The clinical management and long-term outcome in lightning survivors with substantial ear damage treated at the Department of Otorhinolaryngology, University Hospital Split during 1984-1999 period are reviewed. Results outcomes 18 patients (mean age 35.3 +/- 5 years) were retrospectively analyzed. On admission, all complained severe pain, tinnitus hearing impairment. Otomicroscopy revealed tympanic membrane rupture 12 patients. active therapeutic approach included immediate otomicroscopy,...

War, as a major human disaster, affects many aspects of life, including medical education. This report describes curricular and extracurricular activities the students at Zagreb University School Medicine during wars in Croatia neighboring Bosnia Herzegovina. Although condensed versions curricula were prepared case breakdown civilian school maintained continuity quality its curriculum throughout war. Students engaged related to war, organization resuscitation first aid courses, collecting...

Abstract Background The anesthetic management of parturients with ascending aortic aneurysm for cesarean section can be particularly challenging, primarily because increased risk dissection or rupture. Case presentation We present some aspects the two sections; amongst, use remifentanil its effects on patient and newborn. emphasize importance a cardio-obstetric team in context preoperative planning such patients. Also, we reviewed literature effect peri-operative hemodynamic stability....

Abstract We present a case of unusual extracranial branches the middle meningeal artery. The artery originated from medial side maxillary and entered skull through foramen spinosum. posterior superior alveolar artery, gave rise to pterygoid branch, maxilla. In addition, bifurcation common carotid was at level second cervical vertebra. embryogenesis such rare branching pattern is not clear, but anatomical consequences may have clinical implications. Clin. Anat. 14:292–294, 2001. © 2001...

Subcutaneous emphysema is defined as the unintentional introduction of air or carbon dioxide in subcutaneous tissues. The use robotic surgical techniques has greatly expanded over past decade specifically to treat intraperitoneal pathology. In general, advantages these minimally invasive procedures are reported decrease operating time, patient morbidity, and shorten hospital stay providing a safe alternative traditional surgery. However, with any surgery, potential complications may occur....

Polyuria with marked plasma sodium disturbance was present in 39 of 224 patients isolated craniocerebral war injuries. Twenty-one these had hyponatremia (sodium level < 130 mmol/l) and polyuria. Eight them (38%) died within 30 days after trauma. The remaining 18 developed classic diabetes insipidus syndrome, 6 (33%) hypernatremia mortality both higher those greater disturbances concentration polyuria lower Glasgow Coma Scale scores.

The authors describe a case of an unusual origin both vertebral arteries in singular cadaver. On the left, artery arises directly from common trunk and subclavian at aortic arch enters transverse cervical foramina C VI. right, originates right carotid III. Additional anomalies were observed on arch: arteries, left artery, as last branch, retroesophageal artery. morphometric measurements performed. literature variations is reviewed their clinical importance for diagnostical procedures head...

The expertise to recognize and manage the difficult airway is essential in anesthesiology. Conventionally, this refers anatomical concerns causing difficulties with facemask ventilation and/or tracheal intubation. Severe derangements patients' physiology can make induction intubation likewise difficult, approximately 30% of critically ill patients had cardiovascular collapse subsequently We present case a 58-year-old male past medical history type II diabetes hypertension who presented...

A patient presented with a stab injury caused by knife penetrating the orbital floor and maxillary sinus along skull base tip situated adjacent to left internal carotid artery. flexible fiberoptic bronchoscope loaded an endotracheal tube was initially positioned superior vocal cords advanced into trachea immediately following induction. The blade removed after occluding endovascular balloons were distal proximal potential artery site. Therefore, contralateral nasal intubation might be safely...

Retained surgical items (RSIs) in patients is a major operating room (OR) patient safety concern. An RSI any tool, sponge, needle or other item inadvertently left body during the course of surgery. If undetected, RSIs may lead to serious negative health consequences such as sepsis, internal bleeding, and even death. To help physicians efficiently effectively detect RSIs, we are developing computer-aided detection (CADe) software for X-ray (XR) image analysis, utilizing large amounts...

Extra-adrenal myelolipomas are rare, asymptomatic entities, although large tumors may cause local symptoms or hemorrhage. When these lesions occur outside the adrenals in retroperitoneum, they radiographically easily confused with both primary and secondary retroperitoneal tumors, which tend to be aggressive. Although benign can managed conservatively, if malignancy is suspected, a surgical procedure an option. We report case of 68-year-old patient multiple perirenal extra-adrenal...