Przeglądanie według Autor "Stopyra, Wojciech"
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Pozycja Assessment of paramedics’ knowledge and skills on dealing with dental injuries(Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Lewandowski, Bogumił; Brodowski, Robert; Stopyra, Wojciech; Muster, Marek; Włodyka, Andrzej; Migut, Małgorzata; Leja, Michał; Wozniak, Krystyna; Kucaba, GrzegorzIntroduction: Traumatic teeth and mouth injuries constitute a fixed percentage of injuries. They occur as only dental injuries or accompany fractures of craniofacial skeleton or multiorgan injuries in the body. The aim of the study was to assess the paramedics’ knowledge of first aid principles in cases of traumatic dental and masticatory system injuries. Material and Methods: A survey was conducted among 138 randomly selected paramedics employed in the Medical Rescue Teams and emergency departments in Rzeszów region, who were informed about the anonymous nature of the project. A voluntarily completed questionnaire was simultaneously assumed an informed consent to participate in the study. The questionnaire consisted of two parts. The first part covered respondents’ demographic and social data, while the second part focused on the first aid conduct in tooth injuries and included 18 questions. Results: The results demonstrated that the paramedics’ knowledge of the conduct in cases of the most common dental injuries, ie. tooth knocking and dislocation, fracture of tooth crown or tooth root is unsatisfactory. Most of the respondents gave answers intuitively. Studies and statistical analysis did not confirm a significant correlation between subjects’ professional experience (p = 0.5891) and education (p = 0.1093) with their skills and knowledge of the proceedings after dental injuries. The fact that about 20% of the paramedics did not consider it necessary to broaden their knowledge in this subject seems distressing. Conclusions: In the light of conducted research, systematic training in dental first aid in terms of proceeding in teeth injuries for paramedics seems justified as well as its inclusion in the curriculum of undergraduate programme for paramedics.Pozycja Drug–induced gingival overgrowth after cyclosporin A therapy(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Ambicki, Miłosz; Brodowski, Robert; Mucha, Marta; Migut, Małgorzata; Malawski-Róg, Adam; Stopyra, Wojciech; Lewandowski, BogumiłIntroduction. Drug–induced gingival overgrowth is a condition caused by side effects of treatment with one of three types of drugs: phenytoin (used in epilepsy treatment), cyclosporin A (used in transplantology after allogeneic organ transplants) and calcium channel blockers (in the treatment of hypertension). Gingival overgrowth leads to the development of inflammation within the gums and periodontium, reduced comfort in a patient’s life, and consequently even loss of teeth. Aim. The aim of this study was to present the issue of drug–induced gingival overgrowth based on a review of the literature and observations of patients treated in the Clinical Department of Maxillo-Facial Surgery, Frederic Chopin Provincial Specialist Hospital in Rzeszów. Case description. Massive gingival overgrowth requires surgical management. Attention should be paid to multidisciplinary cooperation in case of patients qualified for a transplant. It is also import_ant to qualify and evaluate the state of the oral cavity prior to the implementation of immunosuppressive medication, instruction of patients on oral hygiene and removal of the outbreaks of infection.Pozycja Review of surgical techniques for the reconstruction of the maxillofacial region used in the Department of Maxillo-Facial Surgery in Rzeszów(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Frańczak, Jan; Pakla, Paweł; Brodowski, Robert; Stopyra, Wojciech; Burdzy, Danuta; Lewandowski, BogumiłPostoperative reconstruction of tissue loss within the head and neck after extensive resections due to malignant neoplasms or traumas has always been a challenge for maxillo-facial surgeons or ENT physicians. Due to the complex anatomical structure of the head and neck region, every patient requires an individual approach and there is no standard method of management appropriate for all patients. The number of patients treated for malignancy is increasing year by year. The possibility of performing extensive resections in the head and neck region are conditioned by appropriate reconstruction. Aim. The aim of the paper is to present the reconstructive methods used in the Clinical Department of Maxillofacial Surgery, F. Chopin Hospital No. 1 in Rzeszow. A short review of the most commonly used flaps is presented, taking into account their advantages, disadvantages and surgical technique in terms of their usefulness in daily clinical practice.