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Salivary lymphoepithelial carcinoma is a highly radiosensitive tumor that suggests the effectiveness of induction chemotherapy and induction concurrent chemoradiotherapy without previous surgery. However, the imperfection of diagnostic methods and the severe consequences of misdiagnosis of the tumor do not allow to resign from surgical treatment in patients with this type of salivary gland tumor.

Madelung's disease (multiple symmetric lipomatosis, Launois–Bensaude syndrome) is a rare metabolic disease, characterized by atypical symmetrical accumulation of subcutaneous adipose tissue in the neck, upper and lower limbs. The development of disease is associated with mutations or deletions of a number of mitochondrial DNA in fat cells, and their likely trigger of formation is alcohol. Radical resection of fat mass is difficult, leading to frequent recurrences. The larynx involved in this condition is rare and can be life-threatening. Presents an unusual course of the Madelung's disease in a patient with location of lipomas in the supraglottic area. The patient was successfully treated with endoscopic laser techniques.

Tinnitus is a symptom that can significantly affect the quality of life of every patient. In patients with tinnitus, one of the most important diagnostic element is medical history data. Patients classify the pitch and loudness of tinnitus graphically using the visual analog scale (VAS). Visual analog scale and similar questionnaires constitute a valuable addendum of the clinical picture in patients with tinnitus. It seems essential, especially in the light of the information presented in the case report on the probability of correlation between tinnitus and stress and depression associated with social isolation infection avoidance. The knowledge about the patient’s hearing condition before contracting COVID-19, the early symptoms of SARS-CoV-2 infection, the method of diagnosis of the infection, the time and method of isolation of the patient, and the time from the diagnosis of COVID-19 to the appearance of otolaryngological symptoms might enable the reader to gain more knowledge on the correlation between COVID-19 and tinnitus. New research reveals that tinnitus is being exacerbated by COVID-19.

Sinonasal mucosal melanoma is a rare neoplasm, accounting for less than 1% of all melanomas. It is more aggressive than its cutaneous counterpart, with a very poor prognosis. We report a case of melanoma arising from mucosae of the nasal septum in a 73-year-old man. Clinical features, diagnosis, and treatment are described and a review of literature is made. Nasal location and relatively nonspecific symptoms frequently delay diagnosis. Optimal treatment guidelines are not established because of its rare occurrence.

Authors present a case of metallic foreign bodies (part of the hammer) in apex of the orbit in a 57-year-old man. In CT scan it was localized between rectus lateral muscle and optic nerve. We remove it through transantral approach. We discuss about diagnosis and indication to transnasal and transsinusal (trough maxillary and ethmoidal sinuses) approaches to the retrobulbar part of the orbit.

Malignant neoplasm of the head and neck is rare disease of pregnant woman. The most common localization of this tumors are larynx, thyroid, melanoma and lymphoma. Many diagnostic and therapeutic procedures (routinely used in patients with cancer) are contraindicated in the presence of pregnancy. The authors presents a case of a 28-year-old female with malignant tumor of nasal cavity during the 37 week of pregnancy. We performed caesarean section and radical surgery (lateral rhinotomy) with removing of the tumor. The histological examination result was: esthesioneuroblastoma. 5-weeks after surgery radiotherapy was realized. During the 6-year follow-up no recurrence was observed.

The coincidence of malignant disease during pregnancy is uncommon. The incidence of cancer in pregnancy has increased, due to the tendency to postpone childbirth to an older age. Cancer complicates approximately 0.1% of all pregnancies. Managing head and neck cancers during pregnancy requires additional pregnancy-related understanding of the aetiological effect of pregnancy on cancer, knowledge of the direct and indirect effects of cancer on pregnancy, and the effect of diagnostic and treatment modalities on pregnancy. The timing of treatment is an important determinant on foetal wellbeing. A multidisciplinary approach should be adopted to enable parents and clinicians to make the best clinical decision. Clinicians must be cognizant with the ethical dilemmas of treatment. In head and neck cancers, pregnancy has no effect on maternal prognosis when compared to non-pregnant patients matched by age, cancer stage and treatment.

