English Journal

[Relevant factors in the treatment of digital nerve injury of the hand].

Andjelković S, Lešić A, Vučković Č, Sudjić V, Bumbaširević M.AbstractINTRODUCTION: In his work the orthopaedic surgeon deals with a large number of peripheral nerve injuries, especially of the upper extremity. Most of these injuries involve the hand (30%).
Srpski arhiv za celokupno lekarstvo.Srp Arh Celok Lek.2011 Nov-Dec;139(11-12):780-3.
INTRODUCTION: In his work the orthopaedic surgeon deals with a large number of peripheral nerve injuries, especially of the upper extremity. Most of these injuries involve the hand (30%).OBJECTIVE: The aim of the study was to analyze the influence of some factors (age, aetiology, level of injury, as
PMID 22338475

Reconstructive procedures for impaired upper airway function: laryngeal respiration.

Müller A.Author information Department of Otorhinolaryngology/Plastic Surgery, SRH Wald-Klinikum Gera gGmbH, teaching hospital of the Friedrich-Schiller-University Jena, Gera.AbstractThe larynx is the "bottleneck" of the human airway. For this reason, the effects of stenosing laryngeal pathologies on the vital factor respiratory gas exchange are particularly critical.Internal stabilization is a prerequisite for recovery of the laryngeal respiratory function in severe forms of inspiratory collapse (laryngomalacia). Effective laser surgery techniques have been developed to this end in recent years.Glottis-dilating surgery in cases of bilateral vocal cord motion impairment is now moving in the direction of endoscopic laser cordotomy or cordectomy, whereas arytenoidectomy and open surgical procedures are now used only rarely due to higher secondary morbidity rates. In individual cases, in particular if functional recovery is expected, temporary laterofixation of a vocal cord using an endoscopic suturing technique can be a helpful approach.Extensive laryngeal defects can be covered by means of composite grafts with mucosal lining, a supporting skeleton and their own vascularization. Autologous transplantation of the larynx, with its complex surgical and immunological problems, has become a manageable procedure. The problems of post-transplantation reinnervation and risk assessment of immunosuppression-induced recurrence of the tumor are still under consideration.Reanimation of the bilaterally paralyzed larynx by means of neurorrhaphy (neurosuture), neural grafting and, more recently, functional electrostimulation (pacemaker) represents a challenge for the coming years. In most cases of paralysis of the recurrent laryngeal nerve, a part of the muscles is maintained by synkinetic reinnervation when therapy is carried out, which however also prevents effective vocal cord movement due to simultaneous activity of agonists and antagonists. Modulation of reinnervation by means of electrostimulation and modern genetic therapy approaches justify hopes of better outcomes in the future.
GMS current topics in otorhinolaryngology, head and neck surgery.GMS Curr Top Otorhinolaryngol Head Neck Surg.2005;4:Doc09. Epub 2005 Sep 28.
The larynx is the "bottleneck" of the human airway. For this reason, the effects of stenosing laryngeal pathologies on the vital factor respiratory gas exchange are particularly critical.Internal stabilization is a prerequisite for recovery of the laryngeal respiratory function in severe forms of in
PMID 22073057

Neurotization of oculomotor, trochlear and abducent nerves in skull base surgery.

Li S, Pan Q, Liu N, Liu Z, Shen F.Author information Department of Neurosurgery, Tongji Hospital, Tongji University, Shanghai 200065, China. lishiting@online.sh.cnAbstractOBJECTIVE: To anatomically reconstruct the oculomotor nerve, trochlear nerve, and abducent nerve by skull base surgery.
Chinese medical journal.Chin Med J (Engl).2003 Mar;116(3):410-3.
OBJECTIVE: To anatomically reconstruct the oculomotor nerve, trochlear nerve, and abducent nerve by skull base surgery.METHODS: Seventeen cranial nerves (three oculomotor nerves, eight trochlear nerves and six abducent nerves) were injured and anatomically reconstructed in thirteen skull base operat
PMID 12781048

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