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Biomedical subjects

M Barna

Publications and source records attributed to M Barna.

At least 37 records · Page 2Linked to original sources

[Diagnostic value of the histological examination in gluten-sensitive enteropathy].

At 42 children with malabsorption syndrome 65 peroral intestinal biopsies have been taken. In 7 cases three consecutive biopsies - at the onset of symptoms (1.), after gluten withdrawal (2.) and after reintroduction of gluten (3.) - were obtained. In 3 cases two biopsies, the (2.) and the (3.) were examined. On the basis of the clinico-morphological analysis of 27 biopsies gluten sensitive enteropathy was diagnosed in 6 cases. In 4 cases the reaction of the intestinal mucosa on withdrawal and reintroduction of gluten indicated transient gluten intolerance. As an effect of the dietary treatment introduced according to the morphological alterations of intestinal mucosa normal development of children started. Authors believe that the diagnosis of the gluten sensitive enteropathy and it's differentiation from the transient gluten intolerance should be based on the morphological examination of the intestinal mucosa.

Biopsy↗

Mucocutaneous lymph node syndrome: three cases observed in Hungary.

Three patients are reported whose symptoms were very similar to those described in mucocutaneous lymph nodes syndrome, a disease prevalent in Japan. In one case the disease was complicated by otomastoiditis which prolonged the course and reactivated the symptoms. In the other two cases recovery was uneventful. No epidemiological relation could be demonstrated among the cases. Prednisolone was administered to two patients with immediate antifebrile effect.

Child↗

[Reconstructive plastic repair in cancer of the lips].

Lips neoplasm represent 20% from all maxillo-facial cancers, more than 90% being localized on the inferior lip. This paper present the results of the reconstructive surgery on 208 patients treated over 10 years (1984-1993) at the Bucco-Maxillo-Facial Surgery Clinic from Iaşi. The procedures were different according with the dimensions of the tumor and several other factors regarding there histopathological type, moment of the diagnostic, age etc.

Adult↗

[Surgical prosthetic restoration after bilateral maxillectomy].

In 6 cases of tumors, two gigantic benign and four malignant in T4 having palatal and gingivo-alveolar starting point with invasive evolution into the structure of facial mass, surpassing the median alignment, the authors consider the problem concerning the indications for exeresis, possibilities of removal of healthy tissue and the reconstruction of massive losses of substance. The surgical treatment of reconstruction that completes the exeresis of the tumor is meant to sustain the ocular globe through a aponeurotic-muscular flap form the temporal muscle, with the aid of nasal septum or a skin graft also used to obtain a good coating of the cavity, and is also meant to a plastic reconstruction of the soft palate as well as to retention modelling of the cavity fields which resulted postsurgically. The main role in maxillofacial reconstruction in held by the obturator prosthesis that avoids morphofunctional prejudices and restores facial contour, without aesthetic and psychic prejudices. The results obtained in our 6 cases shown here have been fully satisfactory.

Adult↗

[Suppurative cervico-mediastinitis of odontogenic origin].

Five cases are presented, of suppurated cervico-mediastinitis developed after acute suppurated apical parodontitis of a lower molar tooth. In two cases the severity and the extension of the lesions resulted in a fatal outcome. In one of the cases the patient also had pericarditis, pleurisy and purulent meningitis, and in the second case the necrotizing mediastinitis extended to the pleural and pericardic cavities, and was associated to bilateral bronchopneumonia. In three cases the patients were cured following cervical mediastinotomy, efficient mediastinal aspiration of the anterior and of the posterior mediastinum, in association with antiinfectious and resuscitation therapy. Since the prognosis of these major complications is still severe the risk of diffusion of odontogenic suppurations should not be ignored or minimized since in all the cases iatrogenic factors have occurred over the evolution of the patients. Knowledge of stomatologists should be improved and they should be aware of the risks of odontogenic suppuration involving parapharyngeal and cranio-encephalic extension, or the risk of cervico-mediastinal diffusion.

Adult↗