A salivary fistula is one of possible postoperative complications in the surgery of parotid gland tumors. We present three cases of postparotidectomy salivary fistulas, successfully treated by surgical access using 2-octyl-cyanoacrylate while closing the skin layer. The previous treatment of these cases by other therapeutic options did not give satisfactory results. In a 5-year follow-up period there were no signs of fistulas relapses. The surgical access with use of 2-octyl cyanoacrylate can be one of therapeutic options for the closing of postparotidectomy salivary fistulas, especially in cases where other therapeutic accesses are not successful.
Body temperature is an important indicator that may indicate the possibility
of the existence of various pathological conditions and diseases. In the
head and neck area, an infrared camera allows accurate temperature
measurements of all regions of interest. The analysis of temperature
characteristics of the region of interest of the head and neck in healthy
subjects in terms of comparison of values in relation to the side of the
face in the same person, and the comparison of values relative to the sex of
the subjects is the topic of this research. These analyses are performed to
create temperature maps of the face and determine physiological values. The
research was conducted with the participation of 30 healthy people, 16 women
and 14 men of different ages. Thermal imaging was performed in controlled
conditions with infrared thermographic camera Varioscan 3021ST, while the
software package IRBIS Professional 2.2 was used for thermogram analysis.
Results show that the temperatures in female subjects at the submandibular
region are significantly lower than in male subjects with an average
temperature difference of 0.46?C, and the temperatures in female subjects at
the supraorbital region are on average 0.5?C higher than in male subjects.
MALT lymphoma is a rare tumor of the salivary glands, with the most frequent localization in the parotide gland. It had a slow clinical course, without metastases in both patients. The diagnosis was made pathohistologically and confirmed immunohistochemically. The surgical therapy was accompained by adjuvant chemotherapy.
Introduction/Objective Nasolacrimal duct obstruction with consequent epiphora and the development of dacryocystitis (DC) represents a common pathological entity in the clinical practice of ophthalmologists and maxillofacial surgeons. The etiology of DC is multifactorial and still has not been clarified in detail. It is considered that ascending infections from the nasal cavity and paranasal sinuses, injuries and surgical interventions in the middle third of the face, dacryoliths, tumors of the lacrimal sac and surrounding structures may be some of the etiological factors of nasolacrimal duct obstruction. The aim of this study is to present clinical characteristics and surgical treatment of DC. Methods A retrospective study was carried out. It covered a period of 10 years during which 49 patients with clinically verified DC were treated after surgical examination and complete diagnostics. Out of the total number, 37 patients underwent surgery. Results The occurrence of predisposing factors was present in 80% of the patients-rhinitis and the inflammation of paranasal sinuses in 27 patients (72%), injuries and surgical interventions in the middle third of the face in nine patients (24%), whereas lacrimal sac and nasolacrimal duct tumors were noted in three patients (8%). Surgical failure, which was manifested in terms of recurrent DC and epiphora, was noted in six cases (16%). Conclusion Regarding the possible complications of inadequately administered antibiotic therapy and a broad spectrum of pathological entities which comprise the differential diagnosis, dacryocystorhinostomy with an adequate histopathological analysis and appropriate antibiotic therapy in the acute stage represents a right way for the treatment of DC.
Metastatic cancers of the parotid are very rear and hard to diagnose neoplasms. They can be classified into two major groups: tumors with supraclavicular and inflaclavicular primary localization. Squamous cell carcinoma of the skin is the most common histological type found; it is followed by melanoma, Merkel cell carcinoma and adenocarcinoma of the lungs. We analyzed 420 patients that were diagnosed with parotid gland tumors at the department of Maxillofacial surgery, Clinic of Dentistry in Niš, from 2007 to 2017. In 121 patients pathohistological findings showed malignant tumors out of which 21 were metastatic. Radical parotidectomy with adjuvant radiotherapy of the head and neck region was the most common type of treatment. Neck dissection was performed in all of the patients but the extent of it depended on the clinical findings. Lymph nodes were negative for the metastatic disease in only 4 patients. Survival rate is very different among patients ranging from 8 to 138 months.
Deep neck space infections are defined as infections that spread along the fascial planes and spaces of the head and neck. Even in the era of antibiotics, these infections can and have been potentially life-threatening conditions. The role of single nucleotide polymorphisms (SNPs) of tumor necrosis factor-α (TNF-α) and transforming growth factor-β1 (TGF-β1) genes in deep neck infections has not been studied. Thus, the aim of this study was to investigate the distribution of the TNF-α G-308A and TGF-β1 C-509T polymorphisms in patients suffering from infections of deep neck spaces and to determine the correlation of these polymorphisms with the values of inflammation markers [C-reactive protein (CRP) and white blood cell (WBC) count]. A total of 41 patients with infections of deep neck spaces and 44 healthy controls were screened for TNF-α G-308A and TGF-β1 C-509T polymorphisms using the polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) method. The distribution of the TNF-α G-308A genotype in patients did not reveal statistically significant correlation compared to con-trols (p = 0.483, χ2 = 0.491) as well as the distribution of the TGF-β1 C-509T genotypes (p = 0.644, χ2 = 0.725). The distribution of TNF-α -308 and TGF-β1 -509 alleles was not significantly different in patients compared to controls. Moreover, CRP levels and WBC counts were not associated with TNF-α G-308A and TGF-β1 C-509T promoter polymorphisms in patients with deep neck infections. In conclusion, our study suggests that the TNF-α G-308A and TGF-β1 C-509T polymorphisms are not associated with infections of deep neck spaces.
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