Articles signed on MÆDICA, JCM:

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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Negative pressure, a “solution” in the treatment of infected knee prosthesis?

Razvan ENE, Zsombor PANTI, Emanuel ALBU, Patricia ENE, Monica Mihaela CIRSTOIU and Florin Catalin CIRSTOIU

ABSTRACT

Introduction: Negative-pressure wound therapy is a therapeutic technique that uses a vacuum dressing in order to promote healing in acute or chronic wounds. The continued vacuum draws out fluid from the wound and increases blood flow to the area.

The aim of this study was to establish the effectiveness of negative pressure therapy increasing this way the chances of rehabilitation after knee prosthesis infections.

Material and method: 11 patients with septic complications after total knee joint replacement were involved into this study, from the Department of Orthopaedic and Traumatology of Bucharest Emergency University Hospital. In all of the cases negative pressure wound treatment was applied. The surgical approach was chosen according to the surgeon’s preferences or along the pre-existing surgical approach.

Results and discussions: Time from the knee arthroplasty to the clinical and biological manifestation of septic complications was about 35 days with limits between 21 and 42 days. In most cases we managed to keep the implant, the outcome obviously being conditioned by using the negative pressure. Knee infections are still a hazardous problem in orthopedic surgery. Negative-pressure system increased the granulation tissue formation and the local blood flow and enhanced the bacterial clearance function.

Conclusions: The clinical outcome in our cases indicates that the Negative-Pressure Wound Therapy can be a valuable contribution to the treatment of knee joint infections.

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Patricia ENE

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Articles signed on MÆDICA, JCM:

Rationale for Management of Frontal Sinus Fractures

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