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Dive into the research topics where Radan Starčević is active.

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Featured researches published by Radan Starčević.


Acta Oto-laryngologica | 2004

Gastroesophageal reflux and sequelae of chronic tubotympanal disorders in children

Marko Velepic; Mitja Velepic; Radan Starčević; Dubravko Manestar; Vojko Rozmanic

Objective—To compare sequelae of chronic tubotympanal disorders in children with and without gastroesophageal reflux (GER). Material and Methods—In 32 patients with chronic tubotympanal disorders GER was studied by means of 24-h continuous esophageal pH monitoring. After a period of 2–6 years (mean 4 years) sequelae of the tubotympanal disorders were examined, together with the clinical status of the ears and hearing status. The criteria for classification into mild, moderate and severe sequelae were based on the clinical status of the ear. Hearing was determined using tonal audiograms. Conductive hearing loss was classified as either slight (≤ 35 dB hearing loss in speech frequencies) or severe (>35 dB hearing loss in speech frequencies). Results—In the group of 16 patients (mean age 6.1 years) with GER, sequelae were observed in 29 ears (mild, n=11; moderate, n=5; severe, n=13). Hearing impairment was determined in 20 ears (mild, n=8; severe, n=12). In the group of 16 patients (mean age 7.1 years) without GER, sequelae were observed in 17 ears (mild, n=11; moderate, n=1; severe, n=5). Hearing impairment was determined in 10 ears (mild, n=6; severe, n=4). Conclusion—The total number of ears with sequelae and the total number of ears with conductive hearing impairment were significantly higher in patients with GER.


International Journal of Pediatric Otorhinolaryngology | 2012

Cartilage palisade tympanoplasty in children and adults: long term results

Marko Velepic; Radan Starčević; Robert Tićac; Milodar Kujundzic; Mitja Velepic

OBJECTIVE To show long-term anatomic and functional results of full thickness cartilage palisade tympanoplasty in children and adults. METHODS In 51 patients (56 ears); 9 children (12 ears) and 42 adults (44 ears) full thickness cartilage palisade tympanoplasty and interposition with malleus head autograft was performed. On average 11 years after the tympanoplasty, an otomicroscopy and a tonal audiogram were done to assess anatomic and functional results. RESULTS Anatomic results of 56 ears: 40 (71.43%) tympanic membranes have no anatomic irregularities; 14 (25.00%) have cartilage resorption (11 of them minor and 3 major resorptions), 2 (3.57%) have secondary perforation. In the group of children all ears tympanic membrane were with no or minor resorption and no perforations. Functional results (51 audiograms performed: in children 12 and in adults 39): pre- and post-operative average pure tone average air-bone gaps were 27.29 ± 10.26 and 10.73 ± 7.90 dB, respectively. In the group of children pre- and post-operative average pure tone average air-bone gaps were 29.44 ± 10.30 and 6.81 ± 3.47 dB, respectively. In the group of adults pre- and post-operative pure tone average air-bone gaps were 26.63 ± 10.30 and 11.93 ± 8.50 dB, respectively. The differences between the two groups preoperatively (z=0.733; p=0.463) and postoperatively are irrelevant (z=1.723; p=0.085). The hearing gain is bigger in children (F=4.788; p=0.033). CONCLUSION The full thickness cartilage palisade tympanoplasty with malleus autograft interposition is also nowadays a successful method in solving of an advanced ear pathology also in children.


Clinical Otolaryngology | 2012

Amount of airflow required for olfactory perception in laryngectomees: a prospective interventional study.

