[Facial-cerebral gunshot wounds]. / Postrzaly twarzowo-mózgowe.

The current frequency increase of gunshot wounds to the head is directly proportional to the access to firearms and to amount of firearm-related crimes. This risk is increasing especially in population groups that have not been threatened before. Hence the aim of this study was to analyse and resume our experiences in the management of faciocerebral gunshots. We retrospectively reviewed a series of 9 consecutive patients who were treated in the Department of Neurosurgery, Military Clinical Hospital in Bydgoszcz with the diagnosis of gunshot wound to the head from 1994 to 1999. All the cases were young males (mean, 26 yr). There were six suicidal attempts and three accidents at firearm service. KbkAK, that is a standard machine gun in the Polish Army, was most frequently related to gunshots in the analysed series. All the patients were assessed according to Glasgow Coma Scale (GCS) at arrival to hospital. Average of admission GCS Score was 6.1. The patients were also assessed after treatment using Glasgow Outcome Scale (GOS). One patient was dead (GOS Score 1), and 7 (78%) improved to good, independent functional status (GOS Score 4 or 5). The authors emphasize the necessity of multispecialistic initial operative management of faciocerebral gunshots wounds and aggressive pre- and postoperative care (tracheostomy, gastrostomy, treatment of encephalitis), which makes it possible to obtain good and very good outcomes. Furthermore, we stress the role of minimal primary debridement for the sake of frequent secondary reconstructive operations.

[Analysis of facial skeletal fractures in the materials of the department of otolaryngology and maxillofacial surgery at the military hospital of Bydgoszcz]. / Analiza zlaman kosci czesci twarzowej w materiale Klinicznego Oddzialu Otolaryngologicznego z Pododdzialem Chirurgii Szczekowej Wojskowego Szpitala Klinicznego w Bydgoszczy.

The authors analysis 520 patients suffering from maxillofacial fractures who were treated in our department in 1985-1994. Among the causes of maxillofacial fractures the first place is held by beating-51.9%, while 22.9% of cases resulted from traffic accidents. The analysis of traumatic effects has demonstrated that the lower jaw is the most fracture--prone (60%). Summary of treatment procedures towards facial skeletal bone fractures is included.

[Some problems with the recognition and treatment of pleomorphic adenomas in salivary glands]. / Niektóre problemy dotyczace rozpoznawania i leczenia guzów mieszanych slinianek.

The authors have presented main reasons of failure with diagnosis and operative treatment of polymorphic adenomas in salivary glands. They have written about four patients with different histopathological diagnosis before and after operation, and about two patients with postoperative recurrence. In one of those patients malignant transformation has occurred. In two cases partial facial nerve palsy has occurred.

[Diagnostic and surgical failures in the treatment of lateral and medial cysts and fistulas of the neck]. / Niepowodzenia diagnostyczne i operacyjne w leczeniu torbieli oraz przetok bocznych i srodkowych szyi.

The authors have presented main reasons of failures with diagnosis and surgical treatment of lateral and medial cysts and fistulas of the neck. They have written about four patients with different histopathological diagnosis before and after surgical procedure and about three patients with postoperative recurrence medial cyst of the neck.

[Cavernous hemangioma of the left parotid gland treated operatively as pleomorphic adenoma]. / Naczyniak jamisty slinianki przyusznej lewej leczony operacyjnie jako guz mieszany.

A rare case report of a 43-year-old-man with cavernous hemangioma in the left parotid gland was presented. Preoperative histopathological (fine-needle biopsy) was: pleomorphic adenoma. Postoperative histopathological diagnosis was cavernous hemangioma. There wasn't recurrence of facial nerve palsy at a 6-month-follow-up.