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Biomedical subjects

B Gattinger

Publications and source records attributed to B Gattinger.

At least 19 recordsLinked to original sources

[Indication and technique of orbital enlargement in the treatment of endocrine ophthalmopathy].

Typical symptoms in endocrine ophthalmopathy are a result of an interstitial swelling of the ocular muscles and of the volume increase of the postbulbar fat and connective tissue. Clinically, we find a spectrum that reaches from infiltration of the eyelid and conjunctival tissue, exophthalmos, swelling of the muscles with diplopia, damage to the cornea till to involvement of the optic nerve with loss of vision. Regarding functional impairment of the optic nerve, orbital decompression represents an operative ultimate ratio. The surgical principle is based on the decompression within one or usually several orbital walls occasionally in combination with a sagittal enlargement of the eye socket by osteotomy and advancement of the orbital rims. As rule of thumb is considered: The reduction of the exophthalmos is proportional to the number of decompressed walls and amounts to 2-3 mm per decompressed orbital wall. A reduction of exophthalmos going beyond that can be obtained by advancement of the orbital rims.

Conjunctiva↗

[Gunshot injuries].

Gunshot wounds result in a great amount of tissue damage, relating almost always to fractures and defects of the skeleton. The damage varies in relation to the speed, size, shape, and striking angle of the projectile and to the disruption of hard tissue fragments, which multiply the tissue laceration acting as secondary missiles. The rules to be observed in treatment of gunshot wounds are based on experience which was gained during World War I and II. Most of the rules have proved to be a success and may be summarized as follows: approach from inside to outside, preservation of the anatomical relationships of the remaining bony tissues, and primary wound closure. On the other hand, considerable progress has been made concerning reconstruction and establishing a number of new methods in order to create better functional and esthetic results.

Adult↗