Synovial plica of the elbow - detailed measurements and how to implicate its relevance in clinical practice.

Purpose: The synovial plica of the elbow is a fold of synovial tissue, which is said to be a remnant of the embryonic septa of normal articular development and is located around the radiocapitellar joint. The objective of the present study was to provide morphometric properties of the synovial plica of the elbow and its relation to surrounding structures in asymptomatic patients.

Methods: A retrospective study was conducted to establish the morphometric characteristics of the synovial plica of the elbow.

Laterally Positioned Flap Procedure with Augmented or Nonaugmented Palatal Connective Tissue Grafts in the Treatment of Multiple Adjacent Gingival Recessions: A Two-Year Follow-Up Study.

The most commonly used technique for covering gingival recessions is the coronally advanced flap (CAF) technique due to its high success rate. In clinical situations where there is less keratinized tissue apical to the defect due to unfavorable anatomical conditions, a more advantageous technique for this situation should be considered, specifically the laterally positioned flap (LPF). The aim of this study was to compare the gingival thickness after gingival recession coverage using the laterally positioned flap supported by an augmented and non-augmented connective tissue graft (CTG).

Computer-Guided Immediate Full-Arch Implant Reconstruction of the Mandible in Severe Periodontally Compromised Patients: Three-Dimensional Analysis of Bone Volume Changes.

Purpose: Comprehensive rehabilitation in patients with severe periodontal destruction may require the use of dental implants. The primary aim of this study was to evaluate bone volume changes in periodontally compromised patients over a 12-month follow-up period after immediate full-arch implant reconstruction of the mandible. The secondary aim was to evaluate the repeatability of 3D bone volume change measurement methods around dental implants.

In Vivo Evaluation of Periodontal Phenotypes Using Cone-Beam Computed Tomography, Intraoral Scanning by Computer-Aided Design, and Prosthetic-Driven Implant Planning Technology.

BACKGROUND Two clinical parameters, the gingival thickness (GT) and the width of keratinized tissue (WKT), describe the gingival phenotype, which is defined as the 3-dimensional volume of the gingiva. The periodontal phenotype additionally includes the thickness of the labial plate of the alveolar crest (TLPAC). MATERIAL AND METHODS Thirty patients with healthy periodontium on the upper canines and incisors underwent measurements for crestal, supracrestal, free gingival thickness (FGT), the alveolar crest-gingival margin (AC-GM), alveolar crest-cementoenamel junction distance, and the TLPAC at 2, 4, and 8 mm apically from the edge of the alveolar crest using cone-beam computed tomography (CBCT) with computer-aided design and prosthetic-driven implant planning technology.

Dental Health Status and Oral Health Care in Nursery School-Aged Children and their Parents Living in Poznan (Poland).

Objectives: The aim of this study was to evaluate the dental health status of nursery age children and parents. The use of dental services was assessed.

Subjects And Methods: The study was performed in nursery schools located in Poznan, Western Poland.

Reproducibility of the PIROP ultrasonic biometer for gingival thickness measurements.

Objectives: Gingival thickness (GT) has a great importance in periodontal flap design, gingival recession, and soft tissue esthetic. The aim of this study was to determine the reproducibility of PIROP ultrasonic biometer, which is specially designed for human GT measurements and to compare with the invasive transgingival probing technique.

Materials And Methods: GT was measured in 25 periodontally healthy volunteers both by PIROP and an endodontic spreader on the attached gingiva.

The repeatability and reproducibility of gingival thickness measurement with an ultrasonic device.

Background: Successful periodontal and implant surgery as well as orthodontic treatment often depends on gingival and mucosal thickness. So far there has been no generally accepted protocol of measuring the thickness of gingiva by non-invasive methods.

Objectives: The aim of the study was to evaluate the repeatability and reproducibility (%R&R) of the 20 MHz A-Scan ultrasonic device in measuring gingival thickness (GT) in the mucogingival complex.

A Preliminary Clinical Comparison of the Use of Fascia Lata Allograft and Autogenous Connective Tissue Graft in Multiple Gingival Recession Coverage Based on the Tunnel Technique.

Background: The most effective method for treating gingival recessions (GR) is with an autogenous connective tissue graft (CTG) via flap surgery. Often, however, the amount of CTG that can be grafted is insufficient to cover all of a patient's gingival recessions at one time.

Objectives: The objective of this study was to provide a 6-month comparative assessment of the results of covering multiple Miller Class I and II gingival recessions with a Fascia Lata Allograft (FL) and a CTG harvested from palatal mucosa.

Augmentation of the hard palate thin masticatory mucosa in the potential connective tissue donor sites using two collagen materials-Clinical and histological comparison.

Background: Due to the similarity of keratinized gingival and palatal mucosa the latter can pose as a potential donor site for gingival recession coverage. However, its availability is restricted and a thin transplant bears the risk of being rejected. The aim of the present study was to compare the clinical and histological results of thin palatal mucosa augmentation, using lyophilized Biokol xenogenous collagen sponge and a suspension of xenogenous Gel 0 pure collagen with non-augmented tissue from the same patients.

Multiple gingival recession coverage with an allogeneic biostatic fascia lata graft using the tunnel technique--A histological assessment.

Background: Autogenous connective tissue graft (CTG) that can be safely harvested from the palatal mucosa is limited. Often a multi-stage surgical procedure is needed to cover multiple gingival recessions (MGR). To address this problem, efforts are being made to explore substitutes suitable in size to ensure surgical treatment in a single visit.

Ileal pouch morphology and microbiology in ulcerative colitis patients.

