© Borgis - New Medicine 3/1999, s. 28-29
Henryk Kawalski, Przemysław Śpiewak, Grzegorz Szpyrka, Ewa Cierpioł-Tracz, Marek Kopacz
The use of cryotherapy in ent in children
Silesian Academy of Medicine - Science and Instruction unit, ENT Department, Chorzów
Head: Henryk Kawalski, M.D.
Cryotherapy is a surgical method recognized by science since the last century. It belongs to complementary surgical techniques, which are used in all fields of surgery. The authors present the results achieved after the application of cryotherapy in 184 cases of various laryngological diseases in children. They make an analysis of particular groups of the diseases treated with the above-mentioned technique.
The first substantiated medical report came from a doctor who took part in Napoleon´s invasion of Russia, and made notes in 1812. They discuss the phenomenon of limitation and removal achieved through freezing - a technigue which the doctor made use of while having to amputate numerous limbs at that time. Since that time cryosurgery has gained many adherents in all fields of medicine. It is enough to say that cryosurgery is based on the phenomenon of nitrification or crystallization of water within a cell or intercellular spaces. Intercellular crystallization leads to the death of a cell. After thawing a cell can still be the same shape but its cytoplasm and remaining elements of internal structure are destroyed (1).
| ||Group 1, vascular changes CRYODESTRUCTION n = 57||Group 1 control, vascular VARIKOCID, Neoblastin, NaCl, X-rays n = 31|
|Length of treatment||6 weeks||Up to 12 weeks|
|Results - very good||48%||12%|
|Results - good||30%||50%|
|Lack of improvement||22%||38%|
| ||Group 2 Cryoadenotomy, n = 121||Group 2 control Adentomy, n = 67|
|Loss of blood||24 mls||51 mls|
|Lowering of blood parameters||1.9%||3.1%|
|Period of healing||4 days||6 days|
|Convalescence period||7 days||9 days|
|Hospitalization||1 day||3 days|
|Subjective symptoms||3 days||5 days|
|Treatment costs||About 1160 zlotys||About 1800 zlotys|
The purely mechanical process is followed by strong cytochemical and immunobiological reactions having an influence on an extensive, controlled destruction of previonsly-frozen cells and tissues (2).
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