Nikolovski, Nikola
Preferred name
Nikolovski, Nikola
Official Name
Nikolovski, Nikola
Main Affiliation
Email
nikola.nikolovski@medf.ukim.edu.mk
15 results
Now showing 1 - 10 of 15
- 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, Preview of patient with paralysis and paresis, unilateral and bilateral of the vocal cords(2017-06); - Some of the metrics are blocked by yourconsent settings
Item type:Publication, UNEXPECTED FINDING OF LARYNGEALHEMANGIOMA - DIAGNOSIS AND MEDICAL TREATMENT(Македонско лекарско друштво = Macedonian Medical Association, 2021); ; ; ; Goran MicevskiIntroduction. Laryngeal hemangioma is a rare and slowly progressing vascular tumor causing stridor or obstructive respiratory symptoms. Case report. We present an unexpected finding of laryngeal hemangioma in a 10-year-old boy with a severe general condition. Upon admission at our Department, he was immediately intubated. The next day, after extubation, his condition again deteriorated. Fiberbronchoscopy examination was performed; we confirmed a laryngeal hemangioma. Inadequate investigations and diagnosis of laryngeal hemangioma in early childhood cause a life-threatening condition. Conclusion. Regular and appropriate medical examinations are necessary for an adequate diagnosis. Early medical treatment is necessary to avoid more severe conditions and complications. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The Functional Assessment of the Praxical Organization of the Orofacial Musculature the Basis of Vocal Rehabilitationin Laryngectomized Persons,(2023-09); - 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, Laryngeal amyloidosis, a manifestation of the clinical picture of familian mediteranian fever(2017-06); - 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, QUALITY OF LIFE IN PATIENTS WITH FRACTURES OF THE UPPER PART OF THE FEMORAL BONE OPERATED WITH PLATE AND INTRAMEDULLARY FIXATION(2022); ;