Damage of facial soft tissues as a result of being bitten by a dog.

UNLABELLED: Being bitten by a dog can have serious health effects. That is why, never underestimate even the smallest soft tissue injuries inflicted by aggressive animals. This incident may have an impact on the further condition of a patient. From our first aid will also depend the aesthetic and functional effect of the scar on the face. We should pay attention to the use of antibiotic prophylaxis. The aim of the study was to perform the analysis of the soft tissue bitten injuries made by dogs in patients treated in the years 2004­2009 in the Clinic of Cranio-Maxillo-Facial and Oncological Surgery in Lódz. The most frequent attacked areas were analyzed in the cases of single and multiple face wounds. The dependence of the dog attacks and the alcohol consumption by the victims. The use of an early antibiotic prophylaxis and the number of the infectious complications. MATERIAL AND METHODS: The material studied is a group of 26 patients, including 17 women and 9 men. In the majority patients were older than 20 years old. RESULTS: The analysis of our data shows that most of the victims were aged 19-30 and 51-60 years. 14 patients have been mutilated on one area of the face, the remaining patients at least two areas. Most injuries underwent upper or lower lip. In all cases, the initial supply has been applied to the wounds. Antibiotic prophylaxis was used in 23 patients. In one of the other three cases, patient who have not been applied to the prevention of complications in the form of phlegmon face. Half of the attack dogs have been known to the victims. All patients had implemented prevention of tetanus, or held-to-date vaccinations. In eight cases, patients reported that at the time of the event they were under the influence of alcohol. CONCLUSIONS: Primary supply of bitten wounds of face at the moment seems to be the standard. In our study, in cases where patients has been treated with an antibiotic, there was no case of infection in the wound. Late complication in the form of phlegmon occurred in one patient who had not used prophylaxis. As the most of the authors note lower lip is the most vulnerable for the bite in the case of adult people. Analysis of our data is consistent with these reports. It has also been found that people under the influence of alcohol are often attacked by unknown dogs.

Methicillin resistant Staphylococcus aureus infections of soft issues of the oral cavity, face and neck in patients hospitalized at the Cranio-Maxillofacial Surgery Department.

UNLABELLED: The aim of the study was to identify a group of patients at high risk of methicillin resistant Staphylococcus aureus (MRSA) infection following surgical procedures involving oral cavity, head and neck. MATERIAL AND METHODS: A retrospective analysis of demographic, clinical and laboratory data was performed. A manual search of laboratory records for a five years period (2005-2009) was performed for specimens submitted to the diagnostic microbiology laboratory from patients admitted to the Cranio-Maxillofacial and Oncologic Surgery Department. RESULTS: Methicillin resistant Staphylococcus aureus was identified in 26 cases. Most commonly it was isolated from tongue swabs in patients following extensive oncological surgical procedures involving oral cavity. Most common risk factors were: age above 65 years, neoplasms, multisite trauma with loss of consciousness, cigarette smoking, alcohol abuse, tobacco addiction, antibiotic therapy immediately before hospitalization. More than half of patients with MRSA infection required surgical treatment except for pharmacological treatment. CONCLUSIONS: Monitoring of postoperative wounds is of great importance with regard to he risk of MRSA infection.

[Difficulties in the treatment of pathological mandibular fracture]. / Trudnosci w leczeniu zlamania patologicznego zuchwy.

Mandibular fractures are some of the most frequently occurring injuries in the maxillofacial region although pathological fractures state only 2% of them. Bone cysts are common lesions of mandible and maxilla. Their long asymptomatic development causes extensive deformation and bone damage. A case report presents fracture of mandible affected with massive odontogenic cyst. Presentation, diagnosis and management of fracture and intraosseus pathology is discussed.

[Usefulness of classic radiographs in the preliminary evaluation of mandibular radiolucencies]. / Przydatnosc klasycznych zdjec rentgenowskich we wstepnej ocenie zmian w zuchwie o charakterze torbieli.

UNLABELLED: Cystic lesions of mandible are common clinical problem in oral surgeon practice. Usually they are benign lesions such as odontogenic cyst or periapical granulomas but very similar radiological morphology may deal with aggressive tumors such as ameloblastoma, myxoma or calcifying epidermoid odontogenic tumor (CEOT). Establishment of correct preliminary diagnosis can help the surgeon avoid performing extensive surgery or conduct radical, extensive resection to provide good results of treatment and to prevent recurrences. The aim of the study was to evaluate the usefulness of plain radiographs in preliminary cystic bone radiolucent diagnosis. MATERIAL AND METHOD: 127 radiographs were considered and evaluated accord to Lodwick classification as benign lesions. Due to clinical examination the preliminary diagnosis were mandibular odontogenic cyst. Preliminary diagnosis was compared with histopathological findings. RESULTS: 127 patients (70 male and 57 female aged from 6 to 82 years) were diagnosed and treated. In 113 cases (88.97%) preliminary diagnosis was the same with histopathological findings. Misdiagnosed lesions were e.g. CEOT, ameloblastoma or fibroma osyficans. CONCLUSIONS: (1) The plane radiograph evaluation is very important and valuable method of preliminary diagnosis of mandibular cystic lesions but still crucial role in diagnosis is histopathological evaluations of surgical material. (2) Method of surgical treatment should be always conducted according to microscopic diagnosis.