Sandra Krzywdzińska

Dr. Sandra Krzywdzińska

orcid

Research Focus & Metrics

Academic Career Length

4Years (2023-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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8 August 2024 in Journal of Clinical Medicine
Verified
Journal Article
Open access
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PRPiotr Aleksander Rot
Piotr Aleksander Rot
SKSandra Krzywdzińska
Sandra Krzywdzińska
PGPaweł Piotr Grab
Paweł Piotr Grab
DJDariusz Jurkiewicz
Dariusz Jurkiewicz
ACAldona Chloupek
Aldona Chloupek
MSMaria Sobol
Maria Sobol
Background/Objectives: This study aims to systematize the ability to use ROE to assess rhinoplasty outcomes in surgical approaches. Methods: The PubMed, Scopus, and Web of Science databases were searched for the following terms: “rhinoplasty and outcome” OR “prognosis” OR “outcomes” OR “satisfaction” OR “quality of life” OR QoL “rhinoplasty outcome evaluation”. The timeframe of the included studies is from 2011 to May 2024. Ultimately, 17 papers were included in the conducted meta-analysis of ROE scores between pre- and post-treatment data. Results The mean value of the pre-treatment ROE score was 33.50 with a CI of 29.46 to 37.53 (p < 0.001), while the post-treatment ROE was 69.60 with a CI of 63.07 to 76.14 (t ≤ 6 months). At t = 12 months it was 80.25 with a CI of 75.79 to 84.70 (p < 0.001). The mean difference between pre-treatment and post-treatment scores (t ≤ 6 months) was −36.31 with a CI of −40.93 to −31.69. The mean difference between pre-treatment and post-treatment scores for 6 m < t ≤ 12 m was −47.36 with a CI of −53.89 to −40.83. Conclusions: The result was statistically significant (p < 0.001).

27 December 2024 in Journal of Clinical Medicine
Verified
Journal Article
Open access
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MJMarcin Jadczak
Marcin Jadczak
SKSandra Krzywdzińska
Sandra Krzywdzińska
PRPaweł Wojciech Rozbicki
Paweł Wojciech Rozbicki
DJDariusz Jurkiewicz
Dariusz Jurkiewicz
Background: A crooked nose is a challenge for a surgeon performing rhinoplasty. When performed correctly, rhinoseptoplasty aligns the nasal framework, restores nasal patency, and achieves facial symmetry. The key to this procedure is to dissect all the structures of the nasal framework, mobilize, reposition, and stabilize them. Aim: This study aims to discuss the quality of life after the rhinoseptoplasty and principles of treating a post-traumatic crooked nose with a view to improving the predictability and reliability of rhinoplasty procedures involving this challenging problem. Methods: The study compared the results of the Rhinoplasty Outcome Evaluation (ROE) and the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) through statistical analysis. Results: Considering the structural deformities that lead to a crooked nose, the open approach seems to be preferred during a rhinoseptoplasty of a post-traumatic, crooked nose. When reconstructing the nasal septum, it is always necessary to leave the required amount of cartilage to provide nasal support and to secure the septum to the nasal spine. Osteotomies are important for fixing a crooked nose. The preoperative values for ROE were significantly lower before surgery than after surgery (8.7 vs. 20.2), while for SCHNOS, the postoperative values were statistically significantly lower compared to the preoperative values (46.0 vs. 9.1). Conclusions: Properly planned and performed surgery improves the functional and aesthetic outcomes in patients after rhinoseptoplasty.

29 March 2024 in Audiology Research
Verified
Journal Article
Open access
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PRPaweł Wojciech Rozbicki
Paweł Wojciech Rozbicki
JUJacek Usowski
Jacek Usowski
SKSandra Krzywdzińska
Sandra Krzywdzińska
DJDariusz Jurkiewicz
Dariusz Jurkiewicz
JSJacek Siewiera
Jacek Siewiera
Introduction: Hyperbaric oxygen therapy (HBOT) is one of the treatment methods in patients with sudden sensorineural hearing loss (SSNHL). It is recommended as an elective treatment in patients undergoing steroid therapy. According to current scientific reports, HBOT should be implemented within two weeks after the first symptoms. However, as far as the profile of HBOT is concerned, there are no straightforward recommendations. Methods: The data obtained from the medical records of 218 patients undergoing HBOT for SSNHL at the Military Institute of Medicine—National Research Institute were analyzed statistically for the impact of the duration and the delay in implementing HBOT on the end results of pure-tone audiometry (PTA). Results: A statistically significant hearing improvement in patients undergoing more than 15 cycles of HBOT was detected at all frequencies except for 1500 Hz; in the group reporting for treatment with a delay of more than 10 days, hearing improvement was statistically unsignificant at frequencies of 1500, 3000, and 4000 Hz. Conclusions: The statistical analysis showed that the urgent onset of HBOT could be a significant factor in the therapy of SSNHL.

