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Potreba za što jednostavnijim, rutinski prihvatljivim, morfološkim istraživanjem maksilarnog luka kod rascjepa usne i nepca rezultirala je novom, originalnom, objektivnom kompjutoriziranom analizom. Metoda iznesena u ovom radu pogodna je za kliničku dokumentaciju, praćenje i za znanstveno istraživanje rascjepa. Set oznaka i faktora daje »ratio-odnos« asimetrije ili pomaka segmenta, umjesto apsolutnih brojeva, što je pogodnije za uspoređujuća ispitivanja i praćenja., The need for a simple, routinely applicable method for morphologic analysis o f maxillary arch in cleft patients resulted in development of a new original, objective and computerized method. The authors present the rationale and procedure o f this method which is extremely suitable for clinical documentation, follow up and clinical investigation o f cleft patients. The descriptive factors are expressed in relative numbers — rations of asymmetry and segment displacement. The relative numbers enable comparative analysis between arches of different size.

Radi analize karakteristiika bolesnika sa prijelomom donje čeljusti i provjere uspješnosti liječenja, retrospektivno su ispitani bolesnici sa prijelomom mandibule koji su boravili na Klinici za kirurgiju lica čeljusti i usta od 1. 1. 1984. do 31. 7. 1985. Analiza pokazuje da je 196 bolesnika imalo 281 prijelom, najviše na korpusu mandibule 121 (43,1 °/0), zatim na kondilarnom nastavku 68 (24,2%), a najmanje na alveolarnom grebenu 7 (2,5%). Gotovo jednako često uzroci prijeloma bili su promet (33,7) i nasilje (31,6%). Po dobi najugroženije je 3. desetljeće. U 51% slučajeva provedeno je konzervativno liječenje, a osteosinteza žicom primjenjena je kod 67 bolesnika. Ukupno je bilo 26 (13,3%) komipllikacija, među kojima se naročito ističe visok postotak kod osteosinteza jednom od pločica (standardna 30%, AO 50%). Rezultati pokazuju da su prijelomi donje čeljusti i dalje česti, da je konzervativno liječenje zadovoljavajuće za većinu prijeloma, a da osteosintezu pločicom treba primijeniti samo u strogo indiciranim slučajevima., In order to analyse the characteristics of the patients suffering from mandibular fractures and to test the succsess of the treatment, we retrospectively investigated patients with the fracture of the mandible, hospitalized in the period between January 1, 1984. and July 31, 1985. It has been shown that 196 patients had 281 fractures, predominantly in the corpus area of the mandible, 121 (43, 1°/o), followed by the condylar process, 68 (24, 2%), while the alveolar process was the least frequently affected, 7 (2, 5%). Almost with equal frequency, traffic (33,7%) and physical violence (31,03%) were responsible for the fractures. The third decade appeared to be the most dangerous age with 40,3%. In 51% of the patients the conservative treatment was performed, while wire osteosynthesis was applied in 67 patients. Altogether, there were 26 (13,3%) patients with complications, among which a very high percentage, 30% for standard plate and 50% for AO plate, stands out. Results show that the mandibular fractures are still frequent; that the conservative treatment is satisfactory for most of the fractures, and that the plate osteosynthesis should be done only in strictly indicated cases.

Prikazan je dezmoplastični fibrom tijela donje čeljusti u 58 godišnje bolesnice. Rijeđa pojava tumora u središnjim djelovima čeljusti, odsustvo specifičnih simptoma, samo klinički i rentgenološki nalaz ne osigurava preoperativno prepoznavanje tumora. Ispravna je dijagnoza moguća tek kada se ovi podaci upotpune makroskopskim i histološkim nalazom. Neprepoznavanje i zbog toga neodgovarajuće odstranjenje razlog su čestim recidivima dezmoplastičnog fibroma., The case report of a desmoplastic fibroma of the lower jaw in a 58 year-old female patient is presented. This tumor is often not preoperatively recognized because there are only clinical and X-ray findings, it is rare in the mid-part of the jaw and there are no specific symptoms. A correct diagnosis is made on the basis of macroscopic and histological findings. Desmoplastic fibromas frequently recur because they are not recognized and not enough of the tumor is surgically removed.