[Primary, definitive treatment of the nasoethmoidorbital-midface-frontobasal injuries in the maxillofacial practice]. / NEO-arcközép-frontobázis sérülések primer definitív ellátása az arc-, állcsontsebészeti gyakorlatban.

Nasoethmoid-orbital (NEO) fractures are typically resulted by a drastic, forceful blow to the central aspect of the head and nose, associated injuries to adjacent structures occur and involve the midface, anterior cranial fossa and the eye. Dislocated bony parts of the nose may be impacted into the intraorbital region and lead to severe complications: cerebrospinal fluid leak, optic nerve lesion, anosmy, telecanthus and diplopy. In the complex management of the craniofacial lesions, a cooperative team-work of maxillofacial surgeon, neurosurgeon, otolaryngologist and ophthalmologist is required. The key of the surgery treatment is the actual status of the NEO structure. Stabilized nasoethmoidal fragments, midface and the watertight dura closure or plasty are basically important conditions for the ceasing of nasal liquorrhoea. Repositioning of fractured fragments, stabilization with titanium miniplates and reconstruction of bony defect using autologous bone are commonly used techniques at our practice. Between years 1995-2000, altogether 50 cases of injuries due to NEO fracture have been treated at our department of maxillofacial surgery. We report the possible combinations of traumatism, our operative methods, our supply tactics and experiences. Multiple and defect fractures of the craniofacial bones may cause irreversible deformities, chewing and nutritional disturbances. We preferred the early, primary, definitive supply, with the respect of aesthetic viewpoints with the application of streamlined operative methods like bone fixation and bone replacement. Our fundamental aim is the reduction of the patients' operative load, their nursing time and the enhancement of our operative results.

[Stomato-oncological screening test of volunteers] / Stomato-onkológiai szûrôvizsgálat önként jelentkezôkön.

OBJECTIVES: Identification and relative incidence of precancerosis and malignancies of the head and neck region and in the oral cavity. MATERIAL AND METHODS: In three counties of the western region of Hungary we physically examined pathological abnormities of healthy volunteers. Computerised examination reports and anamnestic data have been registered on data sheets. RESULTS: During examination of 5054 persons we have found 5 malignant tumours and 3.7% precancerosis (mostly leukoplakia). CONCLUSIONS: Orofacial tumours that are constantly increasing in our country account for the necessity of stomato-oncological screening test. Therefore, screening should be extended as far as possible to persons who live in poor social-economical circumstances. Persons with multiple risk factors are difficult to be reached by this screening test,therefore it is complicated to treat them at an early stage. We have found intense ignorance in connection with oral tumours and precancerosis. Oral hygiene and status are criticisable. Because of the deficiencies of methods in examination the morbidity rate of tumours in oral cavity is undoubtedly higher than the rate of the statistical data.