Otolaryngologia polska. The Polish otolaryngology
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Generation of strains resistant to antibiotics, its genetic mechanisms and the role of incompetent administration of these drugs are presented in the paper. The resistance is characterised mainly by the generation of extracellular enzymes which cause the breakdown of beta-lactam ring Pathogenic bacteria which cause changes in the respiratory system are discussed. The use of beta-lactam antibiotics with beta-lactam inhibitors is a way to prevent generation of resistant strains, the combination of amoxycillin and clavulanic acid is of particular importance.
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Case Reports
[The case of purulent epiglottitis complicated by the cervical and mediastinum phlegmon with septic shock].
The authors showed the case of purulent epiglotitis complicated the neck and mediastine phlegmone with septic shock.
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The case of big size pleomorphic adenoma of the partoid gland was presented. Attention was paid on the necessity of the surgical treatment of pleomorphic adenomas by superficial or total parotidectomies. Possibility of the post operative complications avoidance, even in such big cases was emphasized.
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We describe a 3 patients with Wegener's granulomatosis in remission while taking cyclophosphamide and prednisone who developed upper airway obstruction. The diagnosis was confirmed by parotid gland, pharynx, kidney biopsy. The stenosis developed in the area of previously noted tracheal ulceration and responded satisfactorily to bronchoscopic dilatation. ⋯ We presented the others techniques of treatment subglottic stenosis-the surgical intervention and carbon dioxide laser photoresection. No antineutrophil cytoplasmic antibodies were found in the patients serum. These antibodies are of auxiliary value in recognizing Wegener's granulomatosis as well as in monitoring the activity of the disease process.
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The attempts of examination of the larynx since the 18th century made by many European doctors have been presented; namely, the mirror laryngoscopy by M. Garcia, L. ⋯ Czermak's diserts to development and propagation of laryngoscopy. The authoscopy by Kirstein, Pieniazek's lower tracheobronchoscopy and Killian's tracheobronchoscopy have been discussed.