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Copyright of Otorhinolaryngology & Phoniatrics / Otorinolaryngologie a Foniatrie is the property of Czech Medical Association of JE Purkyne and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Otorhinolaryngology & Phoniatrics / Otorinolaryngologie a Foniatrie is the property of Czech Medical Association of JE Purkyne and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Studia Pneumologica et Phthiseologica is the property of TRIOS, spol. sr.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Musky a vedení ORL kliniky v Jene k zalození dnes jiz tradicních setkání ceskych a stredonemeckych ORL lékaru. Z dalsích pravidelnych kontaktu podeprenych ve vetsine prípadu i vzájemnymi návstevami, je mozno jmenovat spolupráci s pracovisti v Drázdanech, Erfurtu, Hannoveru, Zurichu, Pesczi, Baselu, Londyne a Jene. Velmi kladne bylo hodnoceno zástupcem Ministerstva zdravotnictví CR, pri kontrolní návsteve, jak zrízení samostatné vyukové místnosti se sociálním zázemím, která byla vybavena vyukovymi pomuckami, tak i dalsí prostory pro vyuku studentu. Získanymi garancemi od CLK se podarilo s podporou Ceské spolecnosti ORL a chirurgie hlavy a krku CLS JEP i její foniatrické sekce pri jednání se zástupci pojistoven prosadit, aby v rámci navysení luzkového fondu nálezelo 20 luzek pod odbornost ORL péce pro dospelé, 5 luzek pod odbornost detské ORL a 5 luzek pod odbornost foniatrie. V krátkém sdelení bychom chteli vyznamné vyrocí nejenom pripomenout, ale podat i zprávu o vsech cinnostech Usního, nosního a krcního oddelení v Pardubicích v rozhodujících letech 1998-2002, které vzniku kliniky predcházely.

Historie Usního, nosního a krcního oddelení nemocnice v Pardubicích

Copyright of Otorhinolaryngology & Phoniatrics / Otorinolaryngologie a Foniatrie is the property of Czech Medical Association of JE Purkyne and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim: The aim of this study was to determine the test-retest reliability of the Odorized Markers Test (OMT). This psychophysical test is a tool for screening anosmia based on the identification of odorants. The test is used for the Czech population. Examination technique consists of two parts. First, subjects are asked to spontaneously name the odorants and second, subjects have to choose the most proper name for an odorant from four descriptors. Methods: The participants included 150 subjects: 77 healthy subjects and 73 patients with smell disorders. Olfactory functions were assessed using the OMT. Retest was performed on an average interval of 2 days. Results: The coefficient of correlation between the first test and retest was 0.91. The test-retest showed that the controls reached higher scores than patients with olfactory impairment (P < 0.001). The first part of the test showed higher degree of internal consistency than the second part. The results for the first testing were α = 0.9 and 0.56, respectively, and for retesting α = 0.89 and 0.65, respectively. Anosmia was found in 26 (17%) and 27 (18%) patients on test and retest, respectively. Conclusion: Positive significant correlation was found between the first test and retest. Internal consistency was satisfactory in both the first test and retest. Based on the results of our study, OMT is a reliable and valid test for olfactory evaluation in clinical practice. [ABSTRACT FROM AUTHOR]

Copyright of Otorhinolaryngology & Phoniatrics / Otorinolaryngologie a Foniatrie is the property of Czech Medical Association of JE Purkyne and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aims: Hereditary haemorrhagic telangiectasia (HHT) is a rare automosal dominant vascular disease characterized by recurrent epistaxis, mucocutaneous telangiectasias and arteriovenous maloformations, which may be found in different organ systems. The aim of this paper is to present therapeutic modalities of epistaxis and to present system of observation at our department according to international guidelines. Methods: We observe and manage patients with HHT according to international guidelines since 2015. Patients fill in the Epistaxis severity score (ESS) questionnaire at each visit. We choose therapeutic modality based on ESS score. Results: 6 patients are regularly observed at our department sice 2015. We found pulmonary AVMs in 2 patients and indicated gastroscopy in 3 patients. Each of therapeutic modalities for epistaxis led to at least mild severity of epistaxis in 4 patiens and moderate severity in 2 patients. Average ESS score at baseline was 6.13, after different therapeutic modalities the average score was 3.28. Conclusion: Despite HHT is systemic disease, there isn´t centralized care of these patients in Czech Republic. ENT doctor is often a doctor of first contact and therefore should start at least basal diagnosis and management in patients with HHT and should be aware of that management of epistaxis is different from standard epistaxis. According to our observation each patient reacts individually to different therapeutic modalities. [ABSTRACT FROM AUTHOR]

