Otolaryngologia polska. The Polish otolaryngology
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Case Reports
[Acute laryngeal dyspnea in the patient with botulism cured in 2001 year in ENT Department Hospital in Kalisz].
The authors presented symptoms of botulism, diagnostics and treatment. In this case there was a necessity of urgent tracheotomy. The authors had good results because of early treatment with serum antibotulism A+B+C and symptomatic treatment. Decannulation was only after 45 days because the paralytic symptoms declined very slowly.
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The authors report the case of 68 year old male operated upon for the branchial cyst of the neck. Histopathological examination showed carcinoma in the wall of the cyst. Ipsilateral tonsillectomy was done and pathology revealed primary focus in the palatine tonsil. ⋯ Patients with carcinoma cells found in branchial cyst should be diagnosed and treated as metastasis from Waldeyer's ring to the lymph nodes of the neck. Ipsilateral tonsillectomy is indicated as blind biopsy. When histopathological examination of the tonsil is negative the patients should be treated as metastasis to the neck from unknown primary focus.
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The authors present actual opinions concerning etiology, pathogenesis and diagnostics of sarcoidosis with specific evaluation of the role of T lymphocytes and cytokines in formation of sarcoid granulation. Rareness of sarcoidosis in that region and difficulties in neck tumours diagnosis is emphasizing. ⋯ It always can go into generalized form. The authors present a case of solitary sarcoidosis of the neck.