Orbital complications categorised by Chandler are emergency. They need early diagnosis and agresive treatment. Stage and origin of orbital complications are identified by rhinoendoscopy, ophtalmologic examination and CT of orbite and paranasal sinuses. Periorbital cellulitis and early stage of orbital cellulitis can be treated conservatively with i. v. antibiotics. Monitoring of laboratory parameters and ophtalmologic symptoms is mandatory. Lack of improvement or worsening of symptoms within 24-48 hours and advanced stages of orbital complications are indicated for surgery. The purpose of the study is to evaluate epidemiology, clinical features and management of sinogenic orbital complications. Retrospective data of 8 patients with suspicion of orbital complication admited to hospital from 2008 to 2013 were evaluated. Patients were analyzed in terms of gender, age, CT findings, microbiology, clinical features, stage and treatment. Male and female were afected in rate 1,66:1. Most of patients were young adult in 3rd. and 4th. decade of life (62,5 %). Acute and chronic sinusitis were cause of orbital complication in the same rate. The most common origin of orbital complication was ethmoiditis (62,5 %), than maxillary (25 %) and frontal (12,5 %) sinusitis. Polysinusitis with affection of ethmoidal, maxillary and frontal sinuses (75 %) was usual CT finding. Staphylococcus epidermidis and Staphylococcus aureus were etiological agens in half of cases. Periorbital oedema (100 %), proptosis, chemosis (50 %), diplopia and glaucoma (12,5 %) were observed. Based on examinations, diagnosis of periorbital oedema/preseptal cellulitis was made in 3 (37,5 %), orbital cellulitis in 3 (37,5 %) and subperiosteal abscess in 2 cases (25 %). All patients underwent combined therapy - i. v. antibiotics and surgery within 24 hours. Eradication of disease from ostiomeatal complex (OMC), drainage of affected sinuses and drainage of subperiosteal abscess were done via fuctional endonasal endoscopic surgery (FEES). In case of superior subperiosteal abscess, combined endonasal and external approach (external orbitotomy) was needed. Combined therapy facilitated quick improvement of local and systematic symptoms. Average time of hospitalisation was 7 days. Early diagnosis and agresive combined therapy prevent loss of vision and life threatening complications.
- MeSH
- absces diagnóza etiologie terapie MeSH
- antibakteriální látky terapeutické užití MeSH
- dospělí MeSH
- drenáž metody MeSH
- endoskopie MeSH
- lidé MeSH
- mladý dospělý MeSH
- oční infekce bakteriální diagnóza etiologie terapie MeSH
- orbitocelulitida diagnóza etiologie terapie MeSH
- počítačová rentgenová tomografie MeSH
- retrospektivní studie MeSH
- sinusitida komplikace MeSH
- stafylokokové infekce diagnóza etiologie terapie MeSH
- Staphylococcus izolace a purifikace MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Názvy látek
- antibakteriální látky MeSH
This study concerns the problematics of upper branch of n. VII rehabilitation. Surgical technique is presented which involves implantation of gold weight into the upper eyelid which was used in 17 patients. The study emphasizes importance of oculoplastic surgery which should become an integral part of management of facial nerve paresis.
- MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- nemoci očních víček etiologie chirurgie MeSH
- oční víčka chirurgie MeSH
- protézy a implantáty * MeSH
- senioři MeSH
- zlato * MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- senioři MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- Názvy látek
- zlato * MeSH
Two approaches to anatomy teaching have been studied and compared. We have concentrated on the teaching time spent for all parts of anatomy and we have compared external recommendations with the teaching time actually given to the subject at our Faculty of Medicine. In addition to that, various opinions on informational and educational aims in medical anatomy teaching are presented. The comparison mentioned above can be used to select the most useful way in which anatomy may be taught, in the light of current curricular emphases and pressures, and in the context of sound educational principles.
- MeSH
- anatomie výchova MeSH
- studium lékařství * MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Slovenská republika MeSH
The authors assessed the differences of the limen of interrupted sounds (sounds which last 500 ms, between which there are intervals of 200 ms) in healthy subjects and in patients with sensory neural and supracochlear hearing disorders. Essentially the results are consistent with those of Schorn and Fastl (2) and they suggest that patients with supracochlear hearing disorders are able to differentiate only much greater differences in intensity (more than 4 dB) between sounds, as compared with patients with sensory neural hearing disorders.
- MeSH
- audiometrie čistými tóny * MeSH
- audiometrie * MeSH
- diferenciální diagnóza MeSH
- diferenční práh MeSH
- lidé MeSH
- nádory mozku komplikace MeSH
- percepční nedoslýchavost diagnóza etiologie MeSH
- vestibulární schwannom diagnóza MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
The authors treated patients with sudden perception hearing disorders during the first five days in hospital by oxygenation using a respiration circle type D according to Mepleson's classification. Then oxygenation treatment was combined with medicamentous treatment (Rheodextran, Vinpocetinum and vitamins). After five days, when only an oxygenation mixture of 5% CO2 + 95% O2 was administered, the authors observed improvement or normalization of hearing in 19 of 25 patients. After termination of comprehensive treatment further improvement took place in 14 patients. The same audiometric results were recorded after a one year follow-up in all patients but one. Despite the great capacity of spontaneous recovery, which was described in sudden perception disorder, the authors assume, based on their results, that their method of oxygenation is effective either when applied alone or as part of comprehensive treatment.
- MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- náhlá nedoslýchavost terapie MeSH
- oxygenoterapie * MeSH
- senioři MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- senioři MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- MeSH
- chronická nemoc MeSH
- lidé MeSH
- metody MeSH
- otitis media chirurgie MeSH
- processus mastoideus chirurgie MeSH
- střední ucho chirurgie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- Klíčová slova
- CZECHOSLOVAKIA *, EPIDEMIOLOGY *, RHINOSCLEROMA *,
- MeSH
- epidemiologie * MeSH
- incidence MeSH
- lidé MeSH
- rinosklerom * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Československo MeSH
- Slovenská republika MeSH
- Klíčová slova
- ESOPHAGITIS *, ESOPHAGUS *, MEDIASTINITIS *,
- MeSH
- ezofagitida * MeSH
- ezofágus * MeSH
- lidé MeSH
- mediastinitida * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Klíčová slova
- PHARYNX/foreign bodies *,
- MeSH
- cizí tělesa * MeSH
- farynx * MeSH
- lidé MeSH
- Solanum tuberosum * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
