Klinika za bolesti uha

Split, Croatia

Klinika za bolesti uha

Split, Croatia

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Klancnik M.,Klinika za Bolesti Uha | Grgec M.,Klinika za Bolesti Uha | Lozic B.,Klinika za Djecje Bolesti | Sunara D.,Klinika za Bolesti Uha
Paediatria Croatica | Year: 2016

Otitis media with effusion (OME) is a common disease in children with a prevalence of up to 20% and great impact on conductive hearing loss, delayed speech development and destruction of middle ear mucosa lining. The aim of the study was to evaluate the association of allergy and persistent OME in children. Seventy-six children aged 2 to 14 years diagnosed with OME were included in the study. Control group included 76 age-matched healthy children attending pediatric surgical unit for different pediatric surgical procedures other than ENT surgery. Fifty-eight (76.3%) OME children had positive history of allergic rhinitis and 45 (59.2%) had positive results of intradermal skin tests. Total IgE levels were elevated in 46 (60.5%) children and specific IgE levels were elevated in 39 (51.3%) children in OME group. In control group, 12 (15.8) children had positive history of allergic rhinitis and only 10 (13.2%) had positive results of intradermal skin tests. Total IgE levels were elevated in 17 (22.4%) children and specific IgE levels were elevated in 9 (11.8%) control group children. This study showed the prevalence of allergic history to be higher in children with OME as compared with control group. The prevalence of positive results of different allergy tests was also higher in the OME group as compared with control group.


Vrabec-Branica B.,Klinicki bolnicki centar Zagreb | Smojver-Jezek S.,Klinicki bolnicki centar Zagreb | Stancic-Rokotov D.,Klinika za torakalnu kirurgiju Jordanovac | Branica S.,Klinika za bolesti uha
Medica Jadertina | Year: 2011

The aim of this study was to investigate the role of imprint cytology as a diagnostic tool, either alone or combined with histopathology, of oesophageal biopsy specimens. A two - year study of endoscopic cytology and histopathology was carried out on 86 patients suspected of having a malignant oesophageal lesion. Patients were biopsied on one to three locations and imprint cytology preparation was made for each biopsy specimen and then sent to histopathology. In 76 of 86 patients (88.3%) cytology and histopathology diagnosis were the same: 31 (36.0%) were negative and 45 (57.0%) were positive. Of 45 positive patients, a false-negative histopathology diagnosis was given in only four patients. Repeated biopsy confirmed the first positive cytology diagnosis. In one cytology positive and histopathology negative patient, carcinoma was diagnosed on surgical pathology. Of 50 histopathology positive patients, 45 were cytology positive, 3 were cytology suspected and 2 had severe cytology atypia. In tumor types evaluation, cytology and histopathology diagnosis were the same in 39 of 45 positive patients (86.6%): 24 were squamous cell carcinomas, 11 were adenocarcinomas while 4 were only carcinomas. Imprint cytology demonstrated high diagnostic accuracy in the diagnosis of malignant oesophageal tumors. Cytology and histopathology showed high correlation (96%) in the diagnosis of histologic type of squamous cell carcinoma. The cytology and histopathology techniques remain complementary and both should be utilized for maximum diagnostic efficiency. Positive cytology and negative histopathology diagnosis require repeated biopsy.


Ivanisevic P.,Klinika za Bolesti Uha | Poljak N.K.,Klinika za Bolesti Uha | Cikojevic D.,Klinika za Bolesti Uha | Dorsner K.,Odjel za Otorinolaringologiju | Ivanisevic M.,Klinika za Ocne Bolesti
Lijecnicki Vjesnik | Year: 2015

Dr Aleksandar Dorsner (Trebinje, 1892 - Lima, 1967) was the first hospital otorhinolaryngologist in Split and Dalmatia. He graduated from the Faculty of Medicine in Prague in 1919, and specialized otorhinolaryngology in Graz and Vienna. He led and organized otorhinolaryngological service in Split Hospital from 1923 to 1934, and he also had a private practice. Temporarily he also worked outside Split in Dalmatian hinterland and in Sibenik, Zadar and Dubrovnik. Most frequently he performed the following otorhinolaryngological operations: tonsillectomies and adenoidectomies and operations of purulent middle ear inflammations with mastoiditis, nasal polyps, deviated nasal septum, maxillary sinus empyema and otorhinolaryngological trauma. In 1928 he became a member of Otorhinolaryngological section of Croatian Medical Chamber. He participated in the work of the first otorhinolaryngological congress of the former Yugoslavia in 1931, taken place in Zagreb. From 1928 he was a member of Oto-Neuro-Ophthalmological Society. From 1933 to 1937 he was a vicepresident of the main board of Free Organization of Dalmatian Physicians in Split. In 1938 he left Split permanently and continued living with his family in Lima (Peru) where he died in 1967. He was an erudite. He lived for his profession which he liked very much and dedicated his life to. He is one of the most meritorious doctors in Split medical history, whom otorhinolaryngology service in Split Hospital started with.


Roje Z.,Klinika za bolesti uha | Racic G.,Klinika za bolesti uha
Medicus | Year: 2011

Oral allergy syndrome was recognized as a separate entity in 1987. It is a part of the pollen-food syndrome which develops in patients with seasonal allergic rhinitis as a result of cross reactivity between pollen antigens and food proteins from fruits, vegetables and spices. Antigens related to oral allergy syndrome are generally thermolabile and degradable by digestive enzymes. The following symptoms may occur in the upper digestive tract (mouth, oral cavity and oropharynx): tingling, itching or burning sensation of lips, mouth and throat, and edema of the lips, tongue, soft palate and oropharynx. Symptoms occur immediately after implicated food consumption. Systemic symptoms are very rare. A positive history of typical symptoms after eating typical plant food and concomitant history of seasonal allergic rhinitis are essential for the diagnosis of oral allergy syndrome. Management includes avoidance of certain fruits and vegetables. Cooking can be helpful as well. Antihistamines can alleviate symptoms. The role of specific immunotherapy with pollen antigens remains controversial.


