[Oral form of fibrolipoma]. / Oralna forma na fibrolipoma.

The pleomorphism of the tussies taking part in the formation of oral cavity is basis for the great majority of benign and malignant tumors. They often have similar clinical manifestations macroscopic view. Histological investigations help us for exact diagnosis and adequate treatment. Authors present a clinical case of 67 years old female treated in II ORL clinic of a tumour, originating from the floor of oral cavity, displacing tongue to the left. First complaints of the pathient a dating from 23 years. During that period the tumour gradually increased its dimensions and obstructed swallowing. The weight of the pathient of the time of the admitance at the hospital was 47 Kg. After operative removal of the tumour, the woman was in very good condition. The histological result--fibrolipoma. At the control examination (3 and 6 months after operation) she had increase her weight by 17 and 21 Kg respectively. This case present the conclusion that even benign tumours should be removed in shortes possible terms after the diagnoses.

[Behaviour of patients with inflammatory intracranial complications of otogenic origin]. / Povedenie pri patsienti s vutrecherepni vuzpalitelni uslozhneniia ot otogenen proizkhod.

The authors have the aim to discuss their experience in the field of treatment of otogenic intracranial complications results of inflammatory process. A short reference of the spread of this kind of pathology is made. The up-to-date methods for diagnostics, behaviour, conservative and surgery treatment of these patients are examined. A case is represented as an illustration, that regardless of the big progress in the medical knowledge and the opportunities of the surgery technique nowadays, these complications continue to be a serious problem in the otorhinolaryngology and enforced close collaboration. The publication is a teamwork of otorhinolaryngologists and neurosurgeons.

Bilophila wadsworthiain brain abscess: case report.

A case of a patient with a 20-year history of chronic otitis media complicated by cholesteatoma and brain abscess is described. A CT scan with contrast material showed three abscess cavities in the right cerebellar hemisphere. A culture from a specimen of the cholesteatoma yielded a significant amount of growth of Bilophila wadsworthia, Bacteroides fragilis and Prevotella oris and a moderate growth of alpha-streptococci and Staphylococcus simulans. From the pus of the brain abscess we also isolated numerous Bilophila wadsworthia, Bacteroides fragilis and Prevotella oris and some Prevotella buccae and Peptostreptococcus anaerobius. No aerobes were present. The patient underwent a craniotomy and the biggest abscess was removed together with the capsule. The antimicrobial therapy included penicillin plus metronidazole and later augmentin. The result of the treatment was a complete cure and total recovery of the patient. This is the first documentation of isolation of B. wadsworthia in chronic otitis media and in brain abscess.

[Anaerobic infection of the maxillary sinus complicated by phlegmon of the orbit]. / Anaerobna infektsiia na maksilarniia sinus, uslozhnena s flegmon na orbitata.

A male patient presenting acute left-side purulent masillary sinus and orbital phlegmon is described. Anaerobic flora is demonstrated microbiologically. Emphasis is laid on the necessity of opportune operative treatment, adequate antibiotic therapy and team work with microbiologists and ophthalmologists.