Surgical-Orthodontic Treatment of Developmental Odontogenic Cysts of the Jaws

Prikazani su rezultati kirurško-ortodontskoga liječenja odontogenih razvojnih cista sa svrhom da se upozori na važnost trajnoga timskog rada ortodonta i oralnoga kirurga u rješavanju svakoga pojedinog slučaja, ma kako se neki od njih činili jednostavnima. Takvom suradnjom moguće je sačuvati retinirane ili impaktirane zube i u slučajevima kad se čini da to neće biti moguće. Primjer liječenja velike folikularne ciste u osmogodišnje djevojčice dokaz je uspješnosti takve suradnje. Autori predstavljaju i suvremene spoznaje o liječenju odontogenih cista, upozoravaju na lokalnu invazivnost odontogene keratociste i najavljuju rezultate uporabe resorbilnoga granulata trikalcijeva fosfata.The results are shown of surgical-orthodontic treatment of developmental odontogenic cysts of the jaws with the purpose of demonstrating the importance of long-term teamwork of the orthodontist and oral surgeon in resolving each individual case, despite the fact that some cases may appear to be simple. Such cooperation enables the preservation of impacted teeth, even in cases when this appears almost impossible. The example presented of treatment of a large follicular cyst in an eight-year old girl is proof of the success of such cooperation. The authors also present contemporary knowledge on the treatment of odontogenic cysts, warn of the local invasive nature of odontogenic keratocysts and show the results of the application of resorptive granular tricalcium phosphate

A Two-Stage Surgical Approach in the Treatment of a Large Complex Odontoma of the Mandible

Prikazan je neobično velik primjer jedinstveno složenog odontoma (complex) u angulusu donje čeljusti u 23-godišnjeg mladića. Zbog mogućeg prijeloma donje čeljusti, koji bi zbog veličine tvorbe mogao nastati za vrijeme kirurškoga zahvata u jednome aktu, proveden je dvofazan kirurški postupak koji se je pokazao uspješnim i za pacijenta prihvatljivim. Autori navode podatke iz literature i prikazuju druge kirurške mogućnosti za slične slučajeve. Raspravlja se o prednostima i nedostatcima spomenutih postupaka i ostavlja čitateljstvu da prosudi o njihovim vrijednostima.The paper describes an example of an unusually large, complex odontoma in the mandibular angle of a 23 year-old young man. Because of the possibility of fracture occurring in the mandible during the operation a two-stage surgical procedure was applied, which proved successful and was acceptable for the patient. The authors cite data from the literature, showing other possible surgical procedures in similar cases and discussing their advantages and disadvantages, leaving the reader to decide on the justification of all applied surgical procedures to date

HARMONIZACIJA KOMPANIJSKOG PRAVA SA PRAVOM EVROPSKE UNIJE I PRAVILA O SLOBODI OSNIVANjA PRIVREDNIH DRUŠTAVA U SPORAZUMU O STABILIZACIJI I PRIDRUŽIVANJU

Harmonisation of Serbian law with that of the European Union is an obligation undertaken unilaterally by Serbia so as to accomplish its goal of joining the European Union. By far the most important document Serbia has signed in this process so far is the Stabilisation and Association Agreement. The paper analyzes the Agreement provisions prescribing rules on free movement of companies from Serbia and the EU and underlines the importance of being familiar with the European Court of Justice jurisprudence on this matter. Furthermore, the author analyzes the degree to which Serbian company law rules are harmonised with that of the EU and outlines the expected developments in law and practice in both areas.Usklađivanje propisa Srbije sa pravom Evropske unije jednostrana je obaveza koju je Srbija preuzela radi ostvarivanja cilja - pristupanja Evropskoj uniji. Svakako najznačajniji dokument koji je Srbija do sada potpisala u tom postupku jeste Sporazum o stabilizaciji i pridruživanju. U radu se analiziraju odredbe Sporazuma kojima se propisuju pravila o slobodnom kretanju privrednih društava iz Srbije i Unije, i ukazuje na značaj poznavanja prakse Evropskog suda pravde u vezi sa ovim pitanjem. Nadalje, autorka analizira stepen usklađenosti domaćih propisa iz oblasti kompanijskog prava sa odgovarajućim propisima Evropske unije i ukazuje na očekivane pravce daljeg razvoja prava i prakse u obe oblasti

