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. We report on the development of necrotizing ulcerative stomatitis in a 41-year-old woman with celiac disease. The initial ulcerative lesion was located in the lower lip mucosa. Necrosis of all layers of the left side of the lip and oral commissure progressed very quickly. The resulting defect required plastic reconstructive surgery. We successfully compensated for the defect by applying a combination of two flaps from the remaining tissue of the lower lip. Oral competence was established immediately after the operation, and a very good esthetic appearance two months later

Epidermoid and Dermoid Cysts of the Head and Neck

Epidermoid and dermoid cysts (ECs and DCs) are congenital anomalies occurring in areas of embryonic fusion. Their incidence in the head and neck region is low and ranges from 1.6% to 7%. The aim of this study is to report on the clinical characteristics, treatment, and outcome of 22 patients from a single-institution experience. A retrospective analysis of patients treated for ECs and DCs of the head and neck over a 12-year period was performed. The present study included 22 patients (male/female ratio 1:1). The mean age of presentation was 11.68 years. The lesions were distributed in the orbital regions in 7 (31.82%) patients, auricular regions in 6 (27.27%), neck regions in 5 (22.73%), floor of the mouth in 3 (13.64%), and nose in 1 (4.55%). Complete surgical excision was performed as a definitive treatment method in 21 patients (95.45%). The mean size of the excised lesions was 21.36mm at the widest length (range: 10–70 mm). On the basis of histopathological examinations, 15 (71.43%) lesions were classified as ECs and 6 (28.57%) as DCs. Postoperative complications were noted in 3 (14.29%) patients, 2 (9.52%) with recurrences and 1 (4.76%) with hypertrophic scarring. All of these patients were successfully cured after a second surgery. The ECs and DCs of the head and neck present an interesting diagnostic and therapeutic challenge. Successful management depends on a thorough knowledge of their clinical and radiological features

Epidermoid and Dermoid Cysts of the Head and Neck

Epidermoid and dermoid cysts (ECs and DCs) are congenital anomalies occurring in areas of embryonic fusion. Their incidence in the head and neck region is low and ranges from 1.6% to 7%. The aim of this study is to report on the clinical characteristics, treatment, and outcome of 22 patients from a single-institution experience. A retrospective analysis of patients treated for ECs and DCs of the head and neck over a 12-year period was performed. The present study included 22 patients (male/female ratio 1:1). The mean age of presentation was 11.68 years. The lesions were distributed in the orbital regions in 7 (31.82%) patients, auricular regions in 6 (27.27%), neck regions in 5 (22.73%), floor of the mouth in 3 (13.64%), and nose in 1 (4.55%). Complete surgical excision was performed as a definitive treatment method in 21 patients (95.45%). The mean size of the excised lesions was 21.36mm at the widest length (range: 10–70 mm). On the basis of histopathological examinations, 15 (71.43%) lesions were classified as ECs and 6 (28.57%) as DCs. Postoperative complications were noted in 3 (14.29%) patients, 2 (9.52%) with recurrences and 1 (4.76%) with hypertrophic scarring. All of these patients were successfully cured after a second surgery. The ECs and DCs of the head and neck present an interesting diagnostic and therapeutic challenge. Successful management depends on a thorough knowledge of their clinical and radiological features

Pregled rada rinološke ambulante tijekom COVID-19 pandemije u Općoj bolnici Zadar

Uvod: Nakon pojave novog korona virusa SARS-Cov-2, 2019. godine u Kini, u veljači 2020. godine SZO je proglasila pandemiju COVID-a-19. Cilj rada je usporediti rad rinološke ambulante prije pojave pandemije s radom te ambulante tijekom pandemije. Bolesnici i metode: Uspoređeni su elektronski podaci bolesnika pregledanih u rinološkoj ambulanti tijekom razdoblja od 11.03.2018. do 11.12.2019. godine s podacima o radu ambulante tijekom razdoblja pandemije od 11.03.2020. do 11.12.2021. godine. Dobiveni rezultati obrađeni su u programu Statistica 13.3 χ2 testom, na razini značajnosti 0,05. Rezultat: Ukupno su analizirani podaci 7376 bolesnika – 4837 bolesnika prije pandemije i 2539 bolesnika tijekom pandemije. Broj pregleda tijekom izbijanja COVID-19 pandemije značajno je smanjen, gotovo na pola (66% vrs 34%). Razlozi posjete rinoloških bolesnika ambulanti ostali su isti. Alergijski rinitis je i dalje najčešći razlog dolaska bolesnika na pregled. Značajno je smanjenjen broj ambulantnih pregleda povezanih sa svim najčešćim rinološkim dijagnozama: akutnim nazofaringitisom (p>0,05), akutnim sinuitisom (p0,05), deformacijom nosnog septuma (p<0,05) i epistaksom (p<0,05). Zaključak: Tijekom ispitivanog razdoblja došlo je do znatnog pada broja pregleda ambulantnih rinoloških bolesnika. Više je uzroka ovom smanjenju, prvenstveno strah bolesnika od pandemije, ali i otežani rad zdravstvenoga sustava

Pregled rada rinološke ambulante tijekom COVID-19 pandemije u Općoj bolnici Zadar

Uvod: Nakon pojave novog korona virusa SARS-Cov-2, 2019. godine u Kini, u veljači 2020. godine SZO je proglasila pandemiju COVID-a-19. Cilj rada je usporediti rad rinološke ambulante prije pojave pandemije s radom te ambulante tijekom pandemije. Bolesnici i metode: Uspoređeni su elektronski podaci bolesnika pregledanih u rinološkoj ambulanti tijekom razdoblja od 11.03.2018. do 11.12.2019. godine s podacima o radu ambulante tijekom razdoblja pandemije od 11.03.2020. do 11.12.2021. godine. Dobiveni rezultati obrađeni su u programu Statistica 13.3 χ2 testom, na razini značajnosti 0,05. Rezultat: Ukupno su analizirani podaci 7376 bolesnika – 4837 bolesnika prije pandemije i 2539 bolesnika tijekom pandemije. Broj pregleda tijekom izbijanja COVID-19 pandemije značajno je smanjen, gotovo na pola (66% vrs 34%). Razlozi posjete rinoloških bolesnika ambulanti ostali su isti. Alergijski rinitis je i dalje najčešći razlog dolaska bolesnika na pregled. Značajno je smanjenjen broj ambulantnih pregleda povezanih sa svim najčešćim rinološkim dijagnozama: akutnim nazofaringitisom (p>0,05), akutnim sinuitisom (p0,05), deformacijom nosnog septuma (p<0,05) i epistaksom (p<0,05). Zaključak: Tijekom ispitivanog razdoblja došlo je do znatnog pada broja pregleda ambulantnih rinoloških bolesnika. Više je uzroka ovom smanjenju, prvenstveno strah bolesnika od pandemije, ali i otežani rad zdravstvenoga sustava