Folia medicaPub Date : 2025-03-21DOI: 10.3897/folmed.67.e146108
Sinan Aptikadir, Nelly Sivkova
{"title":"Optical coherence tomography angiography analysis of microvascular network in retinal vein occlusion: superficial <i>vs.</i> deep capillary plexus.","authors":"Sinan Aptikadir, Nelly Sivkova","doi":"10.3897/folmed.67.e146108","DOIUrl":"https://doi.org/10.3897/folmed.67.e146108","url":null,"abstract":"<p><strong>Introduction and aim: </strong>Optical coherence tomography angiography (OCTA) is a diagnostic imaging modality that provides distinct visualization of the vascular networks present in both the superficial and deep capillary plexuses. The present study employed OCTA to examine microvascular changes in the macular plexuses of retinal vein occlusion (RVO) patients, comparing them to unaffected eyes and a control group.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"67 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia medicaPub Date : 2025-03-21DOI: 10.3897/folmed.67.e143232
Hadeel Mazin Akram, Rand Zaidoon, Rusul Alaa
{"title":"Prevalence and characteristics of periodontal surgery procedures in postgraduate periodontic clinics: an epidemiological analysis.","authors":"Hadeel Mazin Akram, Rand Zaidoon, Rusul Alaa","doi":"10.3897/folmed.67.e143232","DOIUrl":"https://doi.org/10.3897/folmed.67.e143232","url":null,"abstract":"<p><strong>Background: </strong>Periodontal diseases include gingivitis, periodontitis, and peri-implant disease. There are different ways to treat these diseases, such as surgical and non-surgical periodontal treatments like gingivectomy, open flap debridement, and crown lengthening.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"67 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia medicaPub Date : 2025-03-21DOI: 10.3897/folmed.67.e139405
Serghei Covantsev, Anna Bumbu, Yuri Barinov, Andrei Kolotilshchikov, Marina Peicova, Natalia Pichugina
{"title":"Spontaneous thyroid cyst hemorrhage - a case report.","authors":"Serghei Covantsev, Anna Bumbu, Yuri Barinov, Andrei Kolotilshchikov, Marina Peicova, Natalia Pichugina","doi":"10.3897/folmed.67.e139405","DOIUrl":"https://doi.org/10.3897/folmed.67.e139405","url":null,"abstract":"<p><p>The prevalence of thyroid nodules in the population ranges from 24.83% to 44.4%, with a notable increase observed in patients over 80 years of age, reaching up to 79.8%. In 0.7% to 1.59% of cases, patients presenting with spontaneous thyroid cysts or node hemorrhage require surgical intervention. The present report details a case of a 37-year-old woman who was admitted to the hospital with complaints of cervical pain on the left side of the neck, weakness, and a palpable mass on the anterolateral surface in the lower third of the neck on the left. The mass required aspiration and hemithyroidectomy. The case demonstrates the efficacy of point-of-care ultrasonography (USG) and cyst aspiration as initial steps in the process of decompression. However, it is imperative to exercise caution and meticulous monitoring of the patient, as the necessity for urgent or elective surgical intervention remains a possibility. Furthermore, it is imperative to perform elective surgery, as histological examination of thyroid glands post-hemorrhage reveals malignancy in 5.1-66.7% of cases.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"67 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia medicaPub Date : 2025-03-21DOI: 10.3897/folmed.67.e143916
Stoyan Markov, Petya Markova
{"title":"Planned tracheotomy in children: indications, contraindications and preoperative assessment.","authors":"Stoyan Markov, Petya Markova","doi":"10.3897/folmed.67.e143916","DOIUrl":"https://doi.org/10.3897/folmed.67.e143916","url":null,"abstract":"<p><p>Pediatric tracheotomy became established as a valuable procedure when Galloway reported its successful use to assist breathing in polio patients during the polio pandemic of the 1950s. Examination of the history of the procedure from its inception to the present day reveals a significant change in the indications for its execution. This is due to the achievements of neonatal and pediatric intensive care medicine, which in recent years have been able to shift the emphasis from performing it as an emergency procedure to solve an acute asphyxia problem to performing it in children, representing a complex group of patients with permanent dependence on tracheostomy and medical technologies for long-term survival related to it.