to get familiar with the patient's information form and could ask additional questions. The results analysis of the questionnaire indicated that 21.42% of the studied subjects are active smokers whereas 78.58% - non-smokers. No statistically significant differences in tobacco smoking due to sex have been noticed. The highest percentage of smokers was found on the 2nd and 3rd year of studies. In the group of 444 non-smokers there were as many as 67.1% of passive smokers. Tobacco smoking rate among Physiotherapy students amounts to 21.42% and is lower than the rate observed in the Polish population. Among non-smoking physiotherapy students there are 67.1% who are exposed to secondhand tobacco smoke. The obtained result does not largely stray from the result for the adult Polish population.

• [Analysis of histopathological evaluation of pathological lesions removed by endoscopic surgery of the nose and paranasal sinuses in the own material].

  Authors: Jarosław Miłoński, Hanna Zielińska-Bliźniewska, Piotr Pietkiewicz, Jurek Olszewski

  Otolaryngologia polska. The Polish otolaryngology. 11/2011; 65(6):447-50.

  The work aimed at evaluating results of histopathological examination of postoperative material in endoscopic paranasal sinus surgery in the own material. The analysis covered 3,896 results ofThe work aimed at evaluating results of histopathological examination of postoperative material in endoscopic paranasal sinus surgery in the own material. The analysis covered 3,896 results of histopathological examination of routine postoperative material from the Department of Clinical Pathomorphology and Cytopathology Military Medical Academy University Clinical Hospital in Lodz. The study was conducted in hematoxylin and eosin staining according to the principles of this method. The postoperative material included pathological lesions removed by endoscopic surgery of the nose and paranasal sinuses in patients who were treated at Department of Otolaryngology and Laryngological Oncology between 2006 and 2010. The treatment included 1,118 patients, 509 women at the age of 15–79 and 609 men aged 17–77. The material for histopathological examination was sent from merely 1,176 operations because 57 patients were operated twice and one patient was operated three times. Polyps within the nose and paranasal sinuses were confirmed by histopathological examination in 705 patients, including 289 women and 416 men. Hypertrophic changes were diagnosed in 404 patients, including 218 women and 186 men. Inverted papilloma was recognised in histopathological examination in 9 patients, including 2 women and 7 men. Hypertrophies were slightly more common in women than in men. Both in men and women unilateral hypertrophic changes within the ostiomeatal complex were predominant, 42.66% in women and 40.86% in men. Histopathological examination of postoperative material in patients under endoscopic treatment due to paranasal sinusitis is considerably important for complex evaluation of inflammation type and confirmation of indications for appropriate anti-inflammatory therapy.

• [The analysis of mean arterial pressure and heart rate in patients treated with laryngological surgery within pre- and peri- and postoperative periods].

  Authors: Jarosław Miłoński, Joanna Urbaniak, Hanna Zielińska-Bliźniewska, Jurek Olszewski

  Otolaryngologia polska. The Polish otolaryngology. 09/2011; 65(5):357-62.

  This work aimed to analyse the mean arterial blood pressure (MBP) and heart rate (HR) in patients who underwent laryngological surgery within the preoperative, perioperative and postoperativeThis work aimed to analyse the mean arterial blood pressure (MBP) and heart rate (HR) in patients who underwent laryngological surgery within the preoperative, perioperative and postoperative periods. The study covered 502 patients, including 209 women and 293 men, aged 18-85, who were divided into 6 groups according to the type of surgery: I - FESS (Functional Endoscopic Sinus Surgery), II - septoplasty, III - endoscopic re-operation of the paranasal sinuses, IV - microlaryngoscopy, V - tonsillectomy, VI - middle ear surgery. Only the patients with BP below 140/90 mmHg and maximum class 2 in the ASA scale were qualified for the surgical procedure. On admission, the arterial blood pressure was measured and diagnostic investigations like FBC, blood grouping determination, coagulogram, ESR, CRP and imaging studies were performed in each patient. Every operation was conducted under TIVA. BT and HR were monitored during an operation as well as through the four following hours in a recovery room. The youngest group of patients with chronic palatine tonsillitis showed the lowest pressure values while the oldest studied group consisted of patients who were operated due to chronic otitis media and this group demonstrated the highest BP values. The patients with treated or untreated hypertension should be pharmacologically normalised by an anaesthesiologist. However, considerable lowering of BP can often be not possible, contrary to the patients with normal BP. The own experience indicates that perioperative lowering of BP, including hypotension, ought to be avoided in cardiology patients. The postoperative BP raise, usually accompanied by pain, was noticed in the own studies. Therefore, effective analgesic treatment should be implemented in a recovery room.

• [Tinnitus and depression].

  Authors: Hanna Zielińska-Bliźniewska, Jurek Olszewski

  Otolaryngologia polska. The Polish otolaryngology. 09/2009; 63(7):20-3.

  The aim of the study was to assess the frequency of depression and its intensity in patients with diagnosed tinnitus and their correlation with selected audiological parameters. 80 patients underwentThe aim of the study was to assess the frequency of depression and its intensity in patients with diagnosed tinnitus and their correlation with selected audiological parameters. 80 patients underwent the study, including 46 females (57.5%) and 34 males (42.5%) aged 20-84 suffering from tinnitus. The study methodology included: an interview, otorhinolaryngological examination, full audiological diagnostics and imaging test (CT or MR). Patients who qualified for the study completed a modified questionnaire according to the Beck Depression Inventory (BDI). THE STUDY RESULTS: The study found the depression level higher than the one in the general population and amounting to 45%, with 41.2% of the patients suffering from masked depression (a mean rating scale of 14-16), and 3.7% of the patients showing symptoms of moderate depression (27 points according to the rating scale). The own studies showed no statistically meaningful relation between intensification of depression in the studied patients and their age and sex as well as acoustic parameters such as frequency, tinnitus localization. However, a statistically variable relation was noted showing that the longer a patient suffered from tinnitus the more often depression occurred. The occurrence of depression among the studied patients with tinnitus is higher than in the Polish population. In the conducted studies dominated depression of mild intensity. It was affirmed that depression occurred more often in patients with tinnitus lasting longer than 5 years.