Necrotic ulcerative stomatitis in a patient with long-standing celiac disease: a case report.

Celiac disease is the most common chronic gastroenterological disease. One of the extraintestinal manifestations of this multifaceted disease are changes in the oral mucosa. However, ulceration leading to the destruction of the soft and hard tissues of the orofacial region has not been reported so far.

DESCENDING NECROTIZING MEDIASTINITIS SECONDARY TO RETROPHARYNGEAL ABSCESS.

Descending necrotizing mediastinitis secondary to a nontraumatic retropharyngeal abscess is very rare. This form of mediastinitis in the era of potent antibiotics often ends up with lethal outcome. It usually occurs in immunocompromised patients and requires intensive multidisciplinary treatment approach.

[INCIDENCE AND SURGICAL IMPORTANCE OF PYRAMIDAL LOBE AND TUBERCLE OF THE THYROID GLAND: A PROSPECTIVE STUDY].

The pyramidal lobe and tubercles are common anatomic variations of the thyroid gland, and their frequency is highly represented. While pyramidal lobe requires additional seriousness in identifying and its removal, especially in patients with hyperthyroidism and thyroid cancer, the presence of tubercles is desirable. Tubercle is covered by recurrent laryngeal nerve and directs the surgeon in his search and besides this, serves to facilitate detection of the upper parathyroid glands.

RENAL CELL CARCINOMA METASTASIS TO THE SINONASAL CAVITY: CASE REPORT.

Renal cell carcinoma accounts for 3% of all adult malignant tumors. Common sites of metastases are lungs, bone, liver, brain and adrenal glands. Metastatic disease to the head and neck ranges from 15% to 30%.

[Descendending necrotizing mediastinitis single center experience].

The descending necrotizing mediastinitis is a rare but life-threatening inflammation, and occurs as a complication of deep inflammation of the neck. The mortality rate is still high by 40% despite the use of a variety of potent antimicrobial drugs. We describe 7 patients with the descending necrotizing mediastinitis treated in our hospital during the last 12 years.

[Necrotizing fasciitis of the neck].

Necrotizing fasciitis is a rare and rapidly progressive infection characterized by necrosis of the superficial fascia and spread on the surrounding skin or muscles, which can be fatal. It usually occurs in the limbs, abdominal wall and perineum. In this retrospective review, the authors present 15 patients with cervical necrotizing fasciitis.

Transoral excision of a parapharyngeal space tumor: case report.

Tumors of the parapharyngeal space are rare tumors comprising less than 1% of all head and neck neoplasms. They are mainly salivary gland or neurogenic tumors. Clinical presentation is very variable.

Giant basal cell carcinoma of the forehead: a case report.

Giant basal cell carcinoma (GBCC) is defined as a tumor 5cm or greater in diameter. They present less than 1% of all basal cell carcinomas. We present a case of an 85-year-old male patient with a giant ulcerating tumor of the left forehead (measuring 7x6 cm).

Non-functioning parathyroid gland carcinoma: case report.

Parathyroid gland carcinoma is a rare malignancy. The tumor is mostly functioning, causing severe hyperparathyroidism, with high serum calcium level and severe bone disease. Non-functioning parathyroid carcinomas are extremely rare.

[Tolosa-Hunt syndrome: a case report].

Tolosa-Hunt syndrome is a nonspecific granulomatous inflammation of the cavernous sinus, superior orbital fissure and apex of the orbit. It involves episodes of unilateral orbital pain which may last several weeks, lesions of cranial nerve III, IV or VI, and rarely II, V, VII and VIII. It is characterized by remissions and exacerbations, and can cause permanent neurological disorder of the affected nerves.

[Reconstruction of the middle third marginal auricular defect].

Reconstruction of the middle third auricular defect was performed with retroauricular skin flap formed by V incision with base on the damaged ear, and ipsilateral cartilage graft of the concha. This method achieved reconstruction in one act, with adequate auricular circumference and minimal mastoid region scar.

[Thyroglossal duct cyst with laryngeal extension].

Thyroglossal cyst is frequently located in the thyrohyoid region. In rare cases, it breaches and remodeles anatomical structures of the larynx and manifests with dysphonia and laryngeal obstruction. A 60-year-old patient with a big thyroglossal duct cyst with laryngeal extension and cartilage erosion is described.

[Reconstruction of traumatic defect of the upper third of the ear].

Replacement of defect of the upper third of the ear consequent to a traffic accident was successfully performed using modified Antia-Buch technique. Creation of wider and longer skin-cartilage flaps and their increased rotation allowed formation of the upper edge of the ear without tension and postoperative complications. Although the repaired ear is a bit smaller to attain adequate relief and matching color, the use of this method achieved a satisfactory esthetic result.

The effect of propofol and fentanyl as compared with sevoflurane on postoperative vomiting in children after adenotonsillectomy.

Postoperative vomiting (PV) after adenotonsillectomy in children is a common problem with an incidence as high as 40-80%. Only few studies in the recent literature compared the effect of different anesthetic techniques concerning PV in children. The aim of this study was to compare the incidence of PV in two groups of children who underwent two different general anesthesia techniques in order to determine what type of anesthetic technique is more related to less PV.

[Thyroglossal duct cyst in hyoid bone].

The thyreoglossal cyst may be located in the intralingual, suprahyoid, thyrohyoid or suprasternal region. Its position in the hyoid bone is extremely rare. In this paper a 62-year-old patient with a big thyreoglossal duct cyst situated in the corps of the hyoid bone is described.

[Plunging ranula].

Saliva extravasation from the sublingual gland causes ductal lesion or obstruction and results in the formation of a ranula. It spreads through or behind the mylohyoid muscle situated on the neck. Most frequently it is located in the submandibular or submental region.

Retropharyngeal abscess and acute inflammation of the maxillary sinus: transoral procedure as a surgical method of treatment.

A previously healthy man, 65 years of age, was hospitalized for clinical symptoms and signs of retropharyngeal abscess. Computed tomography showed an abscess of the retropharyngeal space and the presence of liquid content in the paranasal sinuses. The patient was completely treated by the administration of combined antibiotics, biopsy procedure and aspiration of the contents by the retropharyngeal transoral procedure.

[Efficacy of administration of 0.3% pefloxacin solution in the treatment of acute diffuse inflammation of the auditory canal].

Acute diffuse inflammation of the auditory canal skin is most often caused by gram-negative organisms. Bacteriological analysis of swabs of the auditory canal skin in 70 patients with acute inflammation most frequently found P. aeruginosa, in 64% of patients.