[A successful autotransplant substitution of the facial nerve after parotidectomy followed by actinotherapy].
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Biomedical subjects
Publications and source records attributed to Z Tománek.
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Tests of postural rotational laterality were carried out in 63 patients suffering from torticollis (53) or torsion dystonia with torticollis (10) and in 33 normal subjects. There was a correlation between the predominant direction of postural functions and the direction of the rotatory component of torticollis. Torticollis and torsion dystonia may be due to the release of a postural rotational laterality in pre-disposed subjects and not to a presumed asymmetric lesion of the brain-stem.
107 patients suffering from axial dyskinesias (torticollis and torsion dystonia) were observed at our clinic over a period of 10 years. In 15 patients, stereotactic lesions involving the head-turning bundle at the caudatocapsular level, which mediates forced adversive movements, were performed. In 70% good to excellent results were confirmed. However, differences between forced adversive movements and torticollis were identified. There are striking motor and motivational similarities between torticollis and ritualized fixed action patterns of low-ranking subjects. The aetiology of axial dyskinesias, especially of torticollis, is multifactorial, long-term psychic stress being an important factor. The relationship of axial dyskinesias, especially of torticollis, to compulsive neuroses is discussed, and Mazar's 'adversive' target area is identified as a partial orbitomedial leukotomy.
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Between 1964 and 1970 the authors implanted Hydron gel in 62 patients with nose malformations. The cosmetic defects most frequently operated on were the saddle, and scoliosis of the nasal dorsum. By the end of 1973, 39 of the total number of cases were checked again. In two cases, the gel had to be removed shortly after the operation because of local inflammatory changes. No signs of hypersensitivity could be detected. Calcifications were detected by x-ray examination in 54.2% of the cases. Thirty-four of the patients subjected to the checkup were satisfied with the results of their operations. The authors considered the results to be very good in 16 cases, and unsatisfactory in 6 cases. Calcifications detected by x-ray examination did not affect the final cosmetic effect. None of the examined patients had any complaints in connection with long-term application of the gel. Hydron gel seems to be a suitable implant material in plastic operations of the nose.
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