UČEŠĆE CIVILNOG SEKTORA U PROCESU PRIDRUŽIVANJA EVROPSKOJ UNIJI I PRAKSA NACIONALNOG KONVENTA O EU

From the mid 1990ies, the relations between the EU and the civil sector have become one of the key issues in the debate of the democratic deficit of the European Union. The EU has since made additional efforts to establish a productive dialogue with the civil sector and include it the policy and regulation planning and adoption process on the EU level. EU accession experience has shown that is necessary, in all countries, particularly those that were under autocratic rule, to strengthen democratic institutions and put democratic practices in place, and thus strengthen not only the key democratic principles but also the common values of the European Union. This why the European Union consistently repeats the need for establishing an active dialogue with the civil sector in the accession process in its strategic documents. Some countries have also tried to integrate their own approaches to this issues in the accession process, basing it on the needs and programmes of the local civil society organizations. One such model is the National Convention on the European Union, which was set up in Slovakia and then replicated in Western Balkan countries, Moldova and Ukraine. The paper outlines the work of the Convention in Slovakia, and analyzes the impact of the National Convention on the EU in Serbia on the strenghtening of the public-private dialogue in Serbia.Još od sredine 1990-ih, odnosi između Evropske unije i civilnog sektora postali su jedno od ključnih pitanja u okviru debate o demokratskom defcitu Evropske unije. Stoga je Evropska unija preduzela dodatne napore da uspostavi dijalog sa civilnim sektorom i uključi ga u proces donošenja politika i propisa na nivou Evropske unije. Praksa pridruživanja je pokazala da je u svim državama, naročito onima koje su dugo bile pod autokratskom vladavinom, neophodno jačanje demokratskih institucija i uspostavljanje demokratskih procesa, kroz koje se jačaju ne samo ključna demokratska načela, već i zajedničke vrednosti Evropske unije. Stoga Evropska unija u svojim Strategijama proširenja dosledno ističe potrebu za uspostavljanjem aktivnog dijaloga sa civilnim sektorom u ovom procesu. neke države su pokušale da u proces pridruživanja integrišu sopstveni, drugačiji pristup, zasnovan na potrebama i programima lokalnih organizacija civilnog društva. Jedan od takvih uspešnih modela, koji je pokrenut u Slovačkoj a potom repliciran u državama Zapadnog Balkana, Ukrajini i Moldaviji, jeste Nacionalni konventa o Evropskoj uniji. U radu je prikazan rad Konventa u Slovačkoj, i analiziran uticaj Nacionalnog konventa o Evropskoj uniji u Srbiji na jačanje dijaloga civilnog sektora i države u procesu pridruživanja Srbije Evropskoj uniji

KAKO SRPSKO PRAVOSUĐE ULAZI U SKRINING ZA POGLAVLJE 23: KRITIČKI OSVRT NA NACIONALNU STRATEGIJU REFORME PRAVOSUĐA 2013 - 2018. GODINE I AKCIONI PLAN ZA NJENO SPROVOĐENJE

The author presents her brief critical account of selected issues covered by the Serbian National Judicial Reform Strategy 2013-2018 and the Action Plan for its Implementation, having in mind the fact that these are the two documents the implementation of which will be a key issue in the EU accession negotiations for the Chapters 23 and 24. The author identifies some of the deficiencies and drawbacks of both the Strategy and the Action plan, but also comments on planned welcome changes to the Serbian regulatory framework.U radu autorka iznosi kritički pogled na pojedina pitanja obuhvaćena Strategijom reforme pravosuđa u Srbiji za period 2013.-2018. godine i Akcionim planom za njeno sprovođenje, imajući u vidu činjenicu da su to ključni dokumenti od čijeg će sprovođenja zavisiti pregovori o pridruživanju Evropskoj uniji u poglavljima 23. i 24. Autorka ukazuje na nedoslednosti i nedorečenosti Strategije i Akcionog plana, ali i na dobrodošle planirane izmene normativnog okvira u Srbiji

