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Pathological Fractures of the Mandible in the Department of Cranio-Maxillofacial Surgery Medical University in Łódź

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Tyndorf M., Manowska B., Arkuszewski P., Gaszyńska E.
Polish Journal of Surgery
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2010
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vol. 82
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issue 11
615-620
EN
Pathological fractures of the mandible are rare, comprising 1-2% of this injuries.The aim of the study was to analyse demographic data, etiology, site and treatment procedures of pathological mandible fractures.Material and methods. The retrospective study comprised 17 patients (10 males and 7 females) with pathological mandible fracture. Upon the basis of the medical documentation, demographic data, such as age and sex, were recorded, and so were clinical data: mechanism of the fracture, its cause (pathology, causing lowering the mechanical resistibility of the mandible), location and manner of the treatment.Results. Most common cause of the fracture was presence of odontogenic cyst and mandibular atrophy. Most common mechanism of injury were chewing and falls. Regardless of the causes, the majority of the fractures occurred in the body of mandible.Conclusion. Treatment of the mandibular pathological fractures differs according to etiology.
2
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Head and Neck Lymphomas - Diagnostic Difficulties

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Neskoromna-Jędrzejczak A., Tyndorf M., Arkuszewski P., Kobos J.
Polish Journal of Surgery
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2012
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vol. 84
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issue 3
113-118
EN
Malignant lymphomas represent approximately 5% of all malignant neoplasm of the head and neck and may involve nodal or extranodal sites. The head and neck region is the second most frequent anatomical site of extranodal lymphomas (after the gastrointestinal tract). Most are non-Hodgkin lymphomas (NHL) of B-cell lineage. Hodgkin's lymphoma (HL) rarely occurs in extranodal site.The aim of the study was to evaluate head and neck manifestation of lymphoma (both HL and NHL) and emphasize diagnostic difficulties of these pathologies.Material and methods. Retrospective review of medical records of patients diagnosed for lymphomas in our department was performed. Authors analyzed demographic data as well as clinical manifestation and diagnostic trials.Results. 9 patients were included to the study. 7 of them suffered from extranodal NHL and 2 of them from HL (one patient - extranodal and one nodal manifestation). There were diagnostic complications in all cases and final diagnosis was made after surgical material analysis.Conclusions. This data demonstrate low sensivity of fine needle aspiration for identification of lymphoma as well as clinical picture is non characteristic.
3
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Clinical Aspects of Diagnosis and Treatment of Elongated Styloid Proces Syndrome

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Arkuszewski P., Przygoński A., Tyndorf M.
Polish Journal of Surgery
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2010
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vol. 82
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issue 11
626-630
EN
Eagle's syndrome is a rare cause of chronic cervical and throat pain connected with styloid process elongation. The etiology of this disorder remains unclear. The authors presented four cases of symptomatic, one-sided and both-sided elongation of the styloid process. Moreover, the study presented aspects of diagnosis and treatment of Eagle's syndrome. The Authors especially focused on surgical techniques.
4
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Methicillin Resistant Staphylococcus Aureus Infections of Soft Issues of the Oral Cavity, Face and Neck in Patients Hospitalized at the Cranio-maxillofacial Surgery Department

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Gaszyńska E., Tyndorf M., Manowska B., Arkuszewski P.
Polish Journal of Surgery
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2011
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vol. 83
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issue 4
212-215
EN
The aim of the study was to identify a group of patients at high risk of methicillin resistant Staphylococcus aureus (MRSA) infection following surgical procedures involving oral cavity, head and neck.Material and methods. A retrospective analysis of demographic, clinical and laboratory data was performed. A manual search of laboratory records for a five years period (2005-2009) was performed for specimens submitted to the diagnostic microbiology laboratory from patients admitted to the Cranio-Maxillofacial and Oncologic Surgery Department.Results. Methicillin resistant Staphylococcus aureus was identified in 26 cases. Most commonly it was isolated from tongue swabs in patients following extensive oncological surgical procedures involving oral cavity. Most common risk factors were: age above 65 years, neoplasms, multisite trauma with loss of consciousness, cigarette smoking, alcohol abuse, tobacco addiction, antibiotic therapy immediately before hospitalization. More than half of patients with MRSA infection required surgical treatment except for pharmacological treatment.Conclusions. Monitoring of postoperative wounds is of great importance with regard to he risk of MRSA infection.
5
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Blindness After Midface Injuries - Data From the Department of Cranio-Maxillofacial and Oncological Surgery, Medical University in Łódź

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Gaszyńska E., Krawczyk M., Tyndorf M., Arkuszewski P.
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EN
One of the most serious consequences of eye globe injury is loss of vision. Direct trauma to the eyeball is extremely rare, in comparison to the incidence of orbital fractures.The aim of the study was to determine the frequency and characteristics of post-traumatic amaurosis in patients subject to midfacial injuries.Material and methods. Retrospective analysis comprised 6677 records of patients admitted to the Department of Cranio-Maxillofacial and Oncological Surgery, Medical University in Łódź during the period between 2004 and 2009.Results. Post-traumatic amaurosis was diagnosed in seven patients. The most common cause of post-traumatic blindness was attributed to fighting and road traffic accidents. All patients with midface fractures were thoroughly examined by an ophthalmologist. Six patients were subject to pharmacological therapy, while two were qualified towards surgical treatment (optic nerve decompression).Conclusions. It is necessary to conduct an accurate examination of the visual organ in all patients after midfacial trauma, in order to confirm or exclude organ of vision injuries. Pharmacological and surgical treatment should be immediately initiated, as a consequence of optic nerve neuropathy.
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