Aim: The aim of the study was to develop a procedure of assessment of the taste function, which can be done without any assistance (self-administrated taste function test). Function of taste was evaluated by using Taste strips with assisted gustatory testing (wet method) and by self-administrated test (dry method). The results were compared with each other. Methods: 115 participants were included in the study. The fi rst group included 85 healthy persons with the average age 39 years (18-73 years), the second group 30 patients with the average age 59 years (41-76 years). The sense of taste was tested by Taste strips. in which the taste stimulants are applied in the form of a solution to the fi lter paper, and by a new developed test designed for the self-examination of the taste by the dry method, when the taste stimulants on the fi lter paper are already dry. Results: Comparing the examination of taste by an erudite person to the selfadministered taste test, there was no signifi cant diff erence in score (10.1 vs. 10.0 points; P = 0.52). In the case of the assisted Taste strips test, the healthy participant scores were higher than the patients scores (10.4 vs. 9.4 points; P = 0.02). In the case of the self-administered taste test, the healthy participant scores were higher than patients scores as well (10.4 vs. 9.1 points; P = 0.001). Conclusion: The taste strips test (dry method) can be performed by patients themselves. The selfadministered procedure is not limited to time, reducing the demands on the medical staff and decreasing the risk of infection in the time of communicable diseases. [ABSTRACT FROM AUTHOR]

Objective: Ménière's disease is a complex inner ear disease, that is diagnosed according to diagnostic criteria. Magnetic resonance imaging is a key imaging method, that will allow us to assess the area of the pontocerebel-lar angle, excluding the organic retrocochlear cause of sensorineural hearing loss and dizziness, but may also depict the inner ear area and assess the endolymphatic space. The aim of our pilot study was to evaluate magnetic resonance imaging of endolymphatic hydrops on 3 Tesla (3 T) and 1.5 Tesla (1.5 T) examination in patients with Ménière's disease. Material and Methods: We have started to use magnetic resonance imaging to depict endolymphatic hydrops in patients with dizziness, hearing loss and tinnitus since 2012. Scanning was performed on a 1.5 Tesla device (Toshiba Vantage) after intratympanic administration of contrast medium. We have started to use 3 Tesla device (Siemens Magnetom Skyra) with intravenous application of contrast medium since 2017. The examination gives more detailed and accurate imaging. The big advantage is the sided imaging. Results: We have included 41 examinations in the study group. The diagnosis of definitive Ménière's disease was determined in 18 examinations, in 23 examinations the probable Ménière's disease was diagnosed. Hydrops was detected in higher age categories (68.75% in patients over 60 years). Women had the equal part of proven and unproven hydrops (50% vs 50%). However hydrops was found in 71% of men group. In patiens, who were examined on a 1.5T (20 patients) device, hydrops was detected in 55%. In the group of patients examined on 3 T device (21 patients), the hydrops was more frequent (62%). In the case of definitive diagnosis, hydrops was found in 78%, in probable diagnosis in 44% (p = 0.02). Conclusion: Diagnosis of Ménière's disease is based on clinical examination and follow-up of the disease. Magnetic resonance imaging can help to confirm the diagnosis. In our study hydrops was detected in 24 examinations (58.5%) and was more frequent in patients with definitive Ménière's disease (78%). [ABSTRACT FROM AUTHOR]

