[Some clinical and imaging aspects of lateral sinus thrombophlebitis].

Aim: This article focuses on the lateral sinus thrombophlebitis, which is a serious complication of the supurated otopathies.

Material And Methods: It is based on a study of a significant number of both exo- and endocranial complications treated in the the "Sf Spiridon" Hospital- ORL department and at the "Prof. dr.

[Parapharyngeal space--history and surgical study].

Unlabelled: One area of anatomy, which is a true passage of secrecy, is the anatomy of the potential anatomical spaces. The study of the fascial layers of the head and neck and the potential spaces they make-up is both fascinating and confusing. Much of the confusion is a function of the multiple synonymous terms and classifications that various authors use, and not the basic anatomical description.

[Sinonasal headache--reality or mis-diagnosis?].

Unlabelled: Facial pain can be the presenting, and sometimes the only, complaint of many disorders that originate from cranial structures. One causes of facial pain/headache is sinusitis, in both its acute and its chronic presentation. Successful management of headache is preceded by the identification of an etiology and precise diagnosis.

[Industrial sound spectrum entailing noise-induced occupational hearing loss in Iasi industry].

Unlabelled: In European Union every day millions of employees are exposed to noise at work and the risk this can entail.

Aim: this study presents the sound spectrum in Iasi heavy industry: metal foundries industry, punching and embossing of metal sheets, cold and hot metal processing.

Material And Methods: it was used a type 2 Sound Level Meter (SLM) and the considered value was the average value over 10 test values in 10 consecutive days for each octave band in common audible frequency range.

[Rare tumors of the neck--report of two cases].

Of the tumors of the neck some are very uncommon, difficult to diagnose both clinically and paraclinically. Two of the most rare tumors are osteolipoma and soft tissue sarcoma. We present 2 such cases admitted to and operated at the ENT Department of the Iasi "St.

[Etiologic considerations of postlaryngectomy dysphagia].

Unlabelled: Dysphagia following laryngeal surgery is a common and severe symptom. Two life-threatening complications can compromise the patiens quality of life: pneumonia and malnutrition. Diagnostic procedures of swallowing disorders are represented by videofluoroscopic evaluation, CT scan and fiberoptics endoscopy.

Laryngotracheal non-Hodgkin's lymphoma.

Objectives: Malignant lymphomas of larynx and trachea are rare tumors and require special diagnostic and therapeutic attention. The authors present an unexpected case of nonHodgkin Lymphoma localized in the subglottic larynx and upper cervical trachea. The clinical presentation, diagnostic and therapeutic approach, evolution and prognosis are discussed.

[Quantification of the acute respiratory insufficiency of laryngo-tracheal origin].

Acute respiratory insufficiency defines that status in which the respiratory system is not able to supply the metabolic requirements of the organism. The laryngo-tracheal segment plays an important role in the respiratory function, an obstruction at this level inducing an important limitation of oxygen intake. Due to the requirement of fast repermeabilisation of this segment, it is necessary to define all criteria (clinical and laboratory examination) required to diagnose and to evaluate the respiratory failure.

[The value of surgical therapy in cervical nodal metastases].

Aside from distant metastasis, cervical nodal metastases are the worst prognostic indicator for survival in patients with head and neck carcinoma. Presence of nodal metastases decreases survival by fifty percent. This paper refers to surgical therapy of cervical adenopathy known as the radical neck dissection, for clinically positive nodal metastases, follow by chemotherapy or radiotherapy depending on the primary tumor site.

[Laryngoplasty with cutaneous tube--methods of surgical treatment in caustic stenosis].

The authors present a retrospective study on 84 cases with laryngo-pharyngo-esophageal stenosis treated in ENT Department of "Sf. Spiridon" Emergency Clinical Hospital from Iaşi, over 25 years, between 1980-2005 which were solved by surgical treatment. In order to solve the different types of the superior laryngeal stenosis and the hypo-pharynx, there have been used deltoid-pectoralis cutaneous flaps.

[The surgical importance of the thyro-laryngo-pharyngeal lymphatic interconnections].

The paper presents a study of the evolutional morphogenetic stages of the lymphatic and conjunctive neck structures formation. The authors make particular appreciations concerning the pattern of organization and also, the functional connections of lymphatic and conjunctive elements at intravisceral, perivisceral and perivascular level. Our study proves that these structures form the barriers but also, the spread pathways of the tumoral and inflammatory process which, after an endocavitary development, diffuse either on the adjacent organs or to the main cervical lymph nodes.

Therapeutical aspects of the plasmocytoma localized at the level of head and neck.

The authors present a study on 7 cases of extramedullary plasmocytoma localized in E.N.T.

A retrospective study of the cervico-facial nervous tumours from the E.N.T. Department of Iassy, Romania, during 1975-1995.

The schwannomas situated at the neck or at the lower part of the skull are rare; very often they appear as on isolated tumoural mass with borrowed symptoms due to the compression of the surrounding structures, signs intra-operation objectivated and anatomo-pathologically confirmed. The authors present statistically the cases of cervico-facial schwannoma hospitalized and surgically solved in the O.R.

[Thyroid actinomycosis (actinobacteriosis)].

An extremely rare case (the 15th case reported in the literature, according to our knowledge) of the infection with Actinomyces Israeli localized at the level of thyroid gland is presented. Although the clinical and imaging data, the fine needle aspiration biopsy, and the intraoperative aspect clearly suggested the diagnosis of thyroid cancer, the microscopic examination surprisingly identified "sulfur granules", specific to actinomycosis, so that treatment and prognosis were reconsidered.

[Clinical and evolutive considerations on rhinosinus cylindromas].

With reference to 7 cases of rhinosinusal cylindroma, rarely, encountered at this level (approximately 3% of all malignant rhinosinusal tumours), the authors discuss the evolution of the tumour and its treatment in the light of recent published data and their own experience in cases followed up over a long interval. In contrast to the pathohistologic aspect according to which these tumours are relatively benign, cylindromas appear to be malignant tumours with a slow, infiltrative evolution and a marked tendency to recurrence. After many years they may be transformed into carcinomas.