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Purpose: Retrospective evaluation of functional and anatomical treatment outcomes in patients with macular cornplications of optic disc pit., Material and Methods: 9 patients (eyes) underwent central posterior vitrectomy in conjunction with posterior vitreous detachment, retinal laser therapy to the optic disc pit area and endotamponade with expansile gas. It was followed by the patient's forced positioning (recommended for a few days especially at night), which ended the treatment protocol., Results: Improved anatomical relationships, accompanied by functional improvement were achieved in each reported case. The resolution of macular lesions was slow, lasting even for several months. Too long delay in performing the surgery (over 5 months since the onset of visual impairment) was associated with the development of retinal complications, mainly macular hole formation, most likely caused by the long-term ischemia., Conclusions: The central posterior vitrectomy combined with posterior vitreous detachment, laser therapy, andd expansile gas tamponade offers good outcomes in patients with retinal complications of optic disc pit. Surgery performed shortly after the onset of visual dysfunction gives the best functional outcomes. Restoration of normal anatomical relationships is a long-term process. In some cases, though, these abnormalities may not resolve completely.

Introduction: Sonoelastography is a novel technique useful in noninvasive assessment of tissue elasticity. This method was found to date to be useful in noninvasive differentiation of benign and malignant lesions of multiple organs: thyroid gland, liver, prostate and breast. Elastograms were scored upon conventional subjective color scale and the detailed stiffness values in kPa were collected., The Aim of the Study: was to examine usefulness of sonoelastography in assessment of salivary glands lesions. Material and Methods the group consisted of 99 patients treated in Department of Otolaryngology. 52 patients after radiotherapy for head and neck cancer, 4 treated for inflammatory disease - 2 Sjoegren syndrome, 2 acute sialoadenitis and 43 consecutive patients with parotid tumors. The control group constituted 54 healthy volunteers., Results: the mean stiffness value in 10 malignant tumors was 146.6 kPa and 88.7 kPa in 33 benign, the mean stiffness value of glandular parenchyma after radiotherapy was 43.18 kPa and in inflammatory disease 63.66 kPa. Mean elasticity of reference glandular tissue was 24.23 kPa., Conclusions: sonoelastography is fast, repetitive, noninvasive and objective method and it is useful in assessment of salivary glands lesions., (Copyright © 2012 Polish Otolaryngology Society. Published by Elsevier Urban & Partner Sp. z.o.o. All rights reserved.)

Objectives: The introduction of minimally invasive surgical procedures has significantly reduced the rate of major salivary gland removal due to sialolithiasis. The aim of the analysis was to assess the effectiveness of sialoendoscopy and combined approach in most difficult cases., Material and Methods: prospective study, tertiary university centre (Department of Otorhinolaryngology, Head and Neck Surgery, Poznan), between XII 2008 and V 2012, 207 sialendoscopies were performed in 197 patients. In this number 158 patients had obstructive pathology of salivary glands, 95 confirmed gland or duct sialolithiasis: parotid - 31 and submandibular - 64., Results: In the group of submandibular lithaiasis in 40 cases (62.5%) stones were removed endoscopically. Double approach (sialendoscopy and incision of mucosa of the floor of the mouth with removal of the stone was performed in 21 cases (32.8%). Only in 3 cases removal of submandibular gland was necessary. In the group of parotid sialolithiasis in 17 cases (54%) endoscopy was the definite treatment, in 9 litothrypsy (ESWL) were necessary and in 5 combined approach. This five patients who failed SE were treated by combined transcutaneous (open surgery) and endoscopic procedure. We observed no incidence of salivary fistula after the incision of the duct; there was also no stenosis of the natural ostium due to the insertion of a stent., Conclusions: Sialoendoscopy is method of choice with high rate of success and gland preservation in small and moderate stones. The combined approach is indicated for large stones, complications and where there is a contraindication to established minimally invasive procedures., (Copyright © 2012 Polish Otolaryngology Society. Published by Elsevier Urban & Partner Sp. z.o.o. All rights reserved.)