Copyright of Otorhinolaryngology & Phoniatrics / Otorinolaryngologie a Foniatrie is the property of Czech Medical Association of JE Purkyne and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Otorhinolaryngology & Phoniatrics / Otorinolaryngologie a Foniatrie is the property of Czech Medical Association of JE Purkyne and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aims: Measuring of nasal obstruction is not applied on most of ENT departments in the Czech Republic due to degree of cooperation required and time constraints. Flowmeter was developed as a simple device for measuring nasal obstruction. Aim of this study is to validate the device for use in ENT practice. Methods: During 16 months we collected data of healthy subjects, patients with deviated nasal septum and eventually hypertrophy of turbinates. Each side of nasal cavity was classified in accordance to endoscopy findings into one of 6 groups (partly based on Mladina classification of deviated nasal septum). Subjective perception of nasal airway was measured by VAS (visual analogue scale). Airflow in each side of nasal cavity was evaluated with flowmeter (the result is in output voltage). Results: 73 patients and total number of 146 sides of nasal cavity was included in the study. Group with the lowest degree of obstruction based on endoscopy findings has average VAS 8,34 and 5,42 V measured by flowmeter. Group with the highest degree of obstruction based on endoscopy findings has average VAS 4,0 and 4,29 V measured by flowmeter. Each patient was able to carry out the examination without problems or complications. Conclusion: Flowmeter appears to be quick method of nasal obstruction measurement with low degree of patient´s cooperation required. We present our new classification of nasal endoscopic evaluation. [ABSTRACT FROM AUTHOR]

Copyright of Otorhinolaryngology & Phoniatrics / Otorinolaryngologie a Foniatrie is the property of Czech Medical Association of JE Purkyne and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: The aim of the study was to evaluate incidence of parosmia and phantosmia in patients with olfactory dysfunction. We used a specifi c questionnaire, which is not commonly applied in clinical practice. Methods: A total of 115 persons with olfactory dysfunction were included to the study. They were aged between 18 and 83 years (mean age 54 years); 66 women (mean age 57 years ) and 49 men (mean age 51). Olfactory function was evaluated using the Odorized Markers Test and Sniffi n‘ Sticks test (identifi cation). The questionnaire was developed and supplemented by specifi c questions and needs to reflect Czech culture and cogitation. The questionnaire consists of 32 statements, three of which are focused on parosmia and phantosmia. Results: Qualitative smell disorders were reported in 51% of respondents. We did not prove any statistically signifi cant infl uence of gender (p = 0.34) and etiology (p = 0.45) on parosmia and phantosmia. On the contrary, our study showed statistically signifi cant results of olfactory testing. Patients with hyposmia often have more parosmia and phantosmia than those patients with olfactory loss (p < 0.01). Patients with long-term smell dysfunction suff ered more frequently from parosmia (p < 0.01). Conclusion: When taking clinical history, it is essential to ask the patient about any qualitative disorders (parosmia, phantosmia) and questionnaires should be systematically administered to patients referred with olfactory complaints. [ABSTRACT FROM AUTHOR]

Based on recent advances in diagnostics and treatment of maxillary sinusitis, authors present results of a survey monitoring the common ways the Czech otorhinolaryngologists deal with maxillary sinusitis. The survey questionnaire used contained 15 questions looking at ENT surgeons characteristics (age, gender, size and type of workplace, length of ENT praxis); diagnostics and therapy of acute maxillary sinusitis; indications, technique, and numbers of antral washout. The last question asked about examination of olfactory functions among ENT surgeons. Most questions were closed ended types, i.e. respondents were provided number of options (and could volunteer and put down an option not on the list. The response rate was 19.7 %, i.e. 100 responses out of 508 letters sent out. The results clearly show significant effect of length of praxis in the specialty and of the type of workplace on the methods used. The ambulatory ENT specialists prefer non- -invasive diagnostic methods, e.g. paranasal sinus ultrasound or diaphanoscopy. Similarly, colleagues with praxis longer than 30 years less likely have a rhino endoscope available in their office. Contrarily, they more often refer patients with suspected maxillary sinusitis to paranasal sinus x-ray, and perform antral washout in both acute and chronic sinusitis. It seems that conclusions of recently published evidence based studies alter daily clinical routines of ENT specialists in the Czech Republic in diagnostics and treatment of maxillary sinusitis only very slowly. [ABSTRACT FROM AUTHOR]