Roje Z.,Klinika za bolesti uha | Selimovic M.,Ustanova za hitnu medicinsku pomoc | Omero L.,Klinika za bolesti uha
Medicus | Year: 2011

Allergic rhinitis (AR) is a global health problem and one of the main reasons for visiting a family medicine physician. The effects of rhinitis symptoms on the quality of life define this disease as a public-health problem. All AR aspects are defined in ARIA guidelines (Allergic Rhinitis and its Impact on Asthma-ARIA). AR is a symptomatic disorder of the nose induced by an immunoglobulin E (IgE)-mediated inflammation following allergen exposure. Symptoms include rhinorrhea, nasal itching and sneezing, and nasal obstruction. In 40-70% of patients ocular symptoms (eye redness and itching, increased lacrimation) can occur as well. Diagnosis is not hard to establish on the basis of a patient's medical history, especially if symptoms occur seasonally. It can be confirmed by skin-prick test. Other diagnostic procedures are suggested only in individual cases. In more than 90% of patients a good disease control can be achieved by an appropriate therapy choice. According to ARIA guidelines, treatment depends on the type and severity of AR, and it is conducted on four levels: patient education, allergen avoidance, pharmacotherapy and immunotherapy. The results of alternative therapies are still controversial.


Klancnik M.,Klinika za Bolesti Uha | Cikojevic D.,Klinika za Bolesti Uha | Gluncic I.,Klinika za Bolesti Uha | Racic G.,Klinika za Bolesti Uha
Paediatria Croatica | Year: 2011

The aim of the study was to assess the relationship between the classification of Eustachian tube functions and the prognosis of the development of secretory otitis media. The study included 66 children (116 ears) aged 3 to 14 years with chronic otitis media with effusion. Tympanocentesis was performed after unsuccessful conservative treatment. During the period of wearing tympanostomy tubes, equalizing of air pressure at both ends of the Eustachian tube was assessed by tubotympanometry at 1, 3, 6 and 12 months. Study children were divided into four groups according to the ability of equalizing air pressure. Study results pointed to the following conclusions: equalization of air pressure was worse in children aged 3-8 was than in those aged 5-14; and the results of eustachian tube functions were best after 1-year period of wearing tympanostomy tubes.


Allergic rhinitis (AR) is the most common allergic disorder and its prevalence is still increasing. Before using the ARIA guidelines, about one third of patients with moderately severe / severe symptoms despite therapy had severe symptoms. The ARIA guidelines defi ne AR as an infl ammatory disease. Treatment of AR implies accurate assessment of disease severity, and any relationship of AR and asthma should be evaluated. Intranasal corticosteroids (ICS) are the most eff ective drugs in the treatment of AR with minimal risk of systemic side eff ects. ICS can be the fi rst treatment option in all forms of AR because they treat all the symptoms of AR.


Gluncic I.,Klinika za Bolesti Uha | Cikojevic D.,Klinika za Bolesti Uha | Klancnik M.,Klinika za Bolesti Uha | Racic G.,Klinika za Bolesti Uha | Spuzevic L.,Klinika za Bolesti Uha
Paediatria Croatica | Year: 2010

Records of children who underwent bronchoscopy for evaluation of foreign body aspiration in the ENT department, Split Clinical Hospital, during the 1992-2008 period, were reviewed retrospectively. A total of 92 bronchoscopies were done, presenting with a mean age of 3.8 (range 1 to 15 years). The peak incidence of foreign body aspiration is about 2 years of age (40%). The male-female ratio was 59/33 (1.8:1). The foreign body was identified and extracted in 66 % of cases (61 /92) and not identified in 34 % cases (31/92). The most common foreign body was a peanut 33 % (20/61), the nut was extracted in 10 cases, other foreign bodies were pieces of apple, hair or grass, pieces of hotdog, insulation wire and plastic parts of a toy. Of the 92 bronchoscopies, 41 (67 %) showed a foreign body commonly located in the right bronchus and 20 (33%) in the left bronchus. The suspicion of foreign body aspiration must be confirmed or excluded by rigid bronchoscopy. Bronchoscopy must be performed in the first 24 or no more than 48 hours after foreign body aspiration to prevent late complications.


Janjanin S.,Klinika za Bolesti Uha | Katic V.,Klinika za Bolesti Uha | Oreb I.,Klinika za Bolesti Uha
Lijecnicki Vjesnik | Year: 2010

Acute lingual tonsillitis is a rarely diagnosed cause of sore throat. The patient with acute lingual tonsillitis typically has severe sore throat, dysphagia and pain at the level of hyoid bone, and it is interesting that patients with previous palatine tonsillectomy can present with almost normal oral examination findings. The diagnosis of potentially fatal epiglottitis should be excluded. Because the base of the tongue can not be visualized by intraoral examination, diagnosis must be made by indirect or transnasal fiberoptic laryngoscopy.


PubMed | Klinika za bolesti uha
Type: Case Reports | Journal: Lijecnicki vjesnik | Year: 2011

Acute lingual tonsillitis is a rarely diagnosed cause of sore throat. The patient with acute lingual tonsillitis typically has severe sore throat, dysphagia and pain at the level of hyoid bone, and it is interesting that patients with previous palatine tonsillectomy can present with almost normal oral examination findings. The diagnosis of potentially fatal epiglottitis should be excluded. Because the base of the tongue can not be visualized by intraoral examination, diagnosis must be made by indirect or transnasal fiberoptic laryngoscopy.

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