Maxillofacial war injuries in civilians and servicemen during the aggression against Croatia.

Although civilian populations have been heavily involved in most of the recent wars and conflicts throughout the world, most reports analyzed casualty data of military personnel, often leaving civilian casualties excluded or underestimated. A comparison of epidemiologic and medical data for maxillofacial injuries between civilians and servicemen (policemen, soldiers, and United Nations Protection Forces) during the aggression against Croatia is attempted. Of the 220 casualties admitted to the Department of Maxillofacial Surgery in Zagreb between August 1991 and December 1992, almost one-fourth were civilians. A significant difference between civilians and servicemen was noted in age and sex distribution. The incidence and severity of maxillofacial and associated injuries is almost equal, and the pattern of injuries is of the same type for civilian and military personnel.

Primary hyperparathyroidism: evaluation of different treatments of jaw lesions based on case reports.

On the basis of three case reports, different treatment modalities of primary hyperparathyroidism of the jaws are presented. Surgical intervention made as the result of misdiagnosis in the first case caused an unnecessary bone defect and delayed bone regeneration for several months. Two other cases showed spontaneous regeneration of bone after parathyroidectomy. The second case disproved the earlier opinion that regeneration of the bone lesions could last for several years, and that the normal morphology could be restored. Complete resolution of the central giant-cell lesion was found 6 months after removal of the parathyroid adenoma.

[Comparison of clinical and histopathological diagnosis in oral surgery]. / Usporedba klinicke i patohistoloske dijagnoze u oralnoj kirurgiji.

Only a successful cooperation of an oral surgeon and the pathologist can ensure a reliable diagnosis. The authors have analyzed operations performed during 1990 at outpatient clinic of the Department of Oral and Maxillofacial Surgery, University of Zagreb, School of Dentistry. Clinical appearance of the disease and clinical diagnosis sometimes enable us to recognize the real nature of the disease. The clinical diagnosis in correlation with the histological diagnosis can be either denied or improved. The aim of this investigation was to correlate the clinical and the histological diagnosis and to find out the number of improvement. Material most often sent for histological examination was an operated cyst. Although the removed tissues were analyzed under different clinical diagnoses, approximately 70% of the clinical diagnoses corresponded to the histopathological findings. In one case the clinical diagnosis of benign lesion--hyperkeratosis-- was after histopathological examination find as carcinoma planocellulare. The authors recommend every part of the excised tissue to be sent for a histopathological examination.

[Postextraction complications and the choice of anesthesia]. / Utjecaj anestezije na pojavu postekstrakcijskih komplikacija.

The aim of the investigation is to evaluate the dependence of the most frequent postextraction complications (pain, hemorrhage, hematoma, swelling and dry socket) in relation to the choice of anesthesia. The total of 447 teeth was extracted in 319 male and female persons between 11 and 80 years of age. The most important conclusion of the investigations is that vasoconstrictor in local anesthetic solutions does not influence the incidence of postextraction complications. Clot disturbance, higher incidence of dry socket and unpredicted time of pain appearance were found in the local anesthetic group with lower concentration of vasoconstrictor. Statistically significant difference between local and general anesthesia does not exist in relation to blood clot disturbances, although a great number of clot fails is evident in local anesthetic group. The pain intensity is lower when teeth extraction were performed under general anesthesia.