18 June 2024 in Facial Plastic Surgery
Verified
Journal Article
Closed access
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MJMarcin Jadczak
Marcin Jadczak
SKSandra Krzywdzińska
Sandra Krzywdzińska
DJDariusz Jurkiewicz
Dariusz Jurkiewicz
A key component of a well-performed rhinoplasty is to obtain the proper, aesthetic shape of the nasal tip. Various surgical techniques have been developed to achieve this effect. In this work, the author wanted to focus not only on the satisfactory shape of the nose, but above all on its main role—functionality. In this article, the asymmetrical lateral crus steal (ALCS) technique is proposed, which in its assumption will enable narrowing, better defining and rotating of the nasal tip, and at the same time enhancing nasal patency. We present a retrospective analysis within the group of 267 patients who underwent primary open-approach rhinoplasty that included the ALCS technique. The mean follow-up time was 12 months. A total of 232 patients achieved very good postoperative results without observation of any serious complications related to breathing difficulties or asymmetry of the nasal tip shape. ALCS is a relatively simple surgical technique to perform. The use of the ALCS suture creates the possibility of proper profiling of the nasal tip while improving the respiratory functions of the nose.

12 February 2026 in Journal of Clinical Medicine
Verified
Journal Article
Open access
PDF file
SKSandra Krzywdzińska
Sandra Krzywdzińska
DJDariusz Jurkiewicz
Dariusz Jurkiewicz
MJMarcin Jadczak
Marcin Jadczak
Background: The philosophy of preservation rhinoplasty (PR) is gaining popularity as an alternative to structural rhinoplasty (SR), prompting comparison of their effectiveness, patient satisfaction, and impact on quality of life. Methods: This study evaluated the outcomes of rhinoplasty performed using PR and SR, supported by the SCHNOS, ROE, NOSE, and WHOQOL-BREF questionnaires. Seventy-five patients were included (N = 47 (63%) female and N = 28 (37%) male), of whom 39 underwent SR. Surveys were completed preoperatively and at one and three months postoperatively. A single surgeon performed all procedures, and the results were subjected to statistical analysis. Results: Baseline ROE scores were identical in both groups (1.2 vs. 1.2; p > 0.05). At three months, PR demonstrated significantly higher ROE scores (3.8 vs. 3.7; p < 0.05). In the SCHNOS-Obstruction domain, PR showed better outcomes at one month (0.8 vs. 1.3; p < 0.01), whereas three-month scores were equal (0.5 vs. 0.5; p > 0.05). SCHNOS-Cosmesis and NOSE outcomes did not differ significantly at any point. WHOQOL-BREF results indicated significant postoperative improvement across all domains in both groups (p < 0.001). Conclusions: PR provides higher early satisfaction, but both PR and SR yield progressive improvement and comparable longer-term outcomes. Quality of life and self-esteem improved regardless of surgical technique.

28 November 2024 in Otolaryngologia Polska
Verified
Journal Article
Closed access
MJMarcin Jadczak
Marcin Jadczak
SKSandra Krzywdzińska
Sandra Krzywdzińska
DJDariusz Jurkiewicz
Dariusz Jurkiewicz
Introduction: In its assumptions, rhinoplasty is intended to improve the aesthetics and restore normal function of the nose. In the Polish literature, a new tool has recently emerged for simultaneous assessment of the impact of rhinoseptoplasty on the external appearance and functionality of the nose.Aim: The aim of this study consisted in the surveying of patients having undergone rhinoplasty procedures using a validated and translated Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) questionnaire and the Rhinoplasty Outcome Evaluation (ROE) questionnaire to assess the functional and aesthetic outcomes of rhinoplasty.Materials and methods: A total of 106 subjects (N = 78 [73.6%] women and N = 28 men [26.4%]) aged 18 to 56 years (M = 33.99; SD = 9.77) participated in the study. The data were subjected to statistical analysis.Results: The analysis revealed significant differences between the measurements for all analyzed variables (p < 0.001). Statistically significantly lower SCHNOS scores and significantly higher ROE scores were reported in the postoperative assessments, with a strong effect for the difference of means (> 0.5).Conclusions: Properly performed rhinoplasty results in both aesthetic and, most importantly, functional improvement regardless of the patient’s age and gender.