Građanska, krivična i disciplinska odgovornost sudija – međunarodni dokumenti i pravo Srbije

One of the most improtant elements of the rule of law is judicial independence – both institutional and persona. This issue is e q u a l l z important for transition countires, where new legal and political order is built on the heritage of authoritarian past, and for developed democracies. The author examines the rules regarding civil, criminal and disciplinary liability of judges as prescribed in relevant international documents and compares the recommendations included therein with the valid Serbian legislation. Due attention is also given to the reform proposals of judicial legislation, currently only in the form of the working version.Jedan od najvažnijih elemenata vladavine prava jeste nezavisnost sudstva, kako institucionalna, tako i personalna. Ovo pitanje je podjednako značajno za zemlje u tranziciji, u kojima se novi pravni i politički poredak izgrađuje na nasleđu autoritarne prošlosti, ali i za razvijene demokratske države. Autorka ispituje pravila kojima se reguliše pitanje građanske, krivične i disciplinske odgovornosti sudija propisana relevatnim međunarodnim dokumentima i poredi preporuke u njima sadržane sa važećim propisima u Srbiji. U radu se takođe ispituju i rešenja predviđena predlozima za reformu seta pravosudnih zakona, koja su za sada sadržana u radnim verzijama zakona

Marsupialization in the Treatment of Jaw Cysts

U radu je postavljeno pitanje vrijednosti marsupijalizacije kao metode liječenja čeljusnih cista i cističnih odontogenih tumora. Postupak je obavljen retrospektivnom raščlambom uzoraka od 71 pacijenta obrađenog u dvanestogodišnjemu razoblju u Kliničkom zavodu za oralnu kirurgiju i u Klinici za kirurgiju čeljusti i lica Kliničke bolnice Dubrava u Zagrebu. Među uzorcima je bila 61 odontogena cista (85,92 %) – od kojih 14 (19,72 %) odontogenih keratocista i sedam (9,86 %) njihovih recidiva. Radikularnih i folikularnih odontogenih cista bilo je ukupno 39 (54,93 %), zatim slijedi šest traumatskih koštanih šupljina -”cista” (8,45 %), jedan odontogeni tumor (1,41 %), jedan gigantocelularni centralni granulom (1,41 %), jedan recidiv gigantocelularnog granuloma (1,41 %) i jedan centralni kavernozni hemangiom (1,41 %). Tvorbe su bile liječene svim poznatim kirurškim postupcima, a marsupijalizaciji je bilo podvrgnuto deset pacijenata - tri (9,68 %) s cistama promjera od 3 do 6 centimetara te šest ( 22,22 %) s cistama većima od šest centimetara. Riječ je bila o odontogenim keratocistama ili njihovim recidivima te o po jednom slučaju radikularne i folikularne ciste čeljusti. Rezultati su pokazali da se marsupijalizacijom vidljivo smanjuje koštana šupljina u svim tako liječenim slučajevima te da ju je moguće primijeniti kao konačan kirurški postupak kojim se mogu potpuno izliječiti odontogene keratociste ili druge odontogene ciste čeljusti. No, kako su rezultati preliminarni, postupak ipak treba primjenjivati racionalno.The investigation raises the question of the value of marsupialization as a method for treatment of jaw cysts and cystic odontogenic tumours. The study comprises a retrospective analysis of a sample of 71 patients treated during a twelve-year period in the Clinical Department of Oral Surgery and the Clinic of Maxillofacial Surgery of the University Hospital Dubrava. The sample consisted of 61 odontogenic cysts (85.92%), among which 14 (19.72%) were odontogenic keratocysts and 7 (9.86%) recurrences of odontogenic keratocysts. There were 39 (54.93%) radicular and follicular odontogenic cysts, 6 traumatic bone cavities “cysts” (8.45%), one odontogenic tumour (1.4%), one giant-cell central granuloma (1.41%), one recurrence of a giant-cell granuloma (1.41%) and one central cavernous hemangioma (1.41%). The formations were treated by all known surgical procedures, and marsupialization was undertaken in 9 patients of which 3 (9.68%) with cysts 3-6 cm in diameter and 6 (22.22%) with cysts larger than 6 cm. They were odontogenic keratocysts or their recurrences and one case each of a radicular and follicular jaw cyst. The results showed that marsupialization visibly reduced the bone cavity in all cases treated by this method and indicated that it could be applied as the final surgical procedure in which a complete cure is possible of odontogenic keratocysts or other odontogenic cysts of the jaws. However as the results are preliminary the procedure should be applied rationally

