[Lipoma of the parotid gland. Comments on a case]. / Lipoma della ghiandola parotide. Considerazioni su di un caso.

The authors present a case of parotid gland lipoma. They underline the clinical features, the unusual finding of it in the parotid lodge and the relationship with the surrounding tissues. After having shown the nosologic pattern of this neoplasm they underline the importance of the instrumental investigations by means of ET, TC and RM, that lead to a nearly sure pre-surgery diagnosis.

[A parotid arteriovenous fistula of nontraumatic origin. A case report]. / Fistola arterovenosa parotidea di origine non traumatica. Case report.

The authors report their experience of a case of non traumatic arteriovenous communication of the parotid region in an adult subject. They confirm that its manifestations in grown-ups are to be linked with an inactive angiodysplastic field. The diagnostic approaches in the face of a hybrid symptomatology and the therapeutic choices are described. Moreover, an aesthetically and functionally efficient surgical correction is proposed.

[Internal metallic cranio-facial suspensions (a modification)]. / Le sospensioni metalliche interne cranio-facciali (una modifica).

After listing the various types of internal metallic suspension, the paper describes a modification to the standard frontozygomatic suture, that offers several advantages: less bulky, possibility of direct reinforcement and traction in the case of breakage of the external extremity.

[Fractures with loss of substance of the middle and upper third of the face: nosographic classification, surgical indications and the prevention of meningeal infections with the new antibiotic, cefuroxime]. / Le fratture con perdita di sostanza del terzo medio e superiore della faccia: inquadramento nosografico, indicazioni chirurgiche, profilassi dell infezioni meningee con il nuova antibiotico cefuroxim.

Reference is made to considerable personal experience acquired in the treatment of craniofacial fractures, particularly those affecting the upper third of the face. An account is given of the anatomical and surgical features of the naso-ethmoid-frontal and temporo-orbito-sphenoid areas--now recognised as within the domain of maxillofacial surgery--and their symptomatologies. Particular attention is directed to the question of liquorrhoea and the possibility of ascendent infections of the meninges. Reduction is favoured with respect to the former, since forward and upward repositioning often leads to the regression of ethmoidal liquorrhoea. Exclusion of the frontal sinus is regarded as a "categorical imperative" as far as meningeal infection is concerned, and support is also given for its prevention with antibiotics. A personal preference is expressed for cefuroxim, a new antibiotic with particular potency and marked diffusibility within the cerebrospinal fluid.