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Paranasal sinusitis is a condition that is treated by a General Practitioner and in case it fails it requires specialistic therapy. In most cases the inflammation is connected with nasal mucosa infection. However, in older children and adolescents sinusitis caused by spreading of tooth and gingiva inflammatory process can be an essential therapeutic and diagnostic problem. It is most often connected with periapical lesions, complications following dental procedures and oroantral fistula inflammation. Inflammatory process originally concerns maxillary sinus, however, it often undergoes generalization and it affects all or most of sinuses unilaterally or bilaterally. In microbiology of odontogenic sinusitis the dominant bacteria are the bacteria typical for peridental lesions (Streptococcus sanguis, Streptococcus salivarius, Streptococcus mutans and anaerobic bacteria). Odontogenic sinusitis frequently causes life threatening complications that require heroic drug and surgical treatment. Therapeutic and diagnostic problems are presented in case studies of 5 children aged from 10 to 17, who are treated in Children's Otolaryngology, Audiology and Phoniatrics Clinic in Łódź. There seems to be the need to emphasize the importance of thorough examination of oral cavity in all the children suffering from sinusitis, especially unilateral sinusitis. It is so essential on account of the gravity of the problem and serious complications that accompany the conditions.

The paper presents results of audiologic assessments hearing examinations in 19 children that received aminoglycosides in cases of pneumonias, meningitis and sepsis. Examination of hearing acuity with otoscopic assessment of the ears, tympanometry, ABR and acoustic otoemission were performed before, directly after infusion and after completion of treatment. After a laryngological examination and of the hearing acuity, tympanometry and the ABR the authors have concluded the normal state of the hearing organ. Only in the examination of the acoustic otoemission produced during the treatment it was found the amplitude was flattened or there was no otoeimssion for some individual frequencies in relation to records taken before the treatment. The authors emphasize that among risk factors of ototoxic effect of some medicines are of importance the following: patient's age, uncontrolled increase in blood drug concentration, increase in daily dosage, cumulation of the drug in the organism, prolonged treatment with the drug.

In the years 1979-1988 65 patients (62 men and 3 women) with rotary anterior-medial instability of the knee were treated surgically. The average age was 34 years. The cause of injuries (65%) were accidents during work in mines of pit-coal. 52 patients were treated surgically in the period of 7 days after the accident. The remaining 13 ones were operated on after the period of 6 weeks. In the group of patients operated on immediately the most frequently applied procedure was the suture according to O'Donoughe of the injured ligaments and shift of the goose foot according to Slocum and Larson. But when the anterior crucial ligament was broken in the shape of a "brush", its reconstruction was formally made according to Jones. For patients with chronic instability extra-articular plastic operations were performed i.e. shift of the semi-tendinous muscle and shift of the goose foot, as well as intra-articular--in case of injury of the anterior crucial ligament. The period of observation was from 4 to 12 years. Better results were obtained in patients operated on immediately: good result--62%, satisfactory--32% and bad--6%. For all patients with chronic instability the obtained results were only satisfactory.