Biomedical subjects
Publications and source records attributed to I Slapák.
Four cases of injury of the orbit by a big foreign body without damage to the bulbus are described. The bodies were extracted and the healing was without complications. Two of these bodies penetrated into the brain and in one case surgical intervention was necessary. In both instances vision was lost because of damage to the optic nerve.
Midline malignant granuloma is the term used for a histogenetically heterogeneous group of diseases characterized by progressing destruction of tissues of the sinonasal area. The difficulty of differentiation of basic clinical pathological units included in this group, which is of fundamental importance for the subsequent therapeutic procedure, is demonstrated on two cases of Wegener's granulomatosis and sinonasal pleomorphous reticulosis.
The authors present an account of diagnostic methods, endoscopic problems and surgical treatment of Zenker's diverticula of the oesophagus. They analyze possibilities of X-ray and endoscopic diagnosis; a frequent problem is the insertion of an oesophageal probe before operation; tamponade of the diverticula before operation is useful. Surgical treatment is indicated in major diverticula, small flat ones are followed up. The surgical approach is from the left side of the neck. In the authors' department always total resection of the dicerticulum was performed in major diverticule, invagination could be used in minor diverticula. Early and late complications of operations are discussed.
Defects of the facial skeleton cause frequently severe aesthetic facial changes with negative repercussions also on the patient's mental state. The skeleton may be affected by injury, a neoplastic disease and iatrogenically when it is necessary to remove a part of the skeleton during operation. One possible way how to replace and reconstruct the skeleton is to use bone cement Pallacos R. This method was used in 8 patients with skeletal affections. The use of Pallacos R has the advantage that it can be used quickly, that it is easy to work with directly at the site of the defect and that its tolerance is satisfactory. It permits also to preserve the physiological shape of the paranasal sinuses. The method is one approach to individually indicated reconstruction.
Advances in the diagnosis and treatment of necrotizing external otitis (NEO) during the past 20 years improved substantially the prognosis of this disease. The use of hyperbaric oxygen therapy greatly potentiates the effect of newly developed highly effective antibiotics. Radioisotope examination of the petrous bones facilitates the diagnosis and indicates the time to terminate treatment. Medicamentous treatment is preferable to surgical treatment, which is reserved for exceptional very advanced cases of the disease. As NEO has been known for 30 years and the means to control it have been improved, it is no longer "malignant" for the majority of patients where the disease is diagnosed in time and treated adequately.
The authors describe a case of orbitocerebral injury by a wooden foreign body, size 66 x 7.5 mm which penetrated by the upper palpebral aperture into the middle cranial fossa. The extraction was performed by nasal lower orbitotomy.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.