Catalin CIRSTOIU

Latest posts by Catalin CIRSTOIU (see all)

Rationale for Management of Frontal Sinus Fractures - July 2, 2015
Methods of Investigating Metastatic Lymph Nodes in Head and Neck Cancer - July 2, 2015
A Rare Case of Benign Xanthogranuloma Located on the Uterine Cervix – a Case Report - June 30, 2015

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Rationale for Management of Frontal Sinus Fractures

Bogdan BANICA, Patricia ENE, Aurelia DABU, Razvan ENE and Catalin CIRSTOIU

ABSTRACT

The optimal treatment of frontal sinus fractures remains controversial. Multiple treatment options and algorithms have been proposed by multiple specialties throughout the years; however, the optimal method of frontal sinus repair has yet to be discovered. Overwhelming complications such as meningitis, encephalitis or brain abscess are quite uncommon nowadays. Nevertheless, late development of invasive mucoceles is not a rarity and therefore long-term follow-up is mandatory.

Keywords: frontal sinus fractures, frontonasal duct, posttraumatic mucocele

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Methods of Investigating Metastatic Lymph Nodes in Head and Neck Cancer

Bogdan POPESCU, Patricia ENE, Serban Vifor Gabriel BERTESTEANU, Razvan ENE, Catalin CIRSTOIU and Cristian Radu POPESCU

ABSTRACT

When dealing with patients who have head and neck cancer - squamous cell carcinoma and have clinically N0 neck disease it is very difficult to assess the real extension of the malignant proccess. This is why several techniques are curently in use to determine the actual TNM clasiffication for each patient in order to apply best suited therapy management. Up until today the staging of the neck has been done by using a combination of the physical exam and conventional imaging studies. Recent studies and research have tried to determine weather the use of sentinel lymph node biopsy is a more reliable tool in predicting occult metastasis in cancer patients with clinically N0 neck disease. There are no guidelines in this matter and as such the use of the sentinel lymph node detection technique is yet to be used on a routine basis. The authors are trying to assess the benefits of different paraclinical investigation regarding the improvement of over-all survival rates in patients with T1/T2 squamous cell carcinoma of the head and neck and N0 neck disease.

Keywords: clinically N0 neck disease, conventional imaging, sentinel lymph node

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A Rare Case of Benign Xanthogranuloma Located on the Uterine Cervix – a Case Report

Monica CIRSTOIU, Luminita Elena MITRACHE, Manuela POPA, Nicoleta Corina MEHOTIN, Maria SAJIN and Catalin CIRSTOIU

ABSTRACT

We report the case of a 44-year-old woman who presented with vaginal bleeding. Vaginal examination and colposcopy showed a tumor on the anterior lip of the cervix. Trans-vaginal sonography revealed a thickened endometrium with accentuated vascularization. Samples from the tumor and endometrium were collected by byopsic curettage. Histopathologic examination showed atypical hyperplasia of the endometrium and benign xanthogranuloma of the cervix. Therefore, surgical intervention was performed.

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Treatment of Anterior Instability of the Shoulder

Marius VLASE, Razvan ENE, Daniela OPRIS and Catalin CIRSTOIU

ABSTRACT

Objectives: The aim of this study is to compare the long term results of the treatment of anterior instability of the shoulder.

Material and method: The study included a total of 37 patients diagnosed with anterior instability of the shoulder, on the basis of clinical data (anamnesis, physical examination) and imaging (X-rays, MRI examination), operated in the Department of Orthopedics and Traumatology – Emergency University Hospital Bucharest, Romania, between 2009-2012. They were divided in 3 groups, according to the surgical technique used (open Bankart, arthroscopic Bankart and Bristow procedure), and the results were evaluated at 2 years postoperatively using Rowe and Constant scores. Statistical analysis was performed using one-way ANOVA test.

Results: There were no intra- or postoperative complications. No reluxations were recorded. Statistically significant differences (F> Fcrit; p <0.05) of the Constant score were recorded between the three groups on the range of movement variable, especially external rotation, their mean values being higher in the group treated arthroscopically compared to the other two groups.

Conclusions: Arthroscopic shoulder stabilization surgery gives the best long time results in terms of functional recovery of the shoulder, objectified by Constant and Rowe scores. Data from the literature show a higher rate of recurrence after arthroscopic interventions, suggesting that the indications of this technique still requires further clarifications. It’s required a more precise preoperative evaluation, in order to detect any lesions associated with Bankart lesion (bone defects of the anterior rim of glenoid, Hill-Sachs lesion, capsular laxity, rotator cuff tears, long head of biceps injuries). Mastering a surgical techniques is not always enough in order to obtain the best results. The choice of proper surgical technique for each patient, however, can significantly reduce the recurrence rate of shoulder dislocation.

Keywords: anterior instability of the shoulder, Bankart lesion, shoulder arthroscopy

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Catalin CIRSTOIU

Latest posts by Catalin CIRSTOIU (see all)

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Rationale for Management of Frontal Sinus Fractures

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