Angiomyoma – Angioleiomyoma of the Cheek

The authors present the case of an angiomyoma – angioleiomyoma of the cheek in a 58-year-old man. The tumour was palpable, although clinically not visible, and the only case of a tumour of smooth muscle treated in the Clinical Department of Oral Surgery over the last 40 years. The operation was performed in the Outpatient Department by intraoral procedure. The postoperative course passed without complications. Current literature on leiomyomas is cited in the Introduction, followed by presentation of the case and histological characteristics of the tumour. The example is presented as a rarity and one of the differential diagnostic possibilities in the diagnostics of soft tissue tumours in the oral cavity

Angiomyoma – Angioleiomyoma of the Cheek

The authors present the case of an angiomyoma – angioleiomyoma of the cheek in a 58-year-old man. The tumour was palpable, although clinically not visible, and the only case of a tumour of smooth muscle treated in the Clinical Department of Oral Surgery over the last 40 years. The operation was performed in the Outpatient Department by intraoral procedure. The postoperative course passed without complications. Current literature on leiomyomas is cited in the Introduction, followed by presentation of the case and histological characteristics of the tumour. The example is presented as a rarity and one of the differential diagnostic possibilities in the diagnostics of soft tissue tumours in the oral cavity

Marsupialisation of Keratocystic Odontogenic Tumour of the Mandible: Current Dilemma

Autori predstavljaju rezultate liječenja keratocističnog odontogenog tumora (KCOT-a) čeljusti kirurškim postupkom marsupijalizacije u kontekstu suvremenih dilema koje se o tom problemu mogu naći u literaturi. Na temeljno pitanje, može li marsupijalizacija biti konačan postupak u liječenju KCOT-a, još se ne može sa sigurnošću odgovoriti ni na osnovi podataka iz literature ni pozitivnih podataka predstavljenih u radu. Prikaz nešto promijenjenih rezultata liječenja uzorka iz ranije publiciranog rada i dvaju slučajeva nakon toga izvješća, autorima daju za pravo tvrditi da je marsupijalizacija metoda izbora, s vjerojatnošću da bude i konačan postupak u liječenju KCOT-a. Prema suvremenim podatcima iz literature traži se i nadalje višegodišnje postoperativno praćenje pacijenata i primjena dodatnih sredstava liječenja kako bi se spriječili recidivi.The authors present the results of treating mandibular keratocystic odontogenic tumour (KCOT) by the surgical method of marsupialisation in the context of current dilemma in the literature regarding this problem. The basic question of whether marsupialisation can be the definitive method in treatment of KCOT still cannot be answered with certainty, neither on the basis of data from the literature nor on the basis of positive data presented in the study. Presentation of slightly modified results of the treatment of a sample from an earlier published study, and two cases treated subsequently give the authors the prerogative to claim that marsupialisation of KCOT is the method of choice, which will probably be the definitive method of treatment. Current data from the literature still require several years of postoperative monitoring of patients and application of additional means of treatment in order to prevent relapse