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"67 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Extramedullary dissemination in multiple myeloma: a case report of rare leptomeningeal involvement and comprehensive treatment outcomes.","authors":"Tanya Stoeva, Zhivka Dancheva, Sofiya Chausheva, Tsvetelina Yordanova, Borislav Chaushev, Aneliya Klisarova","doi":"10.3897/folmed.67.e132922","DOIUrl":"https://doi.org/10.3897/folmed.67.e132922","url":null,"abstract":"<p><p>Multiple myeloma (MM) is a clonal plasma cell malignancy often confined to the bone marrow, although extramedullary disease (EMD) can develop, especially in advanced or relapsed cases. Leptomeningeal EMD is a rare and aggressive manifestation associated with a dismal prognosis. This case report highlights the critical role of 18F-FDG PET/CT in managing such complex presentations.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"67 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia medicaPub Date : 2025-03-21DOI: 10.3897/folmed.67.e145825
Vladimir Aleksiev, Daniel Markov, Boyko Yavorov, Kristian Bechev, Galabin Markov, Filip Shterev, Dimcho Argirov
{"title":"Enhanced diagnostic approaches for malignant pleural effusions: an extensive biochemical and statistical analysis.","authors":"Vladimir Aleksiev, Daniel Markov, Boyko Yavorov, Kristian Bechev, Galabin Markov, Filip Shterev, Dimcho Argirov","doi":"10.3897/folmed.67.e145825","DOIUrl":"https://doi.org/10.3897/folmed.67.e145825","url":null,"abstract":"<p><strong>Introduction: </strong>Malignant pleural effusions are a common and debilitating complication of advanced malignancies, affecting approximately one million patients annually. This condition leads to significant morbidity and a decline in quality of life. Accurate diagnosis and effective management are critical yet challenging due to the overlap in biochemical markers between malignant and benign pleural effusions.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"67 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia medicaPub Date : 2025-03-21DOI: 10.3897/folmed.67.e131189
Ivoslav Ivanov, Dimo Mitev
{"title":"Surgical management of non-traumatic hypopharyngeal perforation with descending mediastinitis.","authors":"Ivoslav Ivanov, Dimo Mitev","doi":"10.3897/folmed.67.e131189","DOIUrl":"https://doi.org/10.3897/folmed.67.e131189","url":null,"abstract":"<p><p>Perforation of the hypopharynx is an extremely rare condition of various etiologies. In even rarer cases, it can lead to mediastinitis, a serious complication with a high mortality rate of up to 35%. We present a case of a 52-year-old male patient with a purulent descending mediastinitis caused by a rare condition of rupture of the hypopharynx after the ingestion of solid food. Mediastinal gas and fluid as well as pleural empyema were observed on CT scan. The case is unique because of the cervical surgical approach used to treat it, as well as a number of techniques that appear to control the infection and treat the source of mediastinitis. The patient recovered completely 20 days postoperatively and was followed up clinically and by computed tomography without persistent symptoms or late complications.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"67 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia medicaPub Date : 2025-03-21DOI: 10.3897/folmed.67.e132056
Despoina G Sarridou, Sophia A Mouratoglou, Anna Gkiouliava, Sokratis Tsagkaropoulos, Georgios Theodoros Karapanagiotidis
