The preceding study (Smahel, 1987) showed that after the abolishment of osteoplasty and introduction of primary reposition of nasal septum base in the 1970's the nasal deviation and asymmetry of nasal wing length in patients with unilateral cleft lip and palate had been reduced. The present study shows that this reduction continues after the introduction of total septum reposition. The deviation of septal base (columella) from the median plane and asymmetry in nostril position is reduced as well. The surgeon's experience however is the decisive factor determining the final shape of the nose.

• MeSH
• dítě MeSH
• kefalometrie MeSH
• klinické kompetence MeSH
• lidé MeSH
• následné studie MeSH
• nos růst a vývoj   patologie   MeSH
• nosní přepážka chirurgie   MeSH
• rozštěp patra chirurgie   MeSH
• rozštěp rtu chirurgie   MeSH
• studie případů a kontrol MeSH
• získané deformity nosu prevence a kontrola   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH

The multidisciplinary care of cleft defects in the Prague Department of Plastic Surgery has a long tradition. The authors describe the team care of patients including the timing of the surgery as well as the conservative therapy.

• MeSH
• dítě MeSH
• kojenec MeSH
• lidé MeSH
• maxila chirurgie   MeSH
• mladiství MeSH
• nosní přepážka chirurgie   MeSH
• novorozenec MeSH
• patro chirurgie   MeSH
• plastická chirurgie MeSH
• předškolní dítě MeSH
• ret chirurgie   MeSH
• rozštěp patra chirurgie   terapie   MeSH
• rozštěp rtu chirurgie   terapie   MeSH
• týmová péče o pacienty MeSH
• věkové faktory MeSH
• Check Tag
• dítě MeSH
• kojenec MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• novorozenec MeSH
• předškolní dítě MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika MeSH

The authors present an account of the history of surgical treatment of hypertrophic breasts at the Clinic of Plastic Surgery in Prague. They divided the period from 1928 to the present time into stages with regard to the predominating technique. The authors emphasize also the necessity of careful selection of the surgical procedure with regard to the type and extent of the defect.

• MeSH
• hypertrofie chirurgie   MeSH
• lidé MeSH
• mamoplastika metody   MeSH
• prsy patologie   MeSH
• Check Tag
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

The authors present a review of the history of surgery of hypertrophic breast at the Department of Plastic Surgery in Prague. The period from 1928 to the present time was divided into stages by the dominating surgical technique. The authors emphasize the importance of careful selection of the surgical procedure with regard to the type and grade of the defect.

• MeSH
• hypertrofie MeSH
• lidé MeSH
• mamoplastika * metody   statistika a číselné údaje   trendy   MeSH
• prsy patologie   chirurgie   MeSH
• Check Tag
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika epidemiologie   MeSH

From our data on 46 patients operated on by one surgeon in 1961 and 1962 who were regularly examined up to adulthood, it may be concluded that the growth results of the two-stage palatoplasty, when the second stage is done before the patient is 7 years of age, are almost identical to the results of one-stage palate repair performed at the age of 3 to 4 years. However, a greater orthodontic effort is needed to achieve a properly aligned dentoalveolar arch with the two-stage palatoplasty.

• MeSH
• chirurgie operační metody   MeSH
• dítě MeSH
• kojenec MeSH
• lidé MeSH
• longitudinální studie MeSH
• předškolní dítě MeSH
• processus alveolaris růst a vývoj   MeSH
• rozštěp patra patofyziologie   chirurgie   MeSH
• zubní oblouk růst a vývoj   MeSH
• Check Tag
• dítě MeSH
• kojenec MeSH
• lidé MeSH
• mužské pohlaví MeSH
• předškolní dítě MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

Even in our times of revolutionary advances in the technology and operative techniques in plastic surgery, the corium is a material with multiple applications and can be found in the patient at varying thickness. The aim of the article is to show that its indication to reinforce flaccid musculature or to cover muscular defects of the abdominal wall is fully justified even in a time of routine use of plastic nets.

• MeSH
• břišní svaly chirurgie   MeSH
• lidé MeSH
• pojivová tkáň transplantace   MeSH
• transplantace kůže * metody   MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

Even in our times of revolutionary advances in the technology and operative techniques in plastic surgery, the corium is a material with multiple applications and can be found in the patient at varying thickness. The aim of the article is to show that its indication to reinforce flaccid musculature or to cover muscular defects of the abdominal wall is fully justified even in a time of routine use of plastic nets.