Background: Ideal pouch created during restorative proctocolectomy is a new gastrointestinal organ--"neorectum". Although it is made from the ileum, it takes over function of the removed rectum. This new function results in significant morphological changes in pouch's mucous membrane, which becomes similar to the large bowel mucosa.

The use of a biostatic fascia lata thigh allograft as a scaffold for autologous human culture of fibroblasts--An in vitro study.

The method for covering gingival recession defects and augmenting keratinized gingiva involves the use of autogenuous connective tissue grafts obtained from palatal mucosa in combination with various techniques of flap repositioning or tunnel techniques. In the case of multiple gingival recession defects the amount of connective tissue available for grafting is insufficient. Therefore, the use of substitutes is necessary.

Assessment of gingival thickness using an ultrasonic dental system prototype: A comparison to traditional methods.

Knowledge of periodontal anatomy is essential when performing surgical and non-surgical procedures in the field of oral healthcare. Gingival thickness (GT) is often assessed for this purpose. A dental system prototype was recently developed for quantitative, non-invasive GT assessment by high-frequency (HF) ultrasound.

[Haemorrhagic shock complicating acute pancreatitis].

Background: Acute pancreatitis may be accompanied by a number of complications. They include diffuse peritonitis, intra-abdominal and retroperitoneal abscesses, and severe haemorrhage. These complications are the cause of approximately 50% of all deaths in acute pancreatitis.

Neuroendocrine tumours--analysis of own material--a nine--year retrospective study.

Background/aims: Neuroendocrine tumours are fairly rare neoplasms that require different treatments and have various prognoses. The aim of this study was to present the author's observations of the histological tumor types, occurrence and its surgical treatment.

Methodology: Thirty-five cases of neuroendocrine tumours were studied retrospectively in a 9-year period.

Retroperitoneal tumours--analysis of own clinical material--a six-year retrospective study.

Background/aims: Primary retroperitoneal tumours and retroperitoneal organs' tumours represent a variety of lesions that require different treatments and have various prognoses. The aim of this study was to present the author's observations of the histological tumors types occurrence and their surgical treatment.

Methodology: One hundred twenty-three cases of retroperitoneal tumours were studied retrospectively in a 6-year period.

Analysis of results of surgical treatment in Crohn's disease.

Background/aims: Crohn's disease is a non-specific, chronic inflammatory disorder affecting any part of alimentary tract. Patients receiving proper medication require surgery in 70-90% of cases. Analysis of results of surgical treatment in Crohn's disease in patients treated at the Medical University of Wrocław and an attempt to elaborate the optimal surgical strategy in Crohn's disease was the aim of the study.

Relation between chronic pancreatitis and pancreatic cancer in the light of surgical management.

Background/aims: Relation between cancer of the exocrine part of the pancreas and chronic pancreatitis has not been clearly defined and the problem of carcinogens based on long-lasting chronic pancreatitis is still a matter of discussion.

Methodology: The aim of the study was analysis of postoperative material of patients who in the years 1999-2003 underwent either drainage procedures (n=49) in the course of chronic pancreatitis or resectional procedures (n=36) for chronic pancreatitis or pancreatic cancer.

Results: In the group of patients with drainage procedures pancreatic cancer was histologically detected in postoperative material (specimens collected from the wall of pancreatic pseudocyst or dilated main pancreatic duct) in 3 patients (6.

[Clinical significance of oxidation and acetylation genetic polymorphism in patients with hyperthyreosis].

Introduction: The relationship between genetically determined polymorphic oxidation and acetylation and susceptibility to some disease was aroused much interest. The aim of our study was to evaluate whether patients with hyperthyreosis differ from healthy persons in their ability to oxidize sparteine and acetylate sulphadimidine as model drugs. Oxidation and acetylation were estimated in 48 patients with hiperthyreosis.

[Preliminary approach towards construction of peptide libraries as potential tools for diagnosis of malignant thyroid tumors].

Introduction: Cancer of thyroid gland is the most common malignancy of the endocrine system. The treatment improvement could be achieved by early diagnosis. The aim of the study was to identify cancer specific antigenes with use of peptide libraries.

Ileal-pouch-anal anastomosis after restorative proctocolectomy in patients with ulcerative colitis or familial adenomatous polyposis.

Background/aims: Restorative proctocolectomy is the "golden standard" in surgical treatment of ulcerative colitis and familial adenomatous polyposis. The two alternative techniques of ileal-pouch-anal anastomosis include hand-made suture and double line stapled suture. The aim of the study was the analysis of postoperative complications and functional results of the two types of anastomosis.

[Cavernous hemangiomas of the adrenal glands--rare incidentaloma type tumors].

Cavernous hemangiomas of the adrenal glands are extremely rare benign lesions and most are incidental findings. The increasing frequency of the adrenal masses detection is due to the widespread use of the contemporary imaging techniques. We review incidence, pathology, clinical features, diagnostic and therapeutic treatment of the adrenal cavernous hemangiomas.

Surgical treatment of constipation.

Constipation is a common symptom in clinical practice. Definition of constipation includes abnormal bowel frequency, difficulty during defecation and abnormal stool consistency. There are many classifications of constipation based on constipation etiology (constipation in healthy people caused by life style, constipation as a symptom of digestive tract diseases, secondary constipation in the course of systemic disorders or associated with drugs) and/or constipation mechanisms (functional, mechanical).

[Ludwik Rydygier--homo creator. The 150th anniversary of the birth of Ludwik Rydygier].

The authors present biography of Ludwik Rydygier, the great Polish surgeon, with special emphasis on his medical and scientific activity as well as his role in the foundation of Polish surgical school.