[Complications in surgical treatment of thyroid diseases].

The Aim: of this study was examination of laryngeal nerve injury, hypoparathyroidism, bleeding and thyroid storm frequency after thyroidectomy.

Material And Methods: Retrospective analysis of 847 patients surgically treated from 1985 to 2004 due to thyroid cancer (77) or multinodular goiter (770). We analyzed influence of type of thyroidectomy, diagnosis and reoperation on complication rates.

[Primary hyperparathyroidism--case report and review of the literature].

We present case report of primary hyperparathyroidism treated surgically as well as a review of literature concerning this subject. The disease of not well known etiology presents with elevated parathormon levels and hypercalcemia. Primary hyperparathyroidism which states 85% percent of all kinds of hyperparathyroidism is usually parathyroid adenoma, in 11-15% glandular hyperplasia and in 1-4% parathyroid cancer.

US of the major salivary glands: anatomy and spatial relationships, pathologic conditions, and pitfalls.

Ultrasonography (US) is useful for differential diagnosis of diseases of the salivary glands. In acute inflammation, salivary glands are enlarged and hypoechoic with increased blood flow; they may contain multiple small, oval, hypoechoic areas. In chronic inflammation, salivary glands are normal sized or smaller, hypoechoic, and inhomogeneous.

[Acute suppurative thyroiditis--laryngologic problem].

Introduction: Authors present four cases of acute suppurative thyroiditis treated in our department. Initial symptoms are similar to acute pharyngitis or laryngitis but could end in fulminant course that could be life threatening.

Material And Methods: We present etiology, clinical symptoms and accessory exams as well as new treatment methods.

[Haemangiopericytoma of the parotid gland].

Haemangiopericytoma is a vascular, soft tissue neoplasm with rare occurrence in the head and neck region. On the basis of literature we discuss etiology, symptomatology, histopathology, diagnosis, treatment and prognosis. We present the case of 66-old woman with haemangiopericytoma in the parotid gland treated by surgery.

[Cerebral abscess and ear cancer in the course of chronic otitis media].

Authors are discussing the coexistence of cerebral abscess and the ear cancer in the course of chronic otitis media. They are emphasizing the existing danger of intracranial complications and at the same time the development of cancer with a non-typical course in the middle ear with effusion is more probable.

[Stomaplasty for trachoestomal stenosis using rib cartilage--authors method].

Authors present surgical procedure for treatment of tracheostomal stenosis after laryngectomy with use of 7th rib cartilage. Procedure is simple, almost without morbidity, provides good ventilatory and cosmetic results and helps in learning esophageal speech.

[Salvage surgery after failure of radiotherapy in laryngeal cancer].

Objective: Efficacy of salvage surgery after radiotherapy failure in patients with laryngeal cancer.

Material And Methods: Retrospective analysis of 121 patients treated in our clinic between 1980 and 2003 (supraglottis--86 patients, glottis--35). In 70% of patients T-stage was T3 and T4 and regional metastases were present in 56% of cases.

[Extracapsular spread as an ominous prognostic sign in laryngeal cancer].

Objective: Impact of extracapsular spread upon survival and recurrence rates in patients with laryngeal cancer.

Material And Methods: Retrospective analysis of 309 patients with pathologically confirmed regional metastases with and without extracapsular spread (144 and 165 patients respectively). To examine impact of clinical variables upon treatment outcomes we used logistic regression (logit) and Kaplan-Meier method to calculate 5-years disease free survival.

[Effectiveness of therapeutic (NI, N2) modified radical neck dissection (MRND) in patients with laryngeal cancer].

Objective: Efficacy of modified radical neck dissection in treatment of laryngeal cancer with node positive neck.

Patients And Methods: Retrospective analysis of 311 patients treated with modified radical (86) or radical (225) neck dissection. Recurrence rates, local and regional, after both operations and 5-year disease free survival (Kaplan-Meier method) were analyzed.

[Kuttner tumour--review of the literature and report of 3 cases].

We present 3 cases of Kuttner tumour (or chronic sclerosing sialadenitis of submandibular gland) all treated by surgery. In one case we report bilateral involvement. The disease was first described by Kuttner more than 100 years ago.