Patryk Hartwich

Publications of Patryk Hartwich

• [Quality of life in patients treated for cancer of paranasal sinus and other area at head and neck].

  Authors: Paweł Strek, Krzysztof Oleś, Jacek Składzień, Jerzy Tomik, Sebastian Gajec, Sebastian Kocoń, Magdalena Dutsch-Wicherek, Patryk Hartwich, Joanna Szaleniec

  Przegla̧d lekarski. 01/2010; 67(12):1298-301.

  The oncology efficiency and quality of life are both important for patients with head and neck cancer in every-day life. Evaluation of the dysphagia discomfort was made of 240 patients (190 male andThe oncology efficiency and quality of life are both important for patients with head and neck cancer in every-day life. Evaluation of the dysphagia discomfort was made of 240 patients (190 male and 50 female). The primary location of the tumor was: paranasal sinuses, oral cavity, oropharynx, hypopharynx and larynx. The treatment was surgical or sugical and radiotherapy. Patient's quality of life was evaluated according to the self-administered questionnaire (M.D. Anderson Dysphagia Inventory MDADI). The comparison of the influence of dysphagia on the quality of life was made in two groups of patients. The first group consist of maxillectomy patients wearing obturator protheses, the second one were treated for cancer located in other mentioned area. Patients with primary tumors of the oral cavity, oropharynx, hypopharynx and larynx had significantly greater swallowing disability with an adverse impact on their quality of life compared with patients after maxillectomy. Method of treatment and stage of head and neck cancer greatly affected dysphagia-related quality of life. The longer the interval between completion of treatment and assessment by the MDADI, the higher the total score, thus reflecting a higher quality of life and funcional status as related to swallowing. The MDADI is the validated and reliable self-administered questionnaire designed specifically for evaluating the impact of dysphagia on the quality of life of patients with head and neck cancer.

• [Prognostic factors in patients operated on eardrum perforation with intact ossicular chain].

  Authors: Maciej Wiatr, Krzysztof Oleś, Jerzy Tomik, Jacek Składzień, Agnieszka Morawska, Paweł Stręk, Robert Przeklasa, Karolina Hydzik-Sobocińska, Joanna Szaleniec, Aleksandra Boroń, Aneta Pałasz, Patryk Hartwich

  Otolaryngologia polska. The Polish otolaryngology. 65(4):266-71.

  Ear drum perforation is a typical feature in chronic otitis media. It can have posttraumatic etiology or it is observed in acute otitis media too. This paper is intended to evaluate effectiveness ofEar drum perforation is a typical feature in chronic otitis media. It can have posttraumatic etiology or it is observed in acute otitis media too. This paper is intended to evaluate effectiveness of tympanic membrane reconstruction and indicate factors which have an influence on hearing improvement after myringoplasty. Analysis involves ca. 500 individuals operated on ear in Department of Otolaryngology at the Jagiellonian University between 2004 and 2009. 120 individuals were operated on for the first time due to chronic otitis media with intact ossicular chain. Statistically significant heating improvement was observed in patients with discharge, without discharge and in group with scars. The presence of granulation changes is an unfavorable prognostic condition in the patients with ear drum perforation. In clinical practice, the criterion which often determines the application of either of the materials in myringoplasty are operator's preferences, as well as the availability of given material for transplanting.