Diagnostic accuracy of acute maxillary sinusitis in adults in primary care.

Objective: To evaluate the diagnostic value of symptoms and signs used in diagnosing acute community-acquired maxillary sinusitis (ACAMS), and to find useful clinical predictors for diagnosing it in adults in primary care.

Design: Prospective study in the study group and retrospective study in the reference group.

Setting: One primary care centre in the study group and another in the reference group.

The success rate of free flaps after preoperative irradiation in head and neck reconstruction.

Background And Aims: The reconstructive treatment of large head and neck tumours involves serious problems. Preoperative irradiation increases the risk of postoperative complications. Microvascular free flaps offer definite advantages over conventional reconstruction techniques and permit immediate preoperative high-dose radiation therapy.

Microvascular free tissue transfers after preoperative irradiation in head and neck reconstructions.

Surgical reconstruction of large head and neck tumors involves great problems. Preoperative irradiation increases the risk of postoperative complications. The use of microvascular free flaps has definitive advantages over conventional reconstruction techniques and permits immediate preoperative high-dose radiation therapy.

Recurrence of surgically treated pressure sores.

During an 8-year period, 39 patients were referred to our department for surgical treatment of primary pressure sores. They were examined 2-12 years postoperatively in order to demonstrate the incidence of healing or the recurrence rate of pressure sores. Approximately 2/3 of the patients suffered from a neurological disability, inducing impaired sensitivity in the critical skin areas.