Tomasz Zieliński

Publications of Tomasz Zieliński

• The internet as a source of information for patients prior to rhinoplasty.

  Authors: Paweł Szychta, Tomasz Zieliński, Jan Rykała, Julia Kruk-Jeromin

  Clinical and experimental otorhinolaryngology. 09/2011; 4(3):131-6.

  To determine the prevalence of Internet use by patients considering rhinoplasty and to identify the impact of such information on their decisions. Prospective analysis of the impact of informationTo determine the prevalence of Internet use by patients considering rhinoplasty and to identify the impact of such information on their decisions. Prospective analysis of the impact of information received via the Internet by patients considering rhinoplasty on their decision-making prior to surgery. Eighty six patients, scheduled for post-traumatic or aesthetic rhinoplasty, received a questionnaire, consisting of 19 questions, which sought to evaluate their perception of the importance of the Internet information to them and also collected relevant demographic and sociological data. Respondents searched online for descriptions of medical procedures, information about how to contact other patients, pre- and post-operative pictures and making contact with a doctor. Patients considering aesthetic rhinoplasty received medical information from a third party or via the Internet. Individuals requiring post-traumatic surgical treatment were usually referred by family doctor. Patients planning nasal aesthetic surgery form their opinions after consulting friends and searching the Internet, which can act as an important medical assistance.

• [Surgical treatment of the periocular keratoacanthoma].

  Authors: Tomasz Zieliński

  Klinika oczna. 01/2011; 113(4-6):168-71.

  Keratoacanthoma (KA) is a benign epithelial neoplasm. It usually presents as a solitary rapidly growing lesion, which undergoes spontaneous resolution within a few months. The tumor is most commonlyKeratoacanthoma (KA) is a benign epithelial neoplasm. It usually presents as a solitary rapidly growing lesion, which undergoes spontaneous resolution within a few months. The tumor is most commonly seen on sun exposed skin of the face, forearm and dorsal side of the hand. Periocular keratoacanthomas are relatively rare lesions and there are only a few data on clinical observation and treatment of KA in this area. The goal of this paper is presentation of the own experiences in the treatment of the eyelids KA along with justification for the method chosen. Four patients with histopathological confirmed periocular KA were treated surgically. In two cases tumors were located on the lower lid, in one patient on upper lid, and in one case--in medial cantus. In all patients lesions were excised with the margin of intact tissue. In two cases defects were closed with sutures of the wound and in two others--with the use of forehead flap. Postoperative period was without complications. In all cases histopathological examination confirmed diagnosis of KA and total excision. We obtained good aesthetic and functional results. There were no case of recurrence. Although the clinical presentation of KA is characteristic in most cases, it should always be differentiated from invasive SCC. A definitive diagnosis requires complete tumor excision. Early surgical treatment of periocular KA can prevent irreversible destruction of the eyelids.

• [Hypertrophy of labia minora--pathomorphology and surgical treatment].

  Authors: Julia Kruk-Jeromin, Tomasz Zieliński

  Ginekologia polska. 04/2010; 81(4):298-302.

  Hypertrophy of labia minora is a variant of normal anatomy. The enlargement can be unilateral or bilateral and is sometimes asymmetric. Hypertrophy of the labia minora may be attributed to mechanicalHypertrophy of labia minora is a variant of normal anatomy. The enlargement can be unilateral or bilateral and is sometimes asymmetric. Hypertrophy of the labia minora may be attributed to mechanical irritation and endocrine diseases. Labia minora longer than 5 cm is a functional and aesthetic problem for many women. Surgical treatment is performed at the request of the patient and based on surgical reduction of labia minora. The goal of this paper is to present our own experiences in labia minora reduction. Twenty-one patients with labia minora hypertrophy aged from 18 to 35, were operated. Hypertrophy was bilateral in all cases but asymmetrical in 5. We have observed that labia majora were smaller than normally and even after labioplasty did not contact in the midline. We performed elliptical resection of the protuberant segment of the hypertrophic labium. We obtained good aesthetic and functional results. All patients were fully satisfied with the outcome. Hypertrophy of labia minora is not a pathologic condition but rather a variant of normal anatomy. Indication of the operation is psychical and functional discomfort. Elliptical resection of the protuberant tissue is a safe method of treatment.