Dubravko Manestar; Robert Tićac; S. Maričić; G. Malvić; Davor Čorak; M. Marjanović Kavanagh; Drago Prgomet; Radan Starčević

Clin. Otolaryngol. 2012, 37, 28–34


International Journal of Pediatric Otorhinolaryngology | 2011

The clinical status of the eardrum: An inclusion criterion for the treatment of chronic secretory otitis media in children

Marko Velepic; Radan Starčević; Marta Bonifacic; Robert Tićac; Milodar Kujundzic; Dunja Skalamera Udovic; Dubravko Manestar; Goran Malvić; Sanja Zubovic; Mitja Velepic

OBJECTIVE To investigate if the clinical status of the eardrum could be an inclusion criterion for the therapy of chronic secretory otitis media (CSOM). To compare the results of treating CSOM by adenoidectomy and by adenoidectomy in combination with tympanostomy tubes in two groups of patients chosen according to that criterion. METHODS 161 ears in 87 children were treated for CSOM. An otomicroscopic examination showed there were no pathological changes on the tympanic membrane (signs of adhesive process, malleus rotation, and dangerous attic retractions). The patients were randomly divided into two groups: the first group of 59 ears was treated by myringotomy and tympanostomy tubes and adenoidectomy, while the other group of 102 ears was treated only by adenoidectomy. At least 6 months after the treatment, otomicroscopy and audiological assessments were performed in order to show the resolution of the middle ear effusion (MEE), audiological results and incidence of clinical sequelae of the eardrum. RESULTS The resolution of MEE by adenoidectomy alone was not significantly different from the results of treatment by adenoidectomy and tympanostomy tubes (z=1.565; p=0.0587). There were no differences in pure tone audiometry between the two methods of treatment. Only at the frequency of 2000 Hz (t=2.173; p=0.031) in treatment with adenoidectomy and tympanostomy tubes the values of air-bone gap (ABG) were lower. Sequelae: scars of the eardrum (chi-square=28.107; ss=1; p<0.001) and attic retractions (chi-square=4.592; ss=1; p=0.032) were more often in treatment with tubes. The incidence of clinical sequelae on the eardrum after treatment by tubes was commented on. CONCLUSION A criterion that could influence the approach to the therapy of CSOM in children.


International Journal of Pediatric Otorhinolaryngology | 2003

Congenital laryngeal cyst: one or two cysts

Mitja Velepic; Giordano Saina; Kristina Lah; Marko Velepic; Radan Starčević; Dijana Pedisić

The case presented is of a neonate with extreme respiratory distress immediately after birth, caused by a large laryngeal cyst. The vertical diameter of the cyst was larger than the height of the neonatal larynx. First excision of the cyst was performed in the region of the prominent aryepiglottic fold. Three weeks later, because of a recurrence of dyspnea, excision of the prominent wall of an obstructing cystic lesion was performed in the ventriculus Morgagni.


European Archives of Oto-rhino-laryngology | 2010

Microbial colonization of tracheoesophageal voice prostheses (Provox2) following total laryngectomy.

Brigita Tićac; Robert Tićac; Tomislav Rukavina; Palmira Kesovija; Dijana Pedisić; Boris Maljevac; Radan Starčević


Journal of Pediatric Surgery | 2004

Combined anomalies of the palate in Mohr syndrome: is preoperative electromyography of the palate useful?

Mitja Velepic; Antun Sasso; Marko Velepic; Ivo Lustica; Radan Starčević; Dejan Komljenovic


Collegium Antropologicum | 2010

Fine Needle Aspiration Cytology in the Evaluation of Parotid Gland Tumors

Margita Belušić Gobić; Diana Pedisic; Irena Seili Bekafigo; Robert Cerović; Radan Starčević; David Gobic; Mirna Juretić


Collegium Antropologicum | 2012

Perceptual Evaluation of Alaryngeal Speech

Marinela Rosso; Ljiljana Širić; Robert Tićac; Radan Starčević; Igor Šegec; Nikola Kraljik


Collegium Antropologicum | 2012

The Use of Ultrasound in Determining the Length of the Provox II Voice Prosthesis

Diana Pedisic; Robert Tićac; Barbara Čandrlić; Blazen Marijic; Tatjana Šepić; Goran Malvić; Marko Velepic; Radan Starčević

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