The aim of this study was to evaluate results of our surgical treatment of advanced neoplasms of the floor of the mouth, treated from 2005–2011 in Department of Otolaryngology and Department of Plastic Surgery Medical University of Gdańsk

Thyroid orbitopathy may result in significant proptosis that causes visual lost. Besides pharmacologic and radiotherapeutic procedures surgically decompression of the orbital skeleton occasionally is managed. We present series of 3 patients (5 procedures) who underwent orbital decompressions. The preoperative proptosis ranged from 22 to 31mm. Decompression was performed by an external Walsh-Ogura approach in 3 orbits and in 2 by an endoscopic approach. The reduction in proptosis was 4–6mm in external approach cases and 4–5mm in endoscopic procedures. Diplopia was noted in 2 patients preoperatively, and no one had new postoperative diplopia. Surgical orbital decompression is occasionally necessary procedure or visual lost rescue in thyroid orbitopathy and in cases of diplopia can not improve muscular function. Endoscopic surgery is a safe and effective management in moderate proptosis. Autoimmunologic inflammatory changes in nasal mucosa do not increase postoperative complication risk.

The aim of this study is to report a carcinoma affecting the maxillary sinus of a 24-years old man. Malignant tumors of the nasal cavity and paranasal sinuses are rare and a very heterogeneous group of tumors. The most common is a squamous cell carcinoma. Sinonasal malignances usually present as a difficult diagnostic and therapeutic problem. The treatment depended on location, extension and histology of the tumor, clinical condition and the patient desire. It consisted of surgery, RT, surgery and postoperatory R, and concurrent QT and RT. The treatment should be assessed individually for each patient. The treatment of patients with paranasal neoplasms requires a multidisciplinary cooperation. High quality care requires the preparation of a team of professionals dedicated to their work. We observe generally human trends to restore well being in difficult situation. Patients transform the information about them or change the values system. Psychooncological help in this field reinforces natural mechanism of restoring well being, increasing positive emotions and patient's own activity.

We discuss a case of 49-year-old man admitted to our Department with headache and tumor of frontal region since 3 months. We report clinical features and imaging data of mucocele of frontal sinus that penetrates into cranial cavity. The mucocele had damaged anterior and posterior walls of frontal sinus with intracranial penetration. There was intact dura of anterior fosse. External approach with coronal incision was performed, mucocele was evacuated and mucosa was removed. Then frontal sinus was cranialized with reconstruction of anterior wall and finally wide nasal drainage was performed. Intracranial mucocele of the frontal sinus is rare evidence. The key difficulties may be related to dura preservation and reconstruction of anterior wall of frontal sinus.

Noninvasive fungal sinusitis (fungus ball) is usually found in one sinus and the most frequently is caused by Aspergillus. Diagnostic criteria are based on histopathology, and fungal cultures are frequently negative. The clinical symptomatology mimics chronic rhinosinusitis and radiology, specially CT and MRI are helpful for making decision of surgery. The authors present 4 cases of fungus ball of the paranasal sinus. In one case clinical symptoms, endoscopic examination of nasal cavity and CT scans suggested foreign body in the maxillary sinus. In other case clinical and radiological evidences made us to thing of neoplasmatic disease of the frontal sinus. In remaining two cases mycetoma was found in the sphenoid sinus. Surgical removal was the treatment in all cases and followed by systemic antifungal therapy in one case because of bone destruction. Histopathology revealed hyphae of Aspergilluswithout evidence of tissue invasion, fungal cultures in two cases were negative, an in other two Aspergillus fumigatusculture were obtained.

Isolated sphenoid sinusitis is being diagnosed quite rare and it is caused by uncharacteristic evidences. Acute sphenoid sinusitis is usually diagnosed when intracranial complications are seen.

Single or multifragmental orbital fractures may be a difficult diagnostic and therapeutic dilemma. Dislocation of the orbital contain into maxillary and ethmoid sinus may take place during trauma. The main topics: is when and what surgical technique should be applied in these cases.

The authors describe the case of acute carbon monoxide intoxication in a 19 year old female patient, which caused, among other symptoms, bilateral sensorineural hearing loss. The symptoms, diagnostic methods and treatment with a particular regard to audiological examination were presented. Pathomechanism of carbon monoxide intoxication was also discussed. Despite the treatment, the effects of therapy have not been satisfactory.

Malignant Triton tumor (MTT) is classified as a variant of a malignant peripherial nerve sheath tumor with a focal rhabdomyosarcomatous differentiation. Nearly one third of described MTTs were located at the head and neck region. In following paper we described a case of MTT of the external nose in a 24 year old man. The tumor was totally exised surgically with the broad margins. Histopathological diagnosis of the tumor was made on the surgical specimen, based on immunohistochemical analysis. Radiation therapy as the next step of treatment of choice was performed in presented case.