Kopacheva barsova, Gabriela
Preferred name
Kopacheva barsova, Gabriela
Official Name
Kopacheva barsova, Gabriela
Main Affiliation
Email
gabriela.kopacheva.barsova@medf.ukim.edu.mk
13 results
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Item type:Publication, CORRELATION BETWEEN TONSIL HYPERTROPHY AND ALLERGIC RHINITIS IN CHILDREN(Macedonian Association of Anatomists, 2020-12-25); - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Laryngotracheal Stenosis: A Retrospective Analysis of Their Aetiology, Diagnose and Treatment(Scientific Foundation SPIROSKI, 2019-05-26); ; BACKGROUND: Laryngotracheal stenosis created as a result of a long-term consequence of prolonged endotracheal intubation is a state of narrowing of the airway, which, depending on the degree of narrowing, can be from an asymptomatic to a potentially life-threatening condition. AIM: To understand the severity of postintubation laryngeal stenoses, their diagnosis, endoscopic evaluation, endoscopic and surgical treatment and their success in a multi-year period realised in the University Clinic for Ear, Nose and Throat in Skopje, Macedonia. MATERIAL AND METHODS: Through a proper history, physical examination, endoscopic and imaging evaluation of the ear, nose and throat in the Clinic, in the period of 8 years, that is, from 2010 to 2017, laryngotracheal stenosis was diagnosed in a total of 36 patients. During this period, 24 male or 66.7% were diagnosed, as were 12 female subjects or 33.3% of diagnosed patients. Of the analysed total of 36 patients, by Mayers cotton classification, 14 or 38% are patients with grade 1 stenosis, 5 or 13% are grade 2, and 10 or 27% are grade 3, while 7 or 19% are grade 4 stenosis RESULTS: It is essential for all laryngotracheal stenoses to exist or to provide a breathing path that depends on the degree of stenosis. Further course of treatment also depends on the characteristics of the stenotic zone that is visualised endoscopically. At the Clinic for ear nose and throat in Skopje, endoscopic treatment was performed through a series of dilatations within 21 patients, or 58 % of the examinee, as well as the administration of mitomycin and corticoderates in 21 patients or 52% of the examinee. The applied actions and procedures had shown 100% outcome on stenoses not longer than 2 cm, who have a fibro-inflammatory scar and by Myer cotton classification 1 and second stadium. Patients that have failed endoscopic treatment, surgical treatment are a method of choice. Surgical treatments have been performed in 4 patients with realised end of the anastomosis, and 3 crycotracheal reconstructions, which is decannulated. After an extensive follow-up of these patients, depending on their condition, multiple endoscopic evaluations have been decannulated to 21 patients or 58%, and after a series of multiple unsuccessful endoscopic treatments, a condition with tracheal stoma occurs in 8 patients or 22% of the examinee. CONCLUSION: The observations indicate that the methods used, which are explained previously, have good effects in terms of the achieved outcomes. Due to limited resources, it is necessary to improve new methods and approaches in the treatment of stenoses, depending on their type and severity, thereby improving patient outcomes. Also, to reduce laryngotracheal stenoses, appropriate tubes and low pressure of the caffeine in the endotracheal tubules should be used. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The Pillars of the Nose-Crura Shortening for Over Projected Nose(Scientific Foundation SPIROSKI, 2019-12-15); ; ; ; Petreska-Dukovska, VesnaThe over projected nose, commonly referred to as the "Pinocchio" nose is a significant challenge to the rhinoplasty surgeon. Firstly, we speak about a very large nose, and secondly, we speak about the correction of nasal cartilages (alar and triangular). Surgical correction of the over projected nose is the most difficult and least predictable component of rhinoplasty surgery. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Importance of CT imaging in pediatric cochlear implantation: Emphasis the significance of the BCNC width.(2022-07-27); ; ; Introduction: Cochlear Implantation (CI), in the past more than 30 years, has become a standard of care for children with profound sensorineural hearing loss. As it became a routine intervention, requests for pre-op images have increased in the work-up for candidates. The optimal protocol for radio-diagnostics has not yet been defined. CT and MRI are complementary methods and both being used for this purpose. An absent cochlear nerve (CN) is the only absolute contraindication to cochlear implantation and MRI is a gold standard for CN detection. Some authors have reported the relationship between cochlear bony nerve canal (BCNC) stenosis and CN hypoplasia and aplasia. Objectives: The aim of this study was to stress out the importance of CT by evaluating the width of the bony cochlear nerve canal (BCNC) in children with congenital sensorineural hearing loss (SNHL) and “normal" findings on thin section temporal bone CT. Materials and methods: The width of the BCNC was retrospectively evaluated in two groups of patients. The study group included 11 children with congenital, bilateral SNHL who underwent cochlear implantation from July to December 2019. Eleven children aged 3-10 years, with no sensorineural hearing loss were taken as controls. Axial sections of their CT scans were used to measure the width of the BCNC. Results: From the obtained results, the width of the BCNC in children with bilateral, profound sensorineural hearing impairment range from 1.0 to 2.3 mm with mean value of 1.5 ± 0.3 mm and is significantly smaller than in the control group. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, COMPARATIVE STUDY BETWEEN JODOFORM-VASELINE NASAL PACKING AND MEROCEL HEMOX 10 cm AFTER THE SEPTO-TURBINOPLASTY OR RHINOSEPTOPLASTY PROCEDURE(European Rhinologic Society, 2019-04-04); ; Background: The purpose of our study was to compare Merocel (Merocel Hemox 10 cm) and Jodoform-Vaseline cotton tampons (JVT) after a rhinoseptoplasty procedure in efficiency and patient comfort. Methods: We carried out a prospective study of 53 patients who had undergone surgery between 01/2018 and 01/2019. GroupA, packed with Merocel was composed of 29 patients, and GroupB packed with JVT was composed of 24 patients. A standard scale ranging from zero (no symptoms) to 5 (most severe symptoms) was used to assess subjective symptoms. To compare the usefulness of materials we evaluated the after-surgery bleeding and bleeding after nasal pack removing, discomfort of the patient at 12h and after 72h, discomfort during removing nasal pack. Secretions and crusts were evaluated 1 week and 2 weeks after surgery in both groups. Results: A total of 53 patients were enrolled in the study, 37 women and 16 men; age range 15-42 with a mean age of 34 years. After removing of the nasal pack in the GroupA, in 27 cases no bleeding was present, and in 2 cases there was present bleeding. In the GroupB in 19 cases no bleeding was present, and in 5 cases there was present bleeding. In the GroupA overall average discomfort score was 2, and in the GroupB overall average discomfort was 3. We noticed statistically significance reduction of nasal secretions and crusts at 1 week after surgery. The difference is not statistically significant 2 weeks after surgery. Difference in discomfort related to nasal packing is statistically significant (p < 0.05) regarding the pain during packing removal, the general satisfaction and the pressure. Conclusions: Merocel Hemox 10 cm was easily implanted and removed, causing patients less discomfort during the first days after surgery. The nasal mucosa was better preserved with Merocel than with JVT. This type of material can be used in rhino-septoplasty or septoturbinoplasty. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The consequence of Covid 19 in patient with laryngeal cancer(Balkan Society of ORL&HNS, 2022-06); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Rehabilitation of the nerve accessories paralysis after neck dissection- our inicital results(Balkan Society of ORL&HNS, 2022-06); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, RHINOMANOMETRY AS A METHOD FOR OBJECTIFICATION OF NASAL AIR RESISTANCE IN SELECTING PATIENTS FOR SEPTORHINOPLASTY(Македонско лекарско друштво = Macedonian medical association, 2019); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Primary malignant melanoma of the hypopharynx- case report(Balkan Society of ORL&HNS, 2022-06); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Complication of ignored Foreign body in the respiratory tract(Macedonian Otorhinolaryngology society, 2022-06-01); ; Complications of ignored foreign body in the respiratory tract Introduction: Foreign body aspiration is an emergency condition and may be fatal. Delayed diagnosis and treatment may be associated with complications. Objective: This study evaluated the association between complication of delayed treatment and complications during the procedure of extracting. Materials and methods: Foreign bodies are not normally found in the respiratory tract. The complications of delayed treatment could be: obstructive emphysema, atelectasis, tracheoesophageal fistula, bronchiectasis, haemoptysis, lung abscess, bronchopleural fistula, pneumonia, persistent coughing. Complications during treatment could be: coughing, dyspnoea, wheezing, stridor, haemoptysis, asphyxia, laryngeal oedema, pneumothorax, pneumomediastinitis, tracheobronchial rupture, cardiac arrest. The analysis is to be executed for the period 2016- 2021 year and the data for the survey were obtained from the records of the Department of Ear, Nose and Throat at the University Clinical Centre in Skopje. Results: All entities that can be aspirated, it can be said that organic, vegetal foreign bodies cause the biggest problems are the most dangerous and life treating conditions, given their unique nature and specific physical and chemical properties. Conclusion: A history of sudden-onset choking and cough, plus abnormal auscultation and radiological findings, are leading signs in the profile of foreign body aspiration. In these patients bronchoscopy is indicated. As time passes after aspiration the risk of complications is higher. The high prevalence of foreign bodies of vegetal origin is seen in children younger than 3 years of age.