• MeSH
• břišní svaly chirurgie   MeSH
• lidé MeSH
• plastická chirurgie MeSH
• pojivová tkáň transplantace   MeSH
• transplantace kůže metody   MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

Prenatal factors influencing cleft lip (CL), cleft lip and palate (CLP) and isolated cleft palate (CP) may account for the development of the defect (aetiological factor) for a change in the degree or type of the defect (modifying factor), or for the death of the embryo (lethal factor). Each active factor appears to act in all three directions, all be it at different ratios. This is used for analysis of groups of cleft-effected individuals registered at the Department of Plastic Surgery, Prague, from the catchment area of Bohemia. In terms of cleft defect teratogenesis (aetiology, modification, lethality) a "protective influence" appears probable in female embryos, in blood group A (ABO system), in HLA antigens A9, A11, B35. An "embryotoxic influence" i.e., an increase in all the three influences is seen in male embryos, regional influences, in the B and AB blood groups, in HLA antigens B17, in primiparae, in multiple pregnancies, in older mothers and in cytomegalovirus infections. The Epstein-Barr virus seem to increase, in particular, CLP embryo lethality. The activity of the factors was rated by means of correlations between the cleft frequency in first-degree relatives and the frequency of the factor in six subgroups classified by the cleft defect subtypes, by means of interactions between two and more factors and by a study of the differences between male and female probands. A model of the threshold of CL and CP teratogenesis was proposed, a model in agreement with prenatal reciprocal equilibrium.

• MeSH
• lidé MeSH
• rizikové faktory MeSH
• rozštěp patra epidemiologie   etiologie   genetika   MeSH
• rozštěp rtu epidemiologie   etiologie   genetika   MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Československo epidemiologie   MeSH

The Department of Plastic Surgery, Prague, provides comprehensive care to children and families where cleft lip and palate occur, which goes under the name of preventive family regimen. Apart from the treatment alone, this regimen is the concern of a number of specialists whose aim is to eliminate the parents' sense of "guilt", and to try, with the aid of the family, to create a situation which would improve the condition for the child's socialization. The geneticist is in charge of the prenatal preventive regimen which consists in the recommendation for the dated conception in an attempt to influence the baby's sex prior to conception, in eliminating potential internal and infectious (TORCH) etiological factors as well as potential teratogenic agents within the family. Gynecological care is aimed at uterine hypoplasia, atypia, gynaecological inflammation and hormonal deviations. Two months prior to conception and in the 1st trimester, it is recommended to keep to a diet rich in proteins, mineral substances, trace elements, vitamins and folic acid. The authors point to the potential risks of this method (impaired prenatal selection, increased fertility of risk families). At present, it is not possible to make an objective assessment of the results of the preventive pre-conception regimen due to the unrepresentative selection of the group under observation.

• MeSH
• lidé MeSH
• novorozenec MeSH
• prenatální péče MeSH
• rizikové faktory MeSH
• rodina MeSH
• rozštěp patra prevence a kontrola   psychologie   terapie   MeSH
• rozštěp rtu prevence a kontrola   psychologie   terapie   MeSH
• těhotenství MeSH
• Check Tag
• lidé MeSH
• novorozenec MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Československo MeSH

In families with the risk of cleft lip and palate at the Clinic of Plastic Surgery in Prague a preconception and prenatal protective regime (planned conception) is ensured. The protective regime comprises a recommended time of conception, elimination of possible medical causes of the defect, investigation of infections of group TROCH, optimalization of the living and working environment. Gynaecological care is focused on the hormonal status of the women, gynaecological inflammations and hypoplasia of the uterus. Two months before conception a diet rich in protein, vitamins and minerals, trace elements and folic acid is recommended. The authors discuss possible risks of this method, problems of evaluation of the results and possibilities of testing its effectiveness.

• MeSH
• dieta MeSH
• genetické poradenství MeSH
• lidé MeSH
• prenatální péče * MeSH
• rozštěp patra etiologie   genetika   prevence a kontrola   MeSH
• rozštěp rtu etiologie   genetika   prevence a kontrola   MeSH
• těhotenství MeSH
• Check Tag
• lidé MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH