Henryk Podziorny

Publications of Henryk Podziorny

• [Meningeal empyema--still actual topic].

  Authors: Krzysztof Oles, Jacek Składzień, Paweł Strek, Maciej Wiatr, Jerzy Tomik, Henryk Podziorny

  Przegla̧d lekarski. 01/2009; 66(11):996-9.

  Pus collection between dura matterand arachnoidis not an abscess but an empyema. Complains of severe headache, a lack of cooperation is observed, sometimes high fever, seizures, which may lead to anPus collection between dura matterand arachnoidis not an abscess but an empyema. Complains of severe headache, a lack of cooperation is observed, sometimes high fever, seizures, which may lead to an epileptic like condition. Patient gives an impression of a severely ill person. We report four different cases of intracranial complications, in the form of dural empyema diagnosed and treated in our Department. In the pre antibiotic therapy era, cerebrospinal meningeal empyema inevitably led to paralysis, paresis and death.

• [Preemptive analgesia in postoperative pain for children in otolaryngological department]

  Authors: Anna Przeklasa-Muszyńska, Klaudia Nosek-Kozdra, Tomasz Muszyński, Magdalena Kocot-Kepska, Henryk Podziorny, Krzysztof Oleś, Jan Dobrogowski, Jerzy a Wordliczek, Wiktor Dardziński

  Przegla̧d lekarski. 02/2006; 63(11):1168-72.

  Although much more about the safe and effective management of pain in children is now known, this knowledge has not been widely or effectively translated into routine clinical practice. Pain inAlthough much more about the safe and effective management of pain in children is now known, this knowledge has not been widely or effectively translated into routine clinical practice. Pain in children is still a big problem even thought available many possibilities to cure it. Malpractice during postoperative period influence not only for recovery, but also causes long lasting consequences (emotional changes). The most common applied method for treatment postoperative pain in children is still pharmacotherapy. One of the most effective form of it is preemptive analgesia. Specifically, preemptive analgesia may be defined as an antinociceptive treatment that prevents establishment of altered central processing of afferent input from sites of injury. The most important conditions for establishment of effective preemptive analgesia are the establishment of an effective level of antinociception before injury, and the continuation of this effective analgesic level well into the post-injury period to prevent central sensitization during the inflammatory phase. Although single-agent therapy may attenuate the central nociceptive processing, multi-modal therapy is more effective, and may be associated with fewer side effects compared with the high-dose, single-agent therapy. Practical in the pediatric patients in laryngological ward seems to be one of the most effective method of pain therapy in postoperative period. Laryngological procedures in children cause a severe pain. The most common procedure in children in laryngological practice is adenotomy. There is a pressing need for further research and clinical development in the management of pain in children.

• [Isolated inverted papilloma of the sphenoid sinus - case report].

  Authors: Krzysztof Oleś, Maciej Wiatr, Paweł Stręk, Jacek Składzień, Jerzy Tomik, Henryk Podziorny, Aleksandra Boroń, Joanna Szaleniec

  Otolaryngologia polska. The Polish otolaryngology. 65(4):293-6.

  Primary inverted papilloma of the sphenoid sinus is rare. The tumor is considered locally aggressive. In selected cases inverted papilloma can be associated with squamous cell carcinoma. RadiologicPrimary inverted papilloma of the sphenoid sinus is rare. The tumor is considered locally aggressive. In selected cases inverted papilloma can be associated with squamous cell carcinoma. Radiologic imaging is a key to an accurate diagnosis. We analyzed patient with inverted papilloma in sphenoid sinus which was removed with endoscopic surgery. We discuss patient with isolated inverted papilloma located in the sphenoid sinus. Performed endoscopic treatment enabled removal of tumour with no complications. Transnasal endoscopic large sphenoidotomy remains an effective modality for management of patients with inverted papilloma. This method does not require external approach and it is performed with no scars, with minimal injury of tissues.