{"title":"The role of intraoperative transesophageal echocardiography in the successful outcome after mitral replacement for infective endocarditis on the background of hypertrophic obstructive cardiomyopathy: a case report.","authors":"Despoina G Sarridou, Sophia A Mouratoglou, Anna Gkiouliava, Sokratis Tsagkaropoulos, Georgios Theodoros Karapanagiotidis","doi":"10.3897/folmed.67.e132056","DOIUrl":"https://doi.org/10.3897/folmed.67.e132056","url":null,"abstract":"<p><p>Hypertrophic cardiomyopathy is most commonly an autosomal genetic disorder characterized by increased morbidity. Infective endocarditis, although rare, can complicate the course of the disease. The mitral and aortic valves are more commonly affected. Mitral valve vegetations may cause severe regurgitation and acute heart failure. In the event that the anterior valve leaflet is affected, this may result in severe left ventricular outflow tract obstruction (LVOTO), requiring immediate intervention and resulting in a significant increase in mortality. We report a rare clinical case of a patient with hypertrophic cardiomyopathy complicated by mitral valve infective endocarditis and LVOTO.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"67 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia medicaPub Date : 2025-03-21DOI: 10.3897/folmed.67.e137670
Ankit Shah, B C Sikkerimath, Yash Merchant, Santosh Gudi, Satyajit Dandagi, Dinesh Shah
{"title":"Potential predictors contributing to an increased hospital stay in odontogenic maxillofacial space infections: a retrospective study.","authors":"Ankit Shah, B C Sikkerimath, Yash Merchant, Santosh Gudi, Satyajit Dandagi, Dinesh Shah","doi":"10.3897/folmed.67.e137670","DOIUrl":"https://doi.org/10.3897/folmed.67.e137670","url":null,"abstract":"<p><strong>Aim: </strong>Maxillofacial space infection refers to infections in the potential spaces and fascial planes of the maxillofacial region. The primary objective was identifying predictive variables associated with increased hospital stay in patients with odontogenic maxillofacial space infections.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"67 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia medicaPub Date : 2025-03-21DOI: 10.3897/folmed.67.e141763
Tomasz Furgoł, Karolina Karska, Michał Miciak, Joanna Jureczko, Konrad Gigoń, Marcin Jezierzański, Paweł Jureczko
{"title":"Coronary artery disease with heavily calcified lesions - literature review of novel therapeutic methods.","authors":"Tomasz Furgoł, Karolina Karska, Michał Miciak, Joanna Jureczko, Konrad Gigoń, Marcin Jezierzański, Paweł Jureczko","doi":"10.3897/folmed.67.e141763","DOIUrl":"https://doi.org/10.3897/folmed.67.e141763","url":null,"abstract":"<p><p>Coronary artery disease and atherosclerosis are a very significant and widespread problem in modern medicine. The development of current diagnostics and treatment of atherosclerotic lesions is moving towards minimally invasive methods. The purpose of this article is to present selected novel methods of treating coronary atherosclerosis, comparing their effectiveness, indications, contraindications, and possible complications. A literature review of selected treatment methods for calcified atherosclerotic lesions was conducted in the online databases of PubMed, PubMed Central, Google Scholar, and NCBI. It includes original and review papers. The main language of the articles was English. The search used keywords such as \"coronary artery disease,\" \"calcified atherosclerotic lesions,\" \"rotational atherectomy,\" \"intravascular lithotripsy,\" and \"RotaTripsy,\" as well as related phrases. After analyzing the abstracts, the papers that most closely matched the stated topic were selected. Atherosclerosis is the leading cause of coronary heart disease incidence. Several risk factors, both non-modifiable and modifiable, predispose to its occurrence. Heavily calcified atherosclerotic plaques are associated with a higher risk of coronary artery disease consequences. Currently, methods such as CT coronary angiography and optical coherence tomography are used for diagnosis. Endovascular therapies are now recommended for the treatment of atherosclerosis with heavily calcified plaques. Rotational atherectomy, intravascular lithotripsy and RotaTripsy are promising methods for treating high-grade atherosclerosis with calcified deposits. However, especially in the case of RotaTripsy, further clinical studies are required to better evaluate the efficacy of this novel method.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"67 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}