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Biomedical subjects

O V Grusha

Publications and source records attributed to O V Grusha.

At least 19 recordsLinked to original sources
PubMed1998

[Topographic anatomy of the Lockwood ligament].

The study was performed using four cadavers of adult persons with the method of preparation. The access to the ligament was obtained by the removal of the inferior orbital wall and inferior orbital adiposal layer. Topographical anatomy of Lockwood ligament, its interrelations with inferior rectus and oblique muscles and attachment to lateral and medial orbital walls were studied. Lockwood ligament, the transverse fascial structure that supports the eyeball, stabilizes it, providing the framework for inferior rectus and oblique muscles of the eye.

Adipose Tissue↗
PubMedDate not supplied

[The prevention and treatment of recurrences after dacryorhinostomies].

A total of 1206 dacryorhinostomies carried out from January, 1991 to December, 1997 at Institute of Ocular Diseases of the Russian Academy of Medical Sciences are analyzed. The main causes of relapses were underevaluation of the data of examinations and improper choice of operative access and method of surgery, errors in the technique of operation, and wrong postoperative treatment. For improving the efficacy of surgery, the authors developed a comprehensive method for preventing and treating relapses. X-ray and rhinological data are decisive for the choice of the access and method of operation. Unfavorable rhinogenic factors are removed and measured aimed at suppression of the cicatricial process at the site of anastomosis are carried out in primary dacryorhinostomy. For this purpose the authors for the first time in Russia applied a cytostatic antibiotic mitomycin C to the site of dacryostoma (44 cases) and a polymeric film Diplen with hemostatic and wound-healing effects (87 cases) with good results. Thorough follow-up after surgery detected a threatened relapse sufficiently early to carry out adequate treatment promoting cure.

Adolescent↗
PubMedDate not supplied

[Principles of treatment of traumatic orbit deformations during the late period (a 40-year experience)].

The treatment results of 1000 patients with traumatic orbit deformations covering a 40-year experience gathered by personnel of the chair for eye diseases of Sechenov's Moscow Medical Academy are presented. The authors define the key clinical symptoms of orbit trauma during the late period, i.e. enophthalmos, hypophthalmos and diplopia; pathogenetic motivations for the onset of the above symptoms are described. A scheme of complex treatment is suggested for patients with fractures in the orbit walls, including, with respect to individual indications, conservative therapy, restoration of the osseous orbit skeleton and myoplastic correction of residual diplopia. It is pointed out that, provided the scope and peculiarities of surgical treatment are correctly determined, the efficiency of treatment of patients with traumatic orbit deformations reaches 99.7%. Subsequent methods of optimizing the complex treatment of patients with fractures in the orbit walls are defined.

Adult↗
PubMedDate not supplied

[Five hundred orbital plastic repairs: analysis of complications].

The paper analyzes complications due to 500 orbital plastic repairs for traumatic deformities. Biomaterials (cadaveric cartilage/bone, allograft for orbital wall plastic repair, or xenopericardium) were applied in all cases. The lost orbital volume was also compensated for by Carbotextim-M. Damage to the inferior oblique muscle was the severest intraoperative complication. The bulk of complications in the early postoperative period were transient and implant displacement in the late periods required its position correction only in 4% of cases. The implant displacement-associated risk factors were as follows: male sex, childhood, application of a solid material (cartilage, bone), and its attachment failure. Purulent processes were local and encountered in 2% of cases. The low incidence of severe complications, as well as permanently high functional and cosmetic outcomes (during as long as 98.2 months) suggest that biografting of the lower orbital wall is effective.

Adolescent↗
PubMedDate not supplied

[Carcass tarsomargoplasty in involutional (senile) entropion of the lower eyelid].

The authors analyze the literature and their own data on the structure of the lower lid in health and involution and present their version of the development of the lower lid entropion and a method for surgical correction of this abnormality, carcass tarsomargoplasty, developed by them. The gist of this surgical intervention is fortification of the lower eyelid carcass structure by implantation into the depth of the eyelid of dosed shaped plates, molding of the lower eyelid shape, and fixation of the pretarsal portion of the skin (in the lower segment of the eyelid to the tarsal plate). Eleven patients were operated on; functional and cosmetic results were good, as evidenced by a follow-up of